STS MICCAI 2023 Challenge: Grand challenge on 2D and 3D semi-supervised tooth segmentation

Computer-aided design (CAD) tools are increasingly popular in modern dental practice, particularly for treatment planning or comprehensive prognosis evaluation. In particular, the 2D panoramic X-ray image efficiently detects invisible caries, impacted teeth and supernumerary teeth in children, while the 3D dental cone beam computed tomography (CBCT) is widely used in orthodontics and endodontics due to its low radiation dose. However, there is no open-access 2D public dataset for children's teeth and no open 3D dental CBCT dataset, which limits the development of automatic algorithms for segmenting teeth and analyzing diseases. The Semi-supervised Teeth Segmentation (STS) Challenge, a pioneering event in tooth segmentation, was held as a part of the MICCAI 2023 ToothFairy Workshop on the Alibaba Tianchi platform. This challenge aims to investigate effective semi-supervised tooth segmentation algorithms to advance the field of dentistry. In this challenge, we provide two modalities including the 2D panoramic X-ray images and the 3D CBCT tooth volumes. In Task 1, the goal was to segment tooth regions in panoramic X-ray images of both adult and pediatric teeth. Task 2 involved segmenting tooth sections using CBCT volumes. Limited labelled images with mostly unlabelled ones were provided in this challenge prompt using semi-supervised algorithms for training. In the preliminary round, the challenge received registration and result submission by 434 teams, with 64 advancing to the final round. This paper summarizes the diverse methods employed by the top-ranking teams in the STS MICCAI 2023 Challenge.

A Multi-Stage Framework for 3D Individual Tooth Segmentation in Dental CBCT

Cone beam computed tomography (CBCT) is a common way of diagnosing dental related diseases. Accurate segmentation of 3D tooth is of importance for the treatment. Although deep learning based methods have achieved convincing results in medical image processing, they need a large of annotated data for network training, making it very time-consuming in data collection and annotation. Besides, domain shift widely existing in the distribution of data acquired by different devices impacts severely the model generalization. To resolve the problem, we propose a multi-stage framework for 3D tooth segmentation in dental CBCT, which achieves the third place in the "Semi-supervised Teeth Segmentation" 3D (STS-3D) challenge. The experiments on validation set compared with other semi-supervised segmentation methods further indicate the validity of our approach.

CrossMatch: Enhance Semi-Supervised Medical Image Segmentation with Perturbation Strategies and Knowledge Distillation

Semi-supervised learning for medical image segmentation presents a unique challenge of efficiently using limited labeled data while leveraging abundant unlabeled data. Despite advancements, existing methods often do not fully exploit the potential of the unlabeled data for enhancing model robustness and accuracy. In this paper, we introduce CrossMatch, a novel framework that integrates knowledge distillation with dual perturbation strategies-image-level and feature-level-to improve the model's learning from both labeled and unlabeled data. CrossMatch employs multiple encoders and decoders to generate diverse data streams, which undergo self-knowledge distillation to enhance consistency and reliability of predictions across varied perturbations. Our method significantly surpasses other state-of-the-art techniques in standard benchmarks by effectively minimizing the gap between training on labeled and unlabeled data and improving edge accuracy and generalization in medical image segmentation. The efficacy of CrossMatch is demonstrated through extensive experimental validations, showing remarkable performance improvements without increasing computational costs. Code for this implementation is made available at https://github.com/AiEson/CrossMatch.git.