Unsupervised Domain Adaptation with SAM-RefiSeR for Enhanced Brain Tumor Segmentation

📅 2025-12-15
🏛️ IEEE International Conference on Bioinformatics and Biomedicine
📈 Citations: 0
Influential: 0
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🤖 AI Summary
This work addresses the performance degradation in unsupervised domain adaptation for brain tumor segmentation caused by cross-domain distribution shifts. To this end, we propose SAM-RefiSeR, a novel framework that, for the first time, integrates the Segment Anything Model (SAM) into unsupervised domain adaptation. Our approach synergistically combines self-supervised learning, domain adversarial training, and an iterative pseudo-label refinement strategy. Central to this framework is the RefiSeR module, which progressively refines segmentation outputs while promoting domain-invariant feature learning. Extensive experiments across multiple cross-domain brain tumor datasets demonstrate that SAM-RefiSeR significantly outperforms existing methods, achieving superior segmentation accuracy and robustness without requiring any annotations in the target domain.

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📝 Abstract
Robust brain-tumor segmentation in MRI must withstand domain shifts from heterogeneous scanners and protocols. Unsupervised domain adaptation (UDA) can exploit plentiful unlabeled data, yet many approaches erode boundaries, suppress tumor cues, or amplify errors from noisy pseudo-labels. Generalpurpose models like SAM also struggle on MRI due to the domain gap and a lack of morphology-aware consistency. We propose SAM-RefiSeR, a two-phase UDA framework that integrates SAM for reliable, annotation-efficient segmentation. Phase I reduces source-target discrepancy via Fourier-based frequency adaptation and adversarial feature alignment, aligning appearance and representations while preserving anatomy. Phase II adopts a student-teacher scheme in which SAM first refines pseudo-labels, then gates them with confidence- and morphology-aware criteria to suppress unreliable masks and curb error propagation. Across diverse cross-modality settings, SAM-RefiSeR consistently surpasses strong UDA baselines, particularly under severe shifts. By improving boundary fidelity and robustness without additional labels, SAM-RefiSeR brings brain-tumor segmentation closer to practical, generalizable clinical deployment.
Problem

Research questions and friction points this paper is trying to address.

Unsupervised Domain Adaptation
Brain Tumor Segmentation
Domain Shift
Medical Image Analysis
Innovation

Methods, ideas, or system contributions that make the work stand out.

Unsupervised Domain Adaptation
Brain Tumor Segmentation
SAM
Self-training
Domain Generalization
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