Deep Auxiliary Learning via Bilevel Feature Optimization for Label-Efficient Medical Image Segmentation

Auxiliary learning (AL), which can improve the performance of a primary task by leveraging related auxiliary tasks, is commonly regarded as a special case of multi-task learning. Existing AL approaches typically require manually annotated auxiliary labels, increasing annotation costs, particularly in medical imaging where expert labeling is expensive. In this work, we investigate whether segmentation performance can be improved using auxiliary tasks whose labels are automatically derived from existing segmentation annotations, requiring no additional manual labeling. To address this, we propose a novel auxiliary learning framework, formulated as a bilevel optimization problem. Our method enables effective knowledge transfer between tasks via a feature communication module, enhancing the primary segmentation task. We evaluate the method on three medical image segmentation benchmarks under limited-label settings. The results demonstrate consistent improvements over state-of-the-art methods, achieving superior label efficiency. The code is publicly available at https://github.com/FupingWu90/ALBO.