This invention is related to a method to improve the performance of a deep neural network (10) for the identification of a segmentation target (111) in a medical image (12, 110), comprising the steps of performing n training steps on said deep neural network (10) for the identification of said region of interest on two different representations (13, 14) of the same segmentation target (111), said representations (13,14) being definitions of the same segmentation target (111).