Research map / Detection and segmentation / Weakly supervised detection and segmentation
MonoBox: Tightness-Free Box-Supervised Polyp Segmentation Using Monotonicity Constraint
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Proposes MonoBox, a tightness-free box-supervised polyp segmentation method that replaces MIL loss in noisy box-edge zones with a monotonicity constraint and shrinks those zones via label correction.
Problem
Box-supervised polyp segmentation relies on the box-tightness assumption (box edges touch target boundaries), which fails for polyps with vague boundaries, producing noisy MIL supervision.
Approach
Within unconfident zones near box edges, discard MIL loss and enforce a monotonicity constraint (inner response higher than outer response along directions toward the box center), plus adaptive label correction using predicted-mask boxes that shrinks the unconfident zones during training.
Key results
- On the synthetic noisy dataset, IBoxCLA with MonoBox reaches Dice 0.803 vs 0.735 for the noisy-label baseline (LB) and 0.827 for the clean upper bound (UB), beating FSRM (0.748) by 5.5%.
- On the in-house real noisy dataset, IBoxCLA with MonoBox reaches Dice 0.849 vs 0.816 for FSRM, a 3.3% gain.
- On COCO with BoxInst, MonoBox raises AP from 0.248 (LB) to 0.308, close to UB 0.321, and beats FSRM (0.259).
Measured effects reported in the paper
| What was changed | Where | Measured | Effect |
|---|---|---|---|
| apply MonoBox instead of FSRM | WeakPolyp · Real noisy | Dice: 0.785 -> 0.804 | Helped |
| apply MonoBox instead of FSRM | WeakPolyp · Synthetic noisy | Dice: 0.722 -> 0.763 | Helped |
| apply MonoBox instead of FSRM | IBoxCLA · Real noisy | Dice: 0.816 -> 0.849 | Helped |
| apply MonoBox instead of FSRM | IBoxCLA · Synthetic noisy | Dice: 0.748 -> 0.803 | Helped |
| add monotonicity constraint (ablation) | IBoxCLA box-supervised segmentation · Real noisy | Dice: 0.803 -> 0.838 | Helped |
| add monotonicity constraint (ablation) | IBoxCLA box-supervised segmentation · Synthetic noisy | Dice: 0.735 -> 0.787 | Helped |
| add label correction without MC (ablation) | IBoxCLA box-supervised segmentation · Real noisy | Dice: 0.803 -> 0.809 | Helped |
| add label correction without MC (ablation) | IBoxCLA box-supervised segmentation · Synthetic noisy | Dice: 0.735 -> 0.744 | Helped |
| combine monotonicity constraint and label correction (ablation) | IBoxCLA box-supervised segmentation · Real noisy | Dice: 0.838 -> 0.849 | Helped |
| combine monotonicity constraint and label correction (ablation) | IBoxCLA box-supervised segmentation · Synthetic noisy | Dice: 0.787 -> 0.803 | Helped |
| exclude the unconfident region from loss calculation instead of using MC (ablation) | IBoxCLA box-supervised segmentation · Real noisy | Dice: 0.803 -> 0.809 | No clear effect |
| use 2D-Gaussian soft labels instead of MC (ablation) | IBoxCLA box-supervised segmentation · Real noisy | Dice: 0.803 -> 0.816 | Helped |
Surprising findings
- Using label correction alone yields only limited improvement; its benefit appears mainly when combined with the monotonicity constraint.
- Simply excluding unconfident regions from the loss hardly improves over the noisy-label baseline.
Limitations
- Uses a uniform unconfident scale for all training samples rather than per-sample adaptation.
- Synthetic noise is zero-mean Gaussian and may not reflect real annotator bias (e.g., over-sized boxes).
Experimental setup
Datasets: ClinicDB Kvasir-SEG ColonDB EndoScene ETIS in-house polyp dataset COCO
Benchmarks: ClinicDB Kvasir-SEG ColonDB EndoScene ETIS in-house real noisy polyp test set COCO test-dev
Metrics: Dice IoU Hausdorff distance AP
Baselines: SSD-Det NCE+RCE PolarT FSRM Soft Label (2D-Gaussian) Exclusion BoxInst WeakPolyp IBoxCLA
Builds on: multiple-instance learning BoxInst IBoxCLA FSRM
Closest papers by meaning
- Polyper: Boundary Sensitive Polyp Segmentation (AAAI 2024 · similarity 0.84)
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- Why Invariance is Not Enough for Biomedical Domain Generalization and How to Fix It (NeurIPS 2026 · similarity 0.83)
- Sketchy Bounding-box Supervision for 3D Instance Segmentation (CVPR 2025 · similarity 0.82)
- WISH: Weakly Supervised Instance Segmentation using Heterogeneous Labels (CVPR 2025 · similarity 0.82)
- Weakly Supervised Gland Segmentation with Class Semantic Consistency and Purified Labels Filtration (AAAI 2025 · similarity 0.82)
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