Domain adaptation (DA) has drawn high interests for its capacity to adapt a model trained on labeled source data to perform well on unlabeled or weakly labeled target data from a different domain. Most common DA techniques require the concurrent access to the input images of both the source and target domains. However, in practice, it is common that the source images are not available in the adaptation phase. This is a very frequent DA scenario in medical imaging, for instance, when the source and target images come from different clinical sites. We propose a novel formulation for adapting segmentation networks, which relaxes such a constraint. Our formulation is based on minimizing a label-free entropy loss defined over target-domain data, which we further guide with a domain invariant prior on the segmentation regions. Many priors can be used, derived from anatomical information. Here, a class-ratio prior is learned via an auxiliary network and integrated in the form of a Kullback-Leibler (KL) divergence in our overall loss function. We show the effectiveness of our prior-aware entropy minimization in adapting spine segmentation across different MRI modalities. Our method yields comparable results to several state-of-the-art adaptation techniques, even though is has access to less information, the source images being absent in the adaptation phase. Our straight-forward adaptation strategy only uses one network, contrary to popular adversarial techniques, which cannot perform without the presence of the source images. Our framework can be readily used with various priors and segmentation problems.
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