Abstract

Cortical parcellation provides a systematic way of dividing the cortex into meaningful regions for region-wise analysis. Although automatic parcellation is promising, recent learning-based approaches depend on large-scale datasets, which requires expensive data acquisition. To tackle this challenge, various data augmentation methods have been explored; nevertheless, existing approaches suffer from two key limitations: (1) insufficient diversity in the augmented patterns and (2) the lack of corresponding labels for synthesized samples. In this work, we propose a DDPM-based augmentation framework called Spherical RePaint that synthesizes diverse cortical surface features while directly reusing known parcellation labels. Specifically, our method integrates a label-derived boundary mask with spherical inpainting, preserving real features near parcel boundaries to maintain label validity while generating diverse patterns within region interiors. During sampling, an iterative resampling procedure re-applies forward diffusion to better harmonize preserved boundaries with synthesized interiors. Experimental results demonstrate that our approach achieves the highest Dice scores for cortical parcellation across all evaluated few-shot settings under extreme data scarcity.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/ShapeMI_010.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=XEFUyI5K2A

BibTex

@InProceedings{KimKan_Spherical_MICCAISAT2026,
        author = { Kim, Kangmin AND Kim, Jongmin AND Son, Jiwon AND Choi, Junho AND Lyu, Ilwoo},
        title = { { Spherical RePaint: Label-Reusable Diffusion-Based Augmentation for Parcellation } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17259},
        month = {pending},
        page = {pending}
}


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