Confidence-Based Annotation Of Brain Tumours In Ultrasound

Fuente: arXiv
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Main Authors: Weld, Alistair, Dixon, Luke, Roddan, Alfie, Anichini, Giulio, Camp, Sophie, Giannarou, Stamatia
Format: Preprint
Published: 2025
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author Weld, Alistair
Dixon, Luke
Roddan, Alfie
Anichini, Giulio
Camp, Sophie
Giannarou, Stamatia
author_facet Weld, Alistair
Dixon, Luke
Roddan, Alfie
Anichini, Giulio
Camp, Sophie
Giannarou, Stamatia
contents Purpose: An investigation of the challenge of annotating discrete segmentations of brain tumours in ultrasound, with a focus on the issue of aleatoric uncertainty along the tumour margin, particularly for diffuse tumours. A segmentation protocol and method is proposed that incorporates this margin-related uncertainty while minimising the interobserver variance through reduced subjectivity, thereby diminishing annotator epistemic uncertainty. Approach: A sparse confidence method for annotation is proposed, based on a protocol designed using computer vision and radiology theory. Results: Output annotations using the proposed method are compared with the corresponding professional discrete annotation variance between the observers. A linear relationship was measured within the tumour margin region, with a Pearson correlation of 0.8. The downstream application was explored, comparing training using confidence annotations as soft labels with using the best discrete annotations as hard labels. In all evaluation folds, the Brier score was superior for the soft-label trained network. Conclusion: A formal framework was constructed to demonstrate the infeasibility of discrete annotation of brain tumours in B-mode ultrasound. Subsequently, a method for sparse confidence-based annotation is proposed and evaluated. Keywords: Brain tumours, ultrasound, confidence, annotation.
format Preprint
id arxiv_https___arxiv_org_abs_2502_15484
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Confidence-Based Annotation Of Brain Tumours In Ultrasound
Weld, Alistair
Dixon, Luke
Roddan, Alfie
Anichini, Giulio
Camp, Sophie
Giannarou, Stamatia
Computer Vision and Pattern Recognition
Purpose: An investigation of the challenge of annotating discrete segmentations of brain tumours in ultrasound, with a focus on the issue of aleatoric uncertainty along the tumour margin, particularly for diffuse tumours. A segmentation protocol and method is proposed that incorporates this margin-related uncertainty while minimising the interobserver variance through reduced subjectivity, thereby diminishing annotator epistemic uncertainty. Approach: A sparse confidence method for annotation is proposed, based on a protocol designed using computer vision and radiology theory. Results: Output annotations using the proposed method are compared with the corresponding professional discrete annotation variance between the observers. A linear relationship was measured within the tumour margin region, with a Pearson correlation of 0.8. The downstream application was explored, comparing training using confidence annotations as soft labels with using the best discrete annotations as hard labels. In all evaluation folds, the Brier score was superior for the soft-label trained network. Conclusion: A formal framework was constructed to demonstrate the infeasibility of discrete annotation of brain tumours in B-mode ultrasound. Subsequently, a method for sparse confidence-based annotation is proposed and evaluated. Keywords: Brain tumours, ultrasound, confidence, annotation.
title Confidence-Based Annotation Of Brain Tumours In Ultrasound
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2502.15484