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Existing semi-supervised medical image segmentation algorithms use copy-paste data augmentation to correct the labeled-unlabeled data distribution mismatch. However, current copy-paste methods have three limitations: (1) training the model solely with copy-paste mixed pictures from labeled and unlabeled input loses a lot of labeled information; (2) low-quality pseudo-labels can cause confirmation bias in pseudo-supervised learning on unlabeled data; (3) the segmentation performance in low-contrast and local regions is less than optimal. We design a Stochastic Augmentation-Based Dual-Teaching Auxiliary Training Strategy (SADT), which enhances feature diversity and learns high-quality features to overcome these problems. To be more precise, SADT trains the Student Network by using pseudo-label-based training from Teacher Network 1 and supervised learning with labeled data, which prevents the loss of rare labeled data. We introduce a bi-directional copy-paste mask with progressive high-entropy filtering to reduce data distribution disparities and mitigate confirmation bias in pseudo-supervision. For the mixed images, Deep-Shallow Spatial Contrastive Learning (DSSCL) is proposed in the feature spaces of Teacher Network 2 and the Student Network to improve the segmentation capabilities in low-contrast and local areas. In this procedure, the features retrieved by the Student Network are subjected to a random feature perturbation technique. On two openly available datasets, extensive trials show that our proposed SADT performs much better than the state-of-the-art semi-supervised medical segmentation techniques. Using only 10% of the labeled data for training, SADT was able to acquire a Dice score of 90.10% on the ACDC (Automatic Cardiac Diagnosis Challenge) dataset.
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