DuMeta++: Spatiotemporal Dual Meta-Learning for Generalizable Few-Shot Brain Tissue Segmentation Across Diverse Ages

Abstract: Accurate segmentation of brain tissues from MRI scans is critical for neuroscience and clinical applications, but achieving consistent performance across the human lifespan remains challenging due to dynamic, age-related changes in brain appearance and morphology. While prior work has sought to mitigate these shifts by using self-supervised regularization with paired longitudinal data, such data are often unavailable in practice. To address this, we propose \emph{DuMeta++}, a dual meta-learning framework that operates without paired longitudinal data. Our approach integrates: (1) meta-feature learning to extract age-agnostic semantic representations of spatiotemporally evolving brain structures, and (2) meta-initialization learning to enable data-efficient adaptation of the segmentation model. Furthermore, we propose a memory-bank-based class-aware regularization strategy to enforce longitudinal consistency without explicit longitudinal supervision. We theoretically prove the convergence of our DuMeta++, ensuring stability. Experiments on diverse datasets (iSeg-2019, IBIS, OASIS, ADNI) under few-shot settings demonstrate that DuMeta++ outperforms existing methods in cross-age generalization. Code will be available at https://github.com/ladderlab-xjtu/DuMeta++.