Recently, deep learning-based tooth segmentation methods have been limited by the expensive and time-consuming processes of data collection and labeling. Achieving high-precision segmentation with limited datasets is critical. A viable solution to this entails fine-tuning pre-trained multiview-based models, thereby enhancing performance with limited data. However, relying solely on two-dimensional (2D) images for three-dimensional (3D) tooth segmentation can produce suboptimal outcomes because of occlusion and deformation, i.e., incomplete and distorted shape perception. To improve this fine-tuning-based solution, this paper advocates 2D-3D joint perception. The fundamental challenge in employing 2D-3D joint perception with limited data is that the 3D-related inputs and modules must follow a lightweight policy instead of using huge 3D data and parameter-rich modules that require extensive training data. Following this lightweight policy, this paper selects skeletons as the 3D inputs and introduces MSFormer, a novel method for tooth segmentation. MSFormer incorporates two lightweight modules into existing multiview-based models: a 3D-skeleton perception module to extract 3D perception from skeletons and a skeleton-image contrastive learning module to obtain the 2D-3D joint perception by fusing both multiview and skeleton perceptions. The experimental results reveal that MSFormer paired with large pre-trained multiview models achieves state-of-the-art performance, requiring only 100 training meshes. Furthermore, the segmentation accuracy is improved by 2.4%-5.5% with the increasing volume of training data.
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