Nasopharyngeal Carcinoma segmentation in magnetic resonance imagery (MRI) is vital to radiotherapy. Exact dose delivery hinges on an accurate delineation of the gross tumor volume (GTV). However, the large-scale variation in tumor volume is intractable, and the performance of current models is mostly unsatisfactory with indistinguishable and blurred boundaries of segmentation results of tiny tumor volume. To address the problem, we propose a densely connected deep convolutional network consisting of an encoder network and a corresponding decoder network, which extracts high-level semantic features from different levels and uses low-level spatial features concurrently to obtain fine-grained segmented masks. Skip-connection architecture is involved and modified to propagate spatial information to the decoder network. Preliminary experiments are conducted on 30 patients. Experimental results show our model outperforms all baseline models, with improvements of 4.17%. An ablation study is performed, and the effectiveness of the novel loss function is validated.

Recently, because of the high-quality representations of contrastive learning methods, rehearsal-based contrastive continual learning has been proposed to explore how to continually learn transferable representation embeddings to avoid the catastrophic forgetting issue in traditional continual settings. Based on this framework, we propose Contrastive Continual Learning via Importance Sampling (CCLIS) to preserve knowledge by recovering previous data distributions with a new strategy for Replay Buffer Selection (RBS), which minimize estimated variance to save hard negative samples for representation learning with high quality. Furthermore, we present the Prototype-instance Relation Distillation (PRD) loss, a technique designed to maintain the relationship between prototypes and sample representations using a self-distillation process. Experiments on standard continual learning benchmarks reveal that our method notably outperforms existing baselines in terms of knowledge preservation and thereby effectively counteracts catastrophic forgetting in online contexts. The code is available at https://github.com/lijy373/CCLIS.