HELPNet: Hierarchical Perturbations Consistency and Entropy-guided Ensemble for Scribble Supervised Medical Image Segmentation

Creating fully annotated labels for medical image segmentation is prohibitively time-intensive and costly, emphasizing the necessity for innovative approaches that minimize reliance on detailed annotations. Scribble annotations offer a more cost-effective alternative, significantly reducing the expenses associated with full annotations. However, scribble annotations offer limited and imprecise information, failing to capture the detailed structural and boundary characteristics necessary for accurate organ delineation. To address these challenges, we propose HELPNet, a novel scribble-based weakly supervised segmentation framework, designed to bridge the gap between annotation efficiency and segmentation performance. HELPNet integrates three modules. The Hierarchical perturbations consistency (HPC) module enhances feature learning by employing density-controlled jigsaw perturbations across global, local, and focal views, enabling robust modeling of multi-scale structural representations. Building on this, the Entropy-guided pseudo-label (EGPL) module evaluates the confidence of segmentation predictions using entropy, generating high-quality pseudo-labels. Finally, the structural prior refinement (SPR) module incorporates connectivity and bounded priors to enhance the precision and reliability and pseudo-labels. Experimental results on three public datasets ACDC, MSCMRseg, and CHAOS show that HELPNet significantly outperforms state-of-the-art methods for scribble-based weakly supervised segmentation and achieves performance comparable to fully supervised methods. The code is available at https://github.com/IPMI-NWU/HELPNet.

DVasMesh: Deep Structured Mesh Reconstruction from Vascular Images for Dynamics Modeling of Vessels

Vessel dynamics simulation is vital in studying the relationship between geometry and vascular disease progression. Reliable dynamics simulation relies on high-quality vascular meshes. Most of the existing mesh generation methods highly depend on manual annotation, which is time-consuming and laborious, usually facing challenges such as branch merging and vessel disconnection. This will hinder vessel dynamics simulation, especially for the population study. To address this issue, we propose a deep learning-based method, dubbed as DVasMesh to directly generate structured hexahedral vascular meshes from vascular images. Our contributions are threefold. First, we propose to formally formulate each vertex of the vascular graph by a four-element vector, including coordinates of the centerline point and the radius. Second, a vectorized graph template is employed to guide DVasMesh to estimate the vascular graph. Specifically, we introduce a sampling operator, which samples the extracted features of the vascular image (by a segmentation network) according to the vertices in the template graph. Third, we employ a graph convolution network (GCN) and take the sampled features as nodes to estimate the deformation between vertices of the template graph and target graph, and the deformed graph template is used to build the mesh. Taking advantage of end-to-end learning and discarding direct dependency on annotated labels, our DVasMesh demonstrates outstanding performance in generating structured vascular meshes on cardiac and cerebral vascular images. It shows great potential for clinical applications by reducing mesh generation time from 2 hours (manual) to 30 seconds (automatic).