SegMix:Shuffle-based Feedback Learning for Semantic Segmentation of Pathology Images

arXiv cs.CV / 4/20/2026

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Key Points

  • The paper addresses a key bottleneck in computational pathology: pixel-level supervised segmentation is expensive and slow because it requires pathologist labeling.
  • It explores using only image-level labels to create pseudo pixel-level annotations for semantic segmentation, but notes that prior CAM-based approaches miss important pathology characteristics.
  • The authors propose SegMix, a shuffle-based feedback learning method that perturbs pathology images at the patch level and adaptively updates the shuffle strategy using learning feedback.
  • Experiments on three datasets show that SegMix produces higher-quality pseudo segmentation masks and improves performance over existing state-of-the-art methods.
  • Overall, the work advances weakly supervised semantic segmentation for pathology by improving how pseudo masks are generated from image-level supervision.

Abstract

Segmentation is a critical task in computational pathology, as it identifies areas affected by disease or abnormal growth and is essential for diagnosis and treatment. However, acquiring high-quality pixel-level supervised segmentation data requires significant workload demands from experienced pathologists, limiting the application of deep learning. To overcome this challenge, relaxing the label conditions to image-level classification labels allows for more data to be used and more scenarios to be enabled. One approach is to leverage Class Activation Map (CAM) to generate pseudo pixel-level annotations for semantic segmentation with only image-level labels. However, this method fails to thoroughly explore the essential characteristics of pathology images, thus identifying only small areas that are insufficient for pseudo masking. In this paper, we propose a novel shuffle-based feedback learning method inspired by curriculum learning to generate higher-quality pseudo-semantic segmentation masks. Specifically, we perform patch level shuffle of pathology images, with the model adaptively adjusting the shuffle strategy based on feedback from previous learning. Experimental results demonstrate that our proposed approach outperforms state-of-the-arts on three different datasets.