Generalize Polyp Segmentation via Inpainting across Diverse Backgrounds and Pseudo-Mask Refinement

Inpainting lesions within different normal backgrounds is a potential method of addressing the generalization problem, which is crucial for polyp segmentation models. However, seamlessly introducing polyps into complex endoscopic environments while simultaneously generating accurate pseudo-masks remains a challenge for current inpainting methods. To address these issues, we first leverage the pre-trained Stable Diffusion Inpaint and ControlNet, to introduce a robust generative model capable of inpainting polyps across different backgrounds. Secondly, we utilize the prior that synthetic polyps are confined to the inpainted region, to establish an inpainted region-guided pseudo-mask refinement network. We also propose a sample selection strategy that prioritizes well-aligned and hard synthetic cases for further model fine-tuning. Experiments demonstrate that our inpainting model outperformed baseline methods both qualitatively and quantitatively in inpainting quality. Moreover, our data augmentation strategy significantly enhances the performance of polyp segmentation models on external datasets, achieving or surpassing the level of fully supervised training benchmarks in that domain. Our code is available at https://github.com/497662892/PolypInpainter.

ECC-PolypDet: Enhanced CenterNet with Contrastive Learning for Automatic Polyp Detection

Accurate polyp detection is critical for early colorectal cancer diagnosis. Although remarkable progress has been achieved in recent years, the complex colon environment and concealed polyps with unclear boundaries still pose severe challenges in this area. Existing methods either involve computationally expensive context aggregation or lack prior modeling of polyps, resulting in poor performance in challenging cases. In this paper, we propose the Enhanced CenterNet with Contrastive Learning (ECC-PolypDet), a two-stage training \& end-to-end inference framework that leverages images and bounding box annotations to train a general model and fine-tune it based on the inference score to obtain a final robust model. Specifically, we conduct Box-assisted Contrastive Learning (BCL) during training to minimize the intra-class difference and maximize the inter-class difference between foreground polyps and backgrounds, enabling our model to capture concealed polyps. Moreover, to enhance the recognition of small polyps, we design the Semantic Flow-guided Feature Pyramid Network (SFFPN) to aggregate multi-scale features and the Heatmap Propagation (HP) module to boost the model's attention on polyp targets. In the fine-tuning stage, we introduce the IoU-guided Sample Re-weighting (ISR) mechanism to prioritize hard samples by adaptively adjusting the loss weight for each sample during fine-tuning. Extensive experiments on six large-scale colonoscopy datasets demonstrate the superiority of our model compared with previous state-of-the-art detectors.