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Main Authors: Agbelese, Damola, Chaitanya, Krishna, Pati, Pushpak, Parmar, Chaitanya, Mobadersany, Pooya, Fadnavis, Shreyas, Surace, Lindsey, Yarandi, Shadi, Ghanem, Louis R., Lucas, Molly, Mansi, Tommaso, Cula, Oana Gabriela, Damasceno, Pablo F., Standish, Kristopher
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2509.12772
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author Agbelese, Damola
Chaitanya, Krishna
Pati, Pushpak
Parmar, Chaitanya
Mobadersany, Pooya
Fadnavis, Shreyas
Surace, Lindsey
Yarandi, Shadi
Ghanem, Louis R.
Lucas, Molly
Mansi, Tommaso
Cula, Oana Gabriela
Damasceno, Pablo F.
Standish, Kristopher
author_facet Agbelese, Damola
Chaitanya, Krishna
Pati, Pushpak
Parmar, Chaitanya
Mobadersany, Pooya
Fadnavis, Shreyas
Surace, Lindsey
Yarandi, Shadi
Ghanem, Louis R.
Lucas, Molly
Mansi, Tommaso
Cula, Oana Gabriela
Damasceno, Pablo F.
Standish, Kristopher
contents Reliable uncertainty quantification (UQ) is essential in medical AI. Evidential Deep Learning (EDL) offers a computationally efficient way to quantify model uncertainty alongside predictions, unlike traditional methods such as Monte Carlo (MC) Dropout and Deep Ensembles (DE). However, all these methods often rely on a single expert's annotations as ground truth for model training, overlooking the inter-rater variability in healthcare. To address this issue, we propose MEGAN, a Multi-Expert Gating Network that aggregates uncertainty estimates and predictions from multiple AI experts via EDL models trained with diverse ground truths and modeling strategies. MEGAN's gating network optimally combines predictions and uncertainties from each EDL model, enhancing overall prediction confidence and calibration. We extensively benchmark MEGAN on endoscopy videos for Ulcerative colitis (UC) disease severity estimation, assessed by visual labeling of Mayo Endoscopic Subscore (MES), where inter-rater variability is prevalent. In large-scale prospective UC clinical trial, MEGAN achieved a 3.5% improvement in F1-score and a 30.5% reduction in Expected Calibration Error (ECE) compared to existing methods. Furthermore, MEGAN facilitated uncertainty-guided sample stratification, reducing the annotation burden and potentially increasing efficiency and consistency in UC trials.
format Preprint
id arxiv_https___arxiv_org_abs_2509_12772
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MEGAN: Mixture of Experts for Robust Uncertainty Estimation in Endoscopy Videos
Agbelese, Damola
Chaitanya, Krishna
Pati, Pushpak
Parmar, Chaitanya
Mobadersany, Pooya
Fadnavis, Shreyas
Surace, Lindsey
Yarandi, Shadi
Ghanem, Louis R.
Lucas, Molly
Mansi, Tommaso
Cula, Oana Gabriela
Damasceno, Pablo F.
Standish, Kristopher
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Machine Learning
Reliable uncertainty quantification (UQ) is essential in medical AI. Evidential Deep Learning (EDL) offers a computationally efficient way to quantify model uncertainty alongside predictions, unlike traditional methods such as Monte Carlo (MC) Dropout and Deep Ensembles (DE). However, all these methods often rely on a single expert's annotations as ground truth for model training, overlooking the inter-rater variability in healthcare. To address this issue, we propose MEGAN, a Multi-Expert Gating Network that aggregates uncertainty estimates and predictions from multiple AI experts via EDL models trained with diverse ground truths and modeling strategies. MEGAN's gating network optimally combines predictions and uncertainties from each EDL model, enhancing overall prediction confidence and calibration. We extensively benchmark MEGAN on endoscopy videos for Ulcerative colitis (UC) disease severity estimation, assessed by visual labeling of Mayo Endoscopic Subscore (MES), where inter-rater variability is prevalent. In large-scale prospective UC clinical trial, MEGAN achieved a 3.5% improvement in F1-score and a 30.5% reduction in Expected Calibration Error (ECE) compared to existing methods. Furthermore, MEGAN facilitated uncertainty-guided sample stratification, reducing the annotation burden and potentially increasing efficiency and consistency in UC trials.
title MEGAN: Mixture of Experts for Robust Uncertainty Estimation in Endoscopy Videos
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Machine Learning
url https://arxiv.org/abs/2509.12772