In semi-supervised medical image segmentation, there exist empirical mismatch problems between labeled and un-labeled data distribution. The knowledge learned from the labeled data may be largely discarded if treating labeled and unlabeled data separately or in an inconsistent manner. We propose a straightforward method for alleviating the problem-copy-pasting labeled and unlabeled data bidirectionally, in a simple Mean Teacher architecture. The method encourages unlabeled data to learn comprehensive common semantics from the labeled data in both inward and outward directions. More importantly, the consistent learning procedure for labeled and unlabeled data can largely reduce the empirical distribution gap. In detail, we copy-paste a random crop from a labeled image (foreground) onto an unlabeled image (background) and an unlabeled image (foreground) onto a labeled image (background), respectively. The two mixed images are fed into a Student network and supervised by the mixed supervisory signals of pseudo-labels and ground-truth. We reveal that the simple mechanism of copy-pasting bidirectionally between labeled and unlabeled data is good enough and the experiments show solid gains (e.g., over 21% Dice improvement on ACDC dataset with 5% labeled data) compared with other state-of-the-arts on various semi-supervised medical image segmentation datasets. Code is avaiable at https://github.com/DeepMed-Lab-ECNU/BCP.

We propose a novel teacher-student model for semi-supervised multi-organ segmentation. In teacher-student model, data augmentation is usually adopted on unlabeled data to regularize the consistent training between teacher and student. We start from a key perspective that fixed relative locationsand variable sizes of different organs can provide distribution information where a multi-organ CT scan is drawn. Thus, we treat the prior anatomy as a strong tool to guide the data augmentation and reduce the mismatch between labeled and unlabeled images for semi-supervised learning. More specifically, we propose a data augmentation strategy based on partition-and-recovery N3cubes cross-and within-labeled and unlabeled images. Our strategy encourages unlabeled images to learn organ semantics in relative locations from the labeled images (cross-branch) and enhances the learning ability for small organs (within-branch). For within-branch, we further propose to refine the quality of pseudo labels by blending the learned representations from small cubes to incorporate local attributes. Our method is termed as MagicNet, since it treats the CT volume as a magic-cube and N3-cube partition-and-recovery process matches with the rule of playing a magic-cube. Extensive experiments on two public CT multi-organ datasets demonstrate the effectiveness of MagicNet, and noticeably outperforms state-of-the-art semi-supervised medical image segmentation approaches, with + 7% DSC improvement on MACT dataset with 10% labeled images. Code is avaiable at https://github.com/DeepMed-Lab-ECNU/MagicNet.