Asymmetric Paired-Annotation Learning for Multi-Structure ULF Pediatric Brain MRI Segmentation

The paper introduces AURA, an nnU-Net-based asymmetric supervision strategy for segmenting ultra‑low‑field (0.064 T) pediatric brain MRI. It treats high‑field‑derived (HF) and low‑field‑edited (LF) annotations as distinct observations, anchoring training to the HF mask while gating LF contributions through a reliability mechanism. On a 16‑case development split, AURA achieved Dice scores comparable to HF‑only training and improved boundary metrics, demonstrating its potential for ULF MRI segmentation.

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• computer-vision