HSMix: Hard and soft mixing data augmentation for medical image segmentation

Due to the high cost of annotation or the rarity of some diseases, medical image segmentation is often limited by data scarcity and the resulting overfitting problem. Self-supervised learning and semi-supervised learning can mitigate the data scarcity challenge to some extent. However, both of these paradigms are complex and require either hand-crafted pretexts or well-defined pseudo-labels. In contrast, data augmentation represents a relatively simple and straightforward approach to addressing data scarcity issues. It has led to significant improvements in image recognition tasks. However, the effectiveness of local image editing augmentation techniques in the context of segmentation has been less explored. We propose HSMix, a novel approach to local image editing data augmentation involving hard and soft mixing for medical semantic segmentation. In our approach, a hard-augmented image is created by combining homogeneous regions (superpixels) from two source images. A soft mixing method further adjusts the brightness of these composed regions with brightness mixing based on locally aggregated pixel-wise saliency coefficients. The ground-truth segmentation masks of the two source images undergo the same mixing operations to generate the associated masks for the augmented images. Our method fully exploits both the prior contour and saliency information, thus preserving local semantic information in the augmented images while enriching the augmentation space with more diversity. Our method is a plug-and-play solution that is model agnostic and applicable to a range of medical imaging modalities. Extensive experimental evidence has demonstrated its effectiveness in a variety of medical segmentation tasks. The source code is available in https://github.com/DanielaPlusPlus/HSMix.