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Craniofacial syndromes often involve skeletal defects of the head. Studying the development of the chondrocranium (the part of the endoskeleton that protects the brain and other sense organs) is crucial to understanding genotype-phenotype relationships and early detection of skeletal malformation. Our goal is to segment craniofacial cartilages in 3D micro-CT images of embryonic mice stained with phosphotungstic acid. However, due to high image resolution, complex object structures, and low contrast, delineating fine-grained structures in these images is very challenging, even manually. Specifically, only experts can differentiate cartilages, and it is unrealistic to manually label whole volumes for deep learning model training. We propose a new framework to progressively segment cartilages in high-resolution 3D micro-CT images using extremely sparse annotation (e.g., annotating only a few selected slices in a volume). Our model consists of a lightweight fully convolutional network (FCN) to accelerate the training speed and generate pseudo labels (PLs) for unlabeled slices. Meanwhile, we take into account the reliability of PLs using a bootstrap ensemble based uncertainty quantification method. Further, our framework gradually learns from the PLs with the guidance of the uncertainty estimation via self-training. Experiments show that our method achieves high segmentation accuracy compared to prior arts and obtains performance gains by iterative self-training.

Cartilage Segmentation in High-Resolution 3D Micro-CT Images via Uncertainty-Guided Self-training with Very Sparse Annotation