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LoMix: Learnable Weighted Multi-Scale Logits Mixing for Medical Image Segmentation

NeurIPS 2025 · Architectures and efficiency › Neural architecture search · approach: AutoML pipeline search · 1 citations (OpenAlex)

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Proposes LoMix, a training-only module that fuses multi-scale decoder logits with four operators (add, mult, concat, attention-weighted fusion) and learns softplus loss weights for all original and mutant maps, improving Synapse, ACDC and other segmentation benchmarks at zero inference cost.

Problem

Standard training of U-shaped segmentation networks either supervises only the final logits or applies deep supervision with equal weights across scales, ignoring complementary information from mixed-scale logit combinations, especially under limited labels.

Approach

Generate mixed-scale "mutant" logits by applying four fusion operators to every subset of decoder logits, then supervise all original and mutant maps with learnable softplus loss weights optimized jointly with network parameters, acting as a training-only NAS-style weighting with no inference overhead.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
replace single-output supervision with LoMixPVT-EMCAD-B2 · Synapse 8-organDICE (%): 80.9 -> 85.1Helped
replace deep supervision with LoMixPVT-EMCAD-B2 · Synapse 8-organDICE (%): 82.9 -> 85.1Helped
replace equal-weight additive MUTATION with LoMixPVT-EMCAD-B2 · Synapse 8-organDICE (%): 83.6 -> 85.1Helped
add LoMix supervisionPVT-EMCAD-B2 · ACDCAvg. DICE (%): 92.12% -> 92.51%Helped
replace single-output supervision with LoMixPVT-EMCAD-B2 · Synapse 8-organ, 5% dataDICE: 37.22 -> 46.45Helped
add the fourth fusion operator to the best three-operator setting (ablation)LoMix on PVT-EMCAD-B2 · Synapse 8-organDICE (%): ~0.46%Helped
learn softplus loss weights instead of using fixed equal weights (ablation)LoMix and supervision variants · Synapse 8-organDICE (%): +0.21% DICE (Add); +0.7% for MultiplyHelped
replace single-head supervision with LoMix (ablation)ResNet variants · Synapse 8-organDICE (%): +7.41-11.88%Helped
replace single-head supervision with LoMix (ablation)PVT-v2 variants · Synapse 8-organDICE (%): +3.88–6.71%Helped
add LoMix supervisionPVT-EMCAD-B2 · Synapse 13-organDICE: 76.21 -> 76.90Helped

Surprising findings

Limitations

Experimental setup

Datasets: Synapse multi-organ ACDC BUSI ISIC2018 Kvasir CVC-ColonDB ETIS-LaribPolypDB

Benchmarks: Synapse 8-organ Synapse 13-organ ACDC BUSI ISIC2018 Kvasir CVC-ColonDB ETIS-LaribPolypDB

Metrics: DICE HD95 mIoU

Baselines: Last Layer supervision Deep Supervision MUTATION UNet AttUNet TransUNet UNeXt PVT-CASCADE-B2 PVT-EMCAD-B2

Builds on: deep supervision UNet++ MERIT MUTATION EMCAD PVT-v2 uncertainty weighting

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