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Main Authors: Müller, Johanna P., Wright, Robert, Day, Thomas G., Venturini, Lorenzo, Budd, Samuel F., Reynaud, Hadrien, Hajnal, Joseph V., Razavi, Reza, Kainz, Bernhard
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2503.05245
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author Müller, Johanna P.
Wright, Robert
Day, Thomas G.
Venturini, Lorenzo
Budd, Samuel F.
Reynaud, Hadrien
Hajnal, Joseph V.
Razavi, Reza
Kainz, Bernhard
author_facet Müller, Johanna P.
Wright, Robert
Day, Thomas G.
Venturini, Lorenzo
Budd, Samuel F.
Reynaud, Hadrien
Hajnal, Joseph V.
Razavi, Reza
Kainz, Bernhard
contents Accurate analysis of prenatal ultrasound (US) is essential for early detection of developmental anomalies. However, operator dependency and technical limitations (e.g. intrinsic artefacts and effects, setting errors) can complicate image interpretation and the assessment of diagnostic uncertainty. We present L-FUSION (Laplacian Fetal US Segmentation with Integrated FoundatiON models), a framework that integrates uncertainty quantification through unsupervised, normative learning and large-scale foundation models for robust segmentation of fetal structures in normal and pathological scans. We propose to utilise the aleatoric logit distributions of Stochastic Segmentation Networks and Laplace approximations with fast Hessian estimations to estimate epistemic uncertainty only from the segmentation head. This enables us to achieve reliable abnormality quantification for instant diagnostic feedback. Combined with an integrated Dropout component, L-FUSION enables reliable differentiation of lesions from normal fetal anatomy with enhanced uncertainty maps and segmentation counterfactuals in US imaging. It improves epistemic and aleatoric uncertainty interpretation and removes the need for manual disease-labelling. Evaluations across multiple datasets show that L-FUSION achieves superior segmentation accuracy and consistent uncertainty quantification, supporting on-site decision-making and offering a scalable solution for advancing fetal ultrasound analysis in clinical settings.
format Preprint
id arxiv_https___arxiv_org_abs_2503_05245
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle L-FUSION: Laplacian Fetal Ultrasound Segmentation & Uncertainty Estimation
Müller, Johanna P.
Wright, Robert
Day, Thomas G.
Venturini, Lorenzo
Budd, Samuel F.
Reynaud, Hadrien
Hajnal, Joseph V.
Razavi, Reza
Kainz, Bernhard
Image and Video Processing
Computer Vision and Pattern Recognition
Accurate analysis of prenatal ultrasound (US) is essential for early detection of developmental anomalies. However, operator dependency and technical limitations (e.g. intrinsic artefacts and effects, setting errors) can complicate image interpretation and the assessment of diagnostic uncertainty. We present L-FUSION (Laplacian Fetal US Segmentation with Integrated FoundatiON models), a framework that integrates uncertainty quantification through unsupervised, normative learning and large-scale foundation models for robust segmentation of fetal structures in normal and pathological scans. We propose to utilise the aleatoric logit distributions of Stochastic Segmentation Networks and Laplace approximations with fast Hessian estimations to estimate epistemic uncertainty only from the segmentation head. This enables us to achieve reliable abnormality quantification for instant diagnostic feedback. Combined with an integrated Dropout component, L-FUSION enables reliable differentiation of lesions from normal fetal anatomy with enhanced uncertainty maps and segmentation counterfactuals in US imaging. It improves epistemic and aleatoric uncertainty interpretation and removes the need for manual disease-labelling. Evaluations across multiple datasets show that L-FUSION achieves superior segmentation accuracy and consistent uncertainty quantification, supporting on-site decision-making and offering a scalable solution for advancing fetal ultrasound analysis in clinical settings.
title L-FUSION: Laplacian Fetal Ultrasound Segmentation & Uncertainty Estimation
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2503.05245