CAD: Confidence-Aware Adaptive Displacement for Semi-Supervised Medical Image Segmentation

Abstract: Semi-supervised medical image segmentation aims to leverage minimal expert annotations, yet remains confronted by challenges in maintaining high-quality consistency learning. Excessive perturbations can degrade alignment and hinder precise decision boundaries, especially in regions with uncertain predictions. In this paper, we introduce Confidence-Aware Adaptive Displacement (CAD), a framework that selectively identifies and replaces the largest low-confidence regions with high-confidence patches. By dynamically adjusting both the maximum allowable replacement size and the confidence threshold throughout training, CAD progressively refines the segmentation quality without overwhelming the learning process. Experimental results on public medical datasets demonstrate that CAD effectively enhances segmentation quality, establishing new state-of-the-art accuracy in this field. The source code will be released after the paper is published.