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Multiple-surface segmentation in optical coherence tomography (OCT) images is a challenging problem, further complicated by the frequent presence of weak image boundaries. Recently, many deep learning-based methods have been developed for this task and yield remarkable performance. Unfortunately, due to the scarcity of training data in medical imaging, it is challenging for deep learning networks to learn the global structure of the target surfaces, including surface smoothness. To bridge this gap, this study proposes to seamlessly unify a U-Net for feature learning with a constrained differentiable dynamic programming module to achieve end-to-end learning for retina OCT surface segmentation to explicitly enforce surface smoothness. It effectively utilizes the feedback from the downstream model optimization module to guide feature learning, yielding better enforcement of global structures of the target surfaces. Experiments on Duke AMD (age-related macular degeneration) and JHU MS (multiple sclerosis) OCT data sets for retinal layer segmentation demonstrated that the proposed method was able to achieve subvoxel accuracy on both datasets, with the mean absolute surface distance (MASD) errors of 1.88 ± 1.96μmand 2.75 ± 0.94μm, respectively, over all the segmented surfaces.
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This content will become publicly available on July 14, 2026
Generative AI enables medical image segmentation in ultra low-data regimes
Semantic segmentation of medical images is pivotal in applications like disease diagnosis and treatment planning. While deep learning automates this task effectively, it struggles in ultra low-data regimes for the scarcity of annotated segmentation masks. To address this, we propose a generative deep learning framework that produces high-quality image-mask pairs as auxiliary training data. Unlike traditional generative models that separate data generation from model training, ours uses multi-level optimization for end-to-end data generation. This allows segmentation performance to guide the generation process, producing data tailored to improve segmentation outcomes. Our method demonstrates strong generalization across 11 medical image segmentation tasks and 19 datasets, covering various diseases, organs, and modalities. It improves performance by 10–20% (absolute) in both same- and out-of-domain settings and requires 8–20 times less training data than existing approaches. This greatly enhances the feasibility and cost-effectiveness of deep learning in data-limited medical imaging scenarios.
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- PAR ID:
- 10618434
- Publisher / Repository:
- Springer Nature
- Date Published:
- Journal Name:
- Nature Communications
- Volume:
- 16
- Issue:
- 1
- ISSN:
- 2041-1723
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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