Evidence map›Paper›PMID 40659619›Full record

ArticleNature communications2025

Generative AI enables medical image segmentation in ultra low-data regimes.

Li Zhang, Basu Jindal, Ahmed Alaa, Robert Weinreb, David Wilson, Eran Segal, James Zou, Pengtao Xie

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Li ZhangDepartment of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, USA.
Basu JindalDepartment of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, USA.
Ahmed AlaaBakar Computational Health Sciences Institute, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-9936-7141
Robert WeinrebHamilton Glaucoma Center, Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-9553-3202
David WilsonDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-2635-7468
Eran SegalDepartment of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0002-6859-1164
James ZouDepartment of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-8880-4764
Pengtao XieDepartment of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, USA. p1xie@ucsd.edu.ORCID http://orcid.org/0000-0003-0521-174X

Funding

Develop Multi-modal Foundation Models for Sepsis Early DetectionR35GM157217 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Pengtao Xie · 2025 to 2026
$655k
Safe Continual Learning for Sepsis Early DetectionR21GM154171 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI XIE, PENGTAO · 2024 to 2024
$184k
NIGMS NIH HHS R21 GM154171NIGMS NIH HHS R35 GM157217
6 · The paper itself

Abstract

Semantic segmentation of medical images is pivotal in applications like disease diagnosis and treatment planning. While deep learning automates this task effectively, it struggles in ultra low-data regimes for the scarcity of annotated segmentation masks. To address this, we propose a generative deep learning framework that produces high-quality image-mask pairs as auxiliary training data. Unlike traditional generative models that separate data generation from model training, ours uses multi-level optimization for end-to-end data generation. This allows segmentation performance to guide the generation process, producing data tailored to improve segmentation outcomes. Our method demonstrates strong generalization across 11 medical image segmentation tasks and 19 datasets, covering various diseases, organs, and modalities. It improves performance by 10-20% (absolute) in both same- and out-of-domain settings and requires 8-20 times less training data than existing approaches. This greatly enhances the feasibility and cost-effectiveness of deep learning in data-limited medical imaging scenarios.

Indexed as

Deep LearningDiagnostic ImagingImage Processing, Computer-AssistedAlgorithmsHumans

Identifiers

PMID40659619
PMCPMC12260076

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.