Supervised machine learning provides state-of-the-art solutions to a wide range of computer vision problems. However, the need for copious labelled training data limits the capabilities of these algorithms in scenarios where such input is scarce or expensive. Self-supervised learning offers a way to lower the need for manually annotated data by pretraining models for a specific domain on unlabelled data. In this approach, labelled data are solely required to fine-tune models for downstream tasks. Medical image segmentation is a field where labelling data requires expert knowledge and collecting large labelled datasets is challenging; therefore, self-supervised learning algorithms promise substantial improvements in this field. Despite this, self-supervised learning algorithms are used rarely to pretrain medical image segmentation networks. In this paper, we elaborate and analyse the effectiveness of supervised and self-supervised pretraining approaches on downstream medical image segmentation, focusing on convergence and data efficiency. We find that self-supervised pretraining on natural images and target-domain-specific images leads to the fastest and most stable downstream convergence. In our experiments on the ACDC cardiac segmentation dataset, this pretraining approach achieves 4-5 times faster fine-tuning convergence compared to an ImageNet pretrained model. We also show that this approach requires less than five epochs of pretraining on domain-specific data to achieve such improvement in the downstream convergence time. Finally, we find that, in low-data scenarios, supervised ImageNet pretraining achieves the best accuracy, requiring less than 100 annotated samples to realise close to minimal error.

本文探讨了在医学图像分割中监督学习与自监督学习的预训练方法，发现在自监督学习方法中，使用自然图像和目标领域特定图像进行预训练可以实现最快和最稳定的收敛，在低数据场景下，将图像分类网络预训练在ImageNet上可以获得最佳精度。

自监督预训练用于二维医学图像分割