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Hallucinated domain generalization network with domain-aware dynamic representation for medical image segmentation.

Minjun Wang1, Houjin Chen1, Yanfeng Li1

  • 1School of Electronic and Information Engineering, Beijing Jiaotong University, Beijing 100044, China.

Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society
|November 20, 2025
PubMed
Summary

This study introduces a novel network for medical image segmentation that improves generalization across different domains. The approach uses dynamic hallucination and representation to adapt models to new data, enhancing performance on unseen medical images.

Keywords:
Domain generalizationDynamic representationMedical image segmentation

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Area of Science:

  • Medical Imaging
  • Computer Vision
  • Machine Learning

Background:

  • Medical image segmentation models struggle with performance degradation across different acquisition protocols and domains.
  • This degradation is often caused by overfitting to source data and poor adaptability to new target domains.

Purpose of the Study:

  • To develop a novel network for medical image segmentation that enhances generalization across unseen domains.
  • To address overfitting and improve dynamic adaptability in segmentation models.

Main Methods:

  • Proposed a hallucinated domain generalization network with domain-aware dynamic representation.
  • Introduced an uncertainty-aware dynamic hallucination module using Bézier curves and uncertainty-aware offset for synthetic image generation.
  • Developed a domain-aware dynamic representation module for mapping input features to a unified source domain space using style prototypes and similarity weights.

Main Results:

  • The proposed method effectively breaks source domain limitations while preserving anatomical structures.
  • It alleviates model overfitting to specific source domain styles.
  • Experiments on fundus and prostate MRI datasets showed superior performance compared to state-of-the-art methods.

Conclusions:

  • The novel "hallucination during training, dynamic representation during testing" scheme significantly improves generalization for medical image segmentation.
  • The approach effectively mitigates performance degradation caused by domain shift.
  • This method offers a robust solution for cross-domain medical image segmentation tasks.