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Multi-level Asymmetric Contrastive Learning for Medical Image Segmentation Pre-training
IEEE Journal of Biomedical and Health Informatics
|March 3, 2026
Summary
This study introduces MACL, a novel framework for medical image segmentation that enhances learning by using multi-level representations and simultaneous encoder-decoder pre-training. MACL significantly improves segmentation accuracy, especially with limited labeled data.
Area of Science:
- Medical Imaging
- Computer Vision
- Machine Learning
Background:
- Medical image segmentation is crucial but hindered by the difficulty of obtaining expert-labeled data.
- Existing contrastive learning methods for medical images often overlook multi-level representations and underutilize decoders.
Purpose of the Study:
- To propose a novel multi-level asymmetric contrastive learning framework (MACL) to enhance medical image segmentation.
- To address limitations of current contrastive learning by enabling simultaneous encoder-decoder pre-training and integrating multi-level representations.
Main Methods:
- Developed an asymmetric contrastive learning structure for simultaneous encoder and decoder pre-training.
- Implemented a multi-level contrastive strategy integrating feature-level, image-level, and pixel-level correspondences.
- Evaluated the framework on 8 medical image datasets against 11 existing contrastive learning strategies.
Main Results:
- MACL demonstrated superior performance compared to 11 other contrastive learning strategies.
- Achieved significant Dice score improvements (1.72% to 7.87%) on datasets like ACDC, MMWHS, HVSMR, and CHAOS with only 10% labeled data.
- Showcased strong generalization capabilities across 5 different U-Net backbones.
Conclusions:
- The proposed MACL framework effectively enhances medical image segmentation by leveraging multi-level representations and simultaneous encoder-decoder pre-training.
- MACL offers a promising solution for improving segmentation accuracy, particularly in low-data regimes, and exhibits robust generalization.

