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One Sequence to Segment Them All: Efficient Data Augmentation for CT and MRI Cross-Domain 3D Spine Segmentation

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This paper proposes GPU-optimized data augmentations that improve cross-modality spine segmentation by 155% Dice on unseen domains with minimal in-domain accuracy loss, and releases an open-source toolbox.

SourcearXiv Computer VisionAuthor: Nathan Molinier, Hendrik M\"oller, Thomas Dagonneau, Anna Curto-Vilalta, Robert Graf, Matan Atad, Daniel Rueckert, Jan S. Kirschke, Julien Cohen-Adad
One Sequence to Segment Them All: Efficient Data Augmentation for CT and MRI Cross-Domain 3D Spine Segmentation
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[2605.03098] One Sequence to Segment Them All: Efficient Data Augmentation for CT and MRI Cross-Domain 3D Spine Segmentation

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arXiv:2605.03098 (cs)

[Submitted on 4 May 2026]

Title:One Sequence to Segment Them All: Efficient Data Augmentation for CT and MRI Cross-Domain 3D Spine Segmentation

Authors:Nathan Molinier, Hendrik Möller, Thomas Dagonneau, Anna Curto-Vilalta, Robert Graf, Matan Atad, Daniel Rueckert, Jan S. Kirschke, Julien Cohen-Adad

View a PDF of the paper titled One Sequence to Segment Them All: Efficient Data Augmentation for CT and MRI Cross-Domain 3D Spine Segmentation, by Nathan Molinier and Hendrik M\"oller and Thomas Dagonneau and Anna Curto-Vilalta and Robert Graf and Matan Atad and Daniel Rueckert and Jan S. Kirschke and Julien Cohen-Adad

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Abstract:Deep learning-based medical image segmentation is increasingly used to support clinical diagnosis and develop new treatment strategies. However, model performance remains limited by the scarcity of high-quality annotated data and insufficient generalization across imaging protocols. This limitation is particularly evident in MRI and CT, where models are typically trained on a single acquisition sequence and exhibit reduced robustness when applied to unseen sequences or contrasts. Although data augmentation is widely used to improve general robustness on medical images, its impact on cross-modality generalization has not been quantitatively explored. In this work, we study a targeted set of data augmentation techniques designed to improve cross-modality transfer. We train three spine segmentation models, each on a single-modality/sequence dataset, and evaluate them across seven out-of-distribution datasets (spanning CT and MRI), reflecting a realistic single-sequence training and multi-sequence/contrast/modality deployment scenario. Our results demonstrate substantial performance gains on unseen domains (average Dice gain of 155 %) while preserving in-domain accuracy (average Dice decrease of 0.008 %), including effective transfer between CT and MRI. To mitigate the computational cost typically associated with strong data augmentation, we implement GPU-optimized augmentations that maintain, and even improve, training efficiency by approximately 10 %. We release our approach as an open-source toolbox, enabling seamless integration into commonly used frameworks such as nnUNet and MONAI. These augmentations significantly enhance robustness to heterogeneous clinical imaging scenarios without compromising training speed.

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Computer Vision and Pattern Recognition (cs.CV)

Cite as: arXiv:2605.03098 [cs.CV]

(or arXiv:2605.03098v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2605.03098

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arXiv-issued DOI via DataCite (pending registration)

Submission history

From: Hendrik Möller [view email] [v1] Mon, 4 May 2026 19:26:29 UTC (11,180 KB)

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Key points and analysis

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Key points

  • New data augmentation techniques enhance cross-modality generalization for CT and MRI spine segmentation.
  • Achieves 155% average Dice gain on unseen domains while preserving in-domain accuracy (drop of only 0.008%).
  • GPU-optimized augmentations maintain or improve training efficiency by ~10%.
  • Open-source toolbox integrates seamlessly with nnUNet and MONAI.

Highlights and analysis are generated automatically and may contain errors. Check the original source.