摘要 : Weakly supervised segmentation (WSS) aims to exploit weak forms of annotations to achieve the segmentation training, thereby reducing the burden on annotation. However, existing methods rely on large-scale centralized datasets, wh... 展开 Weakly supervised segmentation (WSS) aims to exploit weak forms of annotations to achieve the segmentation training, thereby reducing the burden on annotation. However, existing methods rely on large-scale centralized datasets, which are difficult to construct due to privacy concerns on medical data. Federated learning (FL) provides a cross-site training paradigm and shows great potential to address this problem. In this work, we represent the first effort to formulate federated weakly supervised segmentation (FedWSS) and propose a novel Federated Drift Mitigation (FedDM) framework to learn segmentation models across multiple sites without sharing their raw data. FedDM is devoted to solving two main challenges (i.e., local drift on client-side optimization and global drift on server-side aggregation) caused by weak supervision signals in FL setting via Collaborative Annotation Calibration (CAC) and Hierarchical Gradient De-conflicting (HGD). To mitigate the local drift, CAC customizes a distal peer and a proximal peer for each client via a Monte Carlo sampling strategy, and then employs inter-client knowledge agreement and disagreement to recognize clean labels and correct noisy labels, respectively. Moreover, in order to alleviate the global drift, HGD online builds a client hierarchy under the guidance of history gradient of the global model in each communication round. Through de-conflicting clients under the same parent nodes from bottom layers to top layers, HGD achieves robust gradient aggregation at the server side. Furthermore, we theoretically analyze FedDM and conduct extensive experiments on public datasets. The experimental results demonstrate the superior performance of our method compared with state-of-the-art approaches. The source code is available at https://github.com/CityU-AIM-Group/FedDM. 收起