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Updated: Jan 10, 2026

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Cyclic Contrastive Representation Learning for Incomplete Multi-Modal Medical Image Segmentation.

Shihuan He, Zongbao Yang, Jianbo Zhao

    IEEE Journal of Biomedical and Health Informatics
    |November 26, 2025
    PubMed
    Summary

    Cyclic Contrastive Latent Representation Segmentation (CLRS) enhances 3D medical image segmentation accuracy despite missing data. This novel framework effectively models relationships between imaging modalities for robust performance, even with severe data absence.

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    Area of Science:

    • Medical Imaging
    • Artificial Intelligence
    • Computer Vision

    Background:

    • Accurate segmentation of multimodal medical images is crucial but challenged by missing data in clinical practice.
    • Incomplete data, particularly missing modalities, significantly degrades segmentation performance.
    • Existing methods struggle with severe modality absence, necessitating robust solutions.

    Purpose of the Study:

    • To develop a joint representation learning framework for robust 3D medical image segmentation under missing modality conditions.
    • To address the performance degradation caused by absent modality-specific information.
    • To improve segmentation accuracy and robustness in scenarios with incomplete multimodal data.

    Main Methods:

    • Proposed Cyclic Contrastive Latent Representation Segmentation (CLRS), a framework incorporating cyclic representation generation and contrastive feature alignment.

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  • Utilized a unified encoder for feature extraction from available modalities.
  • Employed a synthesis strategy to generate missing latent representations and a channel-wise attention mechanism to enhance modality-specific features.
  • Implemented modality-specific contrastive learning for cross-modal discrimination and disentanglement of shared patterns.
  • Main Results:

    • CLRS demonstrated superior performance on three 3D multimodal datasets, especially in severe missing modality scenarios.
    • Achieved significant improvements over state-of-the-art (SOTA) on the ProstateZS dataset with only a single modality available.
    • Specifically, improvements of over 4.06% for peripheral zone and 2.20% for central gland were observed.

    Conclusions:

    • CLRS offers a robust solution for 3D medical image segmentation with missing modalities.
    • The framework effectively models inter-modality relationships and enhances segmentation robustness.
    • CLRS significantly advances the state-of-the-art in handling incomplete multimodal medical imaging data.