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RetinexDA: Progressive Disentanglement Domain Adaptation for Unsupervised Cross-Modality Medical Image Segmentation.

Yixuan Wu, Mingze Yin, Zitai Kong

    IEEE Journal of Biomedical and Health Informatics
    |April 28, 2026
    PubMed
    Summary
    This summary is machine-generated.

    This study introduces RetinexDA, a new method for medical image segmentation that adapts to different imaging environments. It improves accuracy by separating image structure from appearance, enhancing reliable clinical deployment.

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    Area of Science:

    • Medical imaging
    • Artificial intelligence
    • Computer vision

    Background:

    • Deep neural networks excel in medical image segmentation with similar data.
    • Performance degrades significantly with differing imaging protocols, vendors, or physics.
    • This limits the clinical deployment of AI models in diverse real-world scenarios.

    Purpose of the Study:

    • To develop a novel unsupervised domain adaptation framework for medical image segmentation.
    • To address performance degradation caused by domain shifts in clinical imaging data.
    • To enhance the robustness and reliability of segmentation models across different environments.

    Main Methods:

    • Proposed RetinexDA framework decomposes medical images into domain-invariant structure and domain-specific appearance.
    • Introduced Disentangled Knowledge Distillation (DKD) for semantic alignment between pixel and latent spaces.
    • Developed a Bézier-curve domain bridging strategy for smooth transitions between domains.

    Main Results:

    • RetinexDA demonstrated superior performance compared to state-of-the-art unsupervised domain adaptation methods.
    • The framework effectively preserves anatomical details while mitigating modality-dependent variations.
    • Experiments on abdominal CT and cardiac MRI segmentation validated the approach's effectiveness.

    Conclusions:

    • RetinexDA offers a robust solution for unsupervised domain adaptation in medical image segmentation.
    • The method shows significant potential for scalable and reliable deployment in clinical settings.
    • Preserving structural information and aligning semantic features are key to cross-domain adaptation.