Semi-supervised histopathology segmentation is challenging due to scarce annotations and unreliable pseudo-labels in ambiguous gland regions. To address this problem, we propose Confidence-Guided Diffusion Refinement (CoDiR), a semi-supervised framework that combines a Mean Teacher segmentation model with diffusion-based pseudo-label refinement. Given an unlabeled image, the teacher first produces a soft prediction, and only low-confidence regions are refined by a conditional diffusion model trained to capture plausible mask structures from labeled data. The refined mask is then fused with reliable teacher predictions and used to train the student with confidence weighting and consistency regularization. On the GlaS and CRAG datasets CoDiR reaches 88.09\% and 89.83\% mDice with 10\% labeled data, and 89.19\% and 90.29\% mDice with 20\%, matching or exceeding the strongest published method on seven of the eight benchmark metrics. Ablations attribute the largest single contribution to the refinement module, which adds +6.36\% mDice over the Mean Teacher baseline. The implementation code is publicly available at: https://github.com/vongla345/codir
Histopathological tissue segmentation is essential for computer-aided diagnosis, yet weakly supervised methods often suffer from noisy pseudo-labels generated by Class Activation Mapping (CAM). Existing CAM approaches tend to focus on staining-driven appearance cues rather than true causal tissue morphology, resulting in spurious localization and poor structural consistency. To address this issue, we propose C$^2$RM-Seg, a two-stage framework that integrates causal pseudo-label refinement with structure-aware semantic enhancement. For classification, we introduce a Causal Counterfactual Reasoning Module (C$^2$RM) that decomposes features into latent factors and performs counterfactual intervention via a learned causal structure matrix, suppressing confounding context and producing morphology-aligned CAMs. For segmentation, we design a Dual-Path Structural-Semantic Architecture that combines fine-grained structural features from ResNeSt with global semantic priors from a frozen DINOV3 foundation model. A cross-path gating mechanism adaptively regulates semantic injection using local structural cues to preserve boundary fidelity. To further mitigate residual pseudo-label noise, we propose an Uncertainty-Gated Margin (UGM) loss, which dynamically balances margin enforcement and confidence learning based on prediction uncertainty. Extensive experiments on two public histopathological tissue datasets show that C$^2$RM-Seg achieves state-of-the-art performance.
Point supervision has become a scalable solution to address dense annotation for infrared small target detection, but its performance is limited by two coupled bottlenecks: unstable pseudo-label evolution in cluttered, low-contrast infrared imagery and severe sample-distribution imbalance. In this paper, we present a more adaptive and stable framework to address these issues. Leveraging the intrinsic consistency between thermal radiation patterns and heat diffusion, we propose a physics-induced annotation strategy that expands single-point labels into reliable pseudo-masks. To further enhance supervision and alleviate sample imbalance, we develop a bi-level dual-update framework that jointly optimizes detector weights, sample weights, and diffusion parameters. A meta-classifier dynamically predicts sample-wise loss weights, while a differentiable diffusion module refines pseudo-labels with detection feedback, enabling adaptive interaction between training and hyperparameter optimization. Extensive experiments across multiple datasets demonstrate five-fold annotation acceleration, superior detection accuracy, and comparable performance with 30% of the training data, validating the efficiency and practicality of our approach. Our code is available at https://github.com/yuanhang-yao/diffuse-to-detect.