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Prior-Guided Selective Parameter Fine-Tuning for Source-Free Domain Adaptive Medical Image Segmentation
IEEE Journal of Biomedical and Health Informatics
|January 2, 2026
Summary
This study introduces PATH, a novel framework for source-free domain adaptation in medical image segmentation. PATH enhances model adaptation by selectively fine-tuning parameters and reducing pseudo-label noise, achieving state-of-the-art results.
Area of Science:
- Medical Image Analysis
- Artificial Intelligence
- Computer Vision
Background:
- Source-free domain adaptation (SFDA) is crucial for transferring knowledge to unlabeled medical image domains without accessing private source data.
- Current SFDA methods for medical image segmentation often rely on pseudo-labeling and full model fine-tuning, with limited exploration of underlying principles.
- Generalization error in SFDA is influenced by model complexity and pseudo-label noise, necessitating advanced adaptation strategies.
Purpose of the Study:
- To investigate the principles of SFDA using PAC-Bayesian generalization error bounds.
- To propose a novel selective parameter fine-tuning framework, PATH (PArameter fine-tuning guided by Topological and Historical priors), for SFDA in medical image segmentation.
- To reduce model complexity and pseudo-label noise during adaptation for improved segmentation performance.
Main Methods:
- Investigated SFDA using PAC-Bayesian generalization error bounds to understand constraints from model complexity and pseudo-label noise.
- Developed PATH, a framework that selectively fine-tunes domain-variant and task-distinctive parameters to reduce effective model complexity.
- Integrated topological structure and historical prediction consistency priors to estimate pseudo-label reliability and suppress noise.
Main Results:
- PATH effectively reduces model complexity by sparsely updating identified parameters.
- The framework successfully suppresses pseudo-label noise by leveraging topological and historical priors.
- Achieved state-of-the-art performance on cross-scanner fundus image segmentation and cross-modality abdominal multi-organ segmentation benchmarks.
Conclusions:
- PATH offers a principled approach to SFDA for medical image segmentation by addressing model complexity and pseudo-label noise.
- The selective parameter fine-tuning strategy and noise suppression mechanisms contribute to superior segmentation accuracy.
- The proposed method demonstrates significant improvements over existing SFDA techniques in challenging medical imaging scenarios.

