Uncertainty-Aware Segmentation Quality Prediction via Deep Learning Bayesian Modeling: Comprehensive Evaluation and Interpretation on Skin Cancer and Liver Segmentation

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Autores principales: K, Sikha O, Riera-Marín, Meritxell, Galdran, Adrian, Lopez, Javier García, Rodríguez-Comas, Julia, Piella, Gemma, Ballester, Miguel A. González
Formato: Preprint
Publicado: 2025
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author K, Sikha O
Riera-Marín, Meritxell
Galdran, Adrian
Lopez, Javier García
Rodríguez-Comas, Julia
Piella, Gemma
Ballester, Miguel A. González
author_facet K, Sikha O
Riera-Marín, Meritxell
Galdran, Adrian
Lopez, Javier García
Rodríguez-Comas, Julia
Piella, Gemma
Ballester, Miguel A. González
contents Image segmentation is a critical step in computational biomedical image analysis, typically evaluated using metrics like the Dice coefficient during training and validation. However, in clinical settings without manual annotations, assessing segmentation quality becomes challenging, and models lacking reliability indicators face adoption barriers. To address this gap, we propose a novel framework for predicting segmentation quality without requiring ground truth annotations during test time. Our approach introduces two complementary frameworks: one leveraging predicted segmentation and uncertainty maps, and another integrating the original input image, uncertainty maps, and predicted segmentation maps. We present Bayesian adaptations of two benchmark segmentation models-SwinUNet and Feature Pyramid Network with ResNet50-using Monte Carlo Dropout, Ensemble, and Test Time Augmentation to quantify uncertainty. We evaluate four uncertainty estimates: confidence map, entropy, mutual information, and expected pairwise Kullback-Leibler divergence on 2D skin lesion and 3D liver segmentation datasets, analyzing their correlation with segmentation quality metrics. Our framework achieves an R2 score of 93.25 and Pearson correlation of 96.58 on the HAM10000 dataset, outperforming previous segmentation quality assessment methods. For 3D liver segmentation, Test Time Augmentation with entropy achieves an R2 score of 85.03 and a Pearson correlation of 65.02, demonstrating cross-modality robustness. Additionally, we propose an aggregation strategy that combines multiple uncertainty estimates into a single score per image, offering a more robust and comprehensive assessment of segmentation quality. Finally, we use Grad-CAM and UMAP-based embedding analysis to interpret the model's behavior and reliability, highlighting the impact of uncertainty integration.
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spellingShingle Uncertainty-Aware Segmentation Quality Prediction via Deep Learning Bayesian Modeling: Comprehensive Evaluation and Interpretation on Skin Cancer and Liver Segmentation
K, Sikha O
Riera-Marín, Meritxell
Galdran, Adrian
Lopez, Javier García
Rodríguez-Comas, Julia
Piella, Gemma
Ballester, Miguel A. González
Computer Vision and Pattern Recognition
Image segmentation is a critical step in computational biomedical image analysis, typically evaluated using metrics like the Dice coefficient during training and validation. However, in clinical settings without manual annotations, assessing segmentation quality becomes challenging, and models lacking reliability indicators face adoption barriers. To address this gap, we propose a novel framework for predicting segmentation quality without requiring ground truth annotations during test time. Our approach introduces two complementary frameworks: one leveraging predicted segmentation and uncertainty maps, and another integrating the original input image, uncertainty maps, and predicted segmentation maps. We present Bayesian adaptations of two benchmark segmentation models-SwinUNet and Feature Pyramid Network with ResNet50-using Monte Carlo Dropout, Ensemble, and Test Time Augmentation to quantify uncertainty. We evaluate four uncertainty estimates: confidence map, entropy, mutual information, and expected pairwise Kullback-Leibler divergence on 2D skin lesion and 3D liver segmentation datasets, analyzing their correlation with segmentation quality metrics. Our framework achieves an R2 score of 93.25 and Pearson correlation of 96.58 on the HAM10000 dataset, outperforming previous segmentation quality assessment methods. For 3D liver segmentation, Test Time Augmentation with entropy achieves an R2 score of 85.03 and a Pearson correlation of 65.02, demonstrating cross-modality robustness. Additionally, we propose an aggregation strategy that combines multiple uncertainty estimates into a single score per image, offering a more robust and comprehensive assessment of segmentation quality. Finally, we use Grad-CAM and UMAP-based embedding analysis to interpret the model's behavior and reliability, highlighting the impact of uncertainty integration.
title Uncertainty-Aware Segmentation Quality Prediction via Deep Learning Bayesian Modeling: Comprehensive Evaluation and Interpretation on Skin Cancer and Liver Segmentation
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2508.01460