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DyCON: Dynamic Uncertainty-aware Consistency and Contrastive Learning for Semi-supervised Medical Image Segmentation

CVPR 2025 · Label-efficient and robust learning › Semi-supervised learning · approach: Semi-supervised medical segmentation · 36 citations (OpenAlex)

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Proposes DyCON, a semi-supervised 3D medical segmentation framework that adds an entropy-weighted voxel consistency loss (UnCL) and a focal, entropy-aware patch contrastive loss (FeCL) to a mean-teacher setup.

Problem

Semi-supervised 3D medical image segmentation suffers from class imbalance and high uncertainty from pathology variation; existing uncertainty-based consistency methods discard high-uncertainty voxels and contrastive methods treat all pairs equally.

Approach

UnCL weights each voxel's consistency loss by teacher and student entropy (with a decaying beta and entropy regularization) so uncertain voxels are kept but down-weighted early; FeCL adds dual focal weights, entropy-based adjustment, and inter-network top-k hard negatives to patch-wise supervised contrastive learning.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
add DyCON to the semi-supervised segmentation framework3D UNet on ISLES’22 · ISLES’22, 5% labeledDice (%): 53.53 -> 61.48Helped
add DyCON to the semi-supervised segmentation framework3D UNet on BraTS’19 · BraTS’19, 10% labeledDice (%): 85.26% and 87.05%Helped
add UnCL without β to MT (ablation)MT on ISLES’22 · ISLES’22, 10% labeledDice (%): 36.43 -> 58.78Helped
use adaptive β in UnCL (ablation)MT + UnCL on ISLES’22 · ISLES’22, 10% labeledDice (%): 58.78 -> 64.52Helped
use adaptive β in UnCL (ablation)MT + UnCL on BraTS’19 · BraTS’19, 10% labeledDice (%): 80.04 -> 85.97Helped
add dual focal weighting to SupCon with UnCL (ablation)MT on ISLES’22 · ISLES’22, 10% labeledDice (%): 38.24 -> 63.78Helped
add inter-network top-k hard negatives (ablation)MT + focal weights + UnCL on ISLES’22 · ISLES’22, 10% labeledDice (%): 63.78 -> 64.39Helped
add entropy-awareness to the focal weights (ablation)MT + focal weights + UnCL on ISLES’22 · ISLES’22, 10% labeledDice (%): 63.78 -> 65.46Helped
combine FeCL with UnCL (ablation)MT on ISLES’22 · ISLES’22, 10% labeledDice (%): 65.46 -> 66.07Helped
use FeCL instead of SupCon (ablation)MT on small lesions · ISLES-2022 small lesionsDice (%): 47.77% vs. 54.77%Helped
use FeCL instead of SupCon (ablation)MT on scattered lesions · ISLES-2022 scattered lesionsDice (%): 65.36% vs. 70.71%Helped

Surprising findings

Limitations

Experimental setup

Datasets: ISLES-2022 BraTS2019 LA Pancreas-NIH

Benchmarks: ISLES-2022 BraTS2019 LA Pancreas-NIH

Metrics: Dice IoU HD95 ASD

Baselines: MT UA-MT DTC MCF AC-MT CML BCP MagicNet GALoss UPC URPC

Builds on: Mean Teacher SupCon Focal Loss UA-MT BCP

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