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Take the Bull by the Horns: Learning to Segment Hard Samples

CVPR 2025 · Label-efficient and robust learning › Recognition and long-tail · approach: Correspondence and causal representation learning · 0 citations (OpenAlex)

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Proposes L2S, a medical image segmentation framework that identifies hard samples via a Bayesian-optimized Dice threshold and a classifier, then segments them with a diffusion-based feature augmentation and a Mask2Former-style decoder.

Problem

Medical image segmentation accuracy is poor on hard samples (e.g., pathological variations, artifacts, rare cases), which existing end-to-end and coarse-to-fine methods handle poorly.

Approach

Separates normal and hard samples using a learned hardness classifier with a dynamically tuned Dice threshold, then processes hard samples with a dedicated Mask2Former-based network whose diffusion-generated noisy label features act as implicit second-order (Hessian-trace) regularization.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Add FFT-based feature alignment (ablation)L2S · ISIC 2018DSC: 90.66 (-0.3) -> 90.97Helped
Add consistency loss (ablation)L2S · ISIC 2018DSC: 90.78 (-0.2) -> 90.97Helped
Add adaptive threshold selection (ablation)L2S · ISIC 2018DSC: 90.86 (-0.1) -> 90.97Helped
Add FFT, consistency loss, and adaptive threshold selection (ablation)L2S · ISIC 2018DSC: 90.54 (-0.4) -> 90.97Helped
Distinguish normal and hard samples with the pretrained classifier (ablation)L2S · ISIC 2018DSC: 89.59 -> 90.97Helped
Add diffusion feature augmentation (ablation)L2S · ISIC 2018DSC†: 59.38 -> 63.90Helped
Add the Post-Former module (ablation)L2S · ISIC 2018DSC: 90.36 -> 90.97Helped
Use multiscale features instead of single-scale features (ablation)L2S hard-sample segmentation · ISIC 2018DSC†: 62.24 -> 63.90Helped
Add learnable query features (ablation)L2S hard-sample segmentation · ISIC 2018DSC†: 60.82 -> 63.90Helped
Use L2S with Mask2Former rather than the UNet backbone (ablation)L2S · ACDCAverage Dice: 91.36 -> 91.68Helped

Surprising findings

Limitations

Experimental setup

Datasets: COSMOS2022 ISIC2018 Kvasir-SEG BUSI BTCV ACDC

Benchmarks: COSMOS2022 ISIC2018 Kvasir-SEG BUSI BTCV ACDC

Metrics: Dice score IoU Dice on hard samples (DSC†)

Baselines: UNet nnUNet Polyp-PVT MedT TransUNet TransFuse SwinUNet MedSegDiffV2 Mask2Former

Builds on: Mask2Former MedSegDiffV2 Hessian regularization diffusion probabilistic model

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