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Improving Uncertainty-Error Correspondence in Deep Bayesian Medical Image Segmentation

The Journal of Machine Learning for Biomedical Imaging, vol. 2024, pp. 1048–1082

Abstract

Increased usage of automated tools like deep learning in medical image segmentation has alleviated the bottleneck of manual contouring. This has shifted manual labour to quality assessment (QA) of automated contours which involves detecting errors and correcting them. A potential solution to semi-automated QA is to use deep Bayesian uncertainty to recommend potentially erroneous regions, thus reducing time spent on error detection. Previous work has investigated the correspondence between uncertainty and error, however, no work has been done on improving the “utility” of Bayesian uncertainty maps such that it is only present in inaccurate regions and not in the accurate ones. Our work trains the FlipOut model with the Accuracy-vs-Uncertainty (AvU) loss which promotes uncertainty to be present only in inaccurate regions. We apply this method on datasets of two radiotherapy body sites, c.f. head-and-neck CT and prostate MR scans. Uncertainty heatmaps (i.e. predictive entropy) are evaluated against voxel inaccuracies using Receiver Operating Characteristic (ROC) and Precision-Recall (PR) curves. Numerical results show that when compared to the Bayesian baseline the proposed method successfully suppresses uncertainty for accurate voxels, with similar presence of uncertainty for inaccurate voxels. Code to reproduce experiments is available at https://github.com/prerakmody/bayesuncertainty-error-correspondence

Authors 8

  1. Leiden University Medical Center · Erasmus MC · University Medical Center Utrecht · Holland Particle Therapy Center · Delft University of Technology

    Affiliation as printed

    Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands

    HollandPTC consortium – Erasmus Medical Center, Rotterdam, Holland Proton Therapy Centre, Delft, Leiden

    University Medical Center, Leiden and TU Delft, Delft, The Netherlands

    Computer Graphics and Visualization Group , EEMCS, TU Delft, Delft, The Netherlands

    Department of Radiation Oncology, Leiden University Medical Center, Leiden, The Netherlands

    Department of Radiation Oncology, University Medical Center, Utrecht, The Netherlands

    Leiden University Medical Center, Leiden and TU Delft, Delft, The Netherlands

  2. Delft University of Technology

    Affiliation as printed

    Computer Graphics and Visualization Group , EEMCS, TU Delft, Delft, The Netherlands

  3. Leiden University Medical Center · Erasmus MC · University Medical Center Utrecht · Holland Particle Therapy Center · Delft University of Technology

    Affiliation as printed

    Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands

    Computer Graphics and Visualization Group , EEMCS, TU Delft, Delft, The Netherlands

    Department of Radiation Oncology, Leiden University Medical Center, Leiden, The Netherlands

    Department of Radiation Oncology, University Medical Center, Utrecht, The Netherlands

    HollandPTC consortium -Erasmus Medical Center, Rotterdam, Holland Proton Therapy Centre, Delft,

    Leiden University Medical Center, Leiden and TU Delft, Delft, The Netherlands

  4. Leiden University Medical Center

    Affiliation as printed

    Department of Radiation Oncology, Leiden University Medical Center, Leiden, The Netherlands

  5. University Medical Center Utrecht

    Affiliation as printed

    Department of Radiation Oncology, University Medical Center, Utrecht, The Netherlands

  6. Leiden University Medical Center · Erasmus MC · University Medical Center Utrecht · Holland Particle Therapy Center · Delft University of Technology

    Affiliation as printed

    Department of Radiation Oncology, Leiden University Medical Center, Leiden, The Netherlands

    Computer Graphics and Visualization Group , EEMCS, TU Delft, Delft, The Netherlands

    Department of Radiation Oncology, University Medical Center, Utrecht, The Netherlands

    Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands

    HollandPTC consortium -Erasmus Medical Center, Rotterdam, Holland Proton Therapy Centre, Delft,

    Leiden University Medical Center, Leiden and TU Delft, Delft, The Netherlands

  7. Leiden University Medical Center · Erasmus MC · University Medical Center Utrecht · Holland Particle Therapy Center · Delft University of Technology

    Affiliation as printed

    Computer Graphics and Visualization Group , EEMCS, TU Delft, Delft, The Netherlands

    Department of Radiation Oncology, Leiden University Medical Center, Leiden, The Netherlands

    Department of Radiation Oncology, University Medical Center, Utrecht, The Netherlands

    Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands

    HollandPTC consortium -Erasmus Medical Center, Rotterdam, Holland Proton Therapy Centre, Delft,

    Leiden University Medical Center, Leiden and TU Delft, Delft, The Netherlands

  8. Leiden University Medical Center · Erasmus MC · University Medical Center Utrecht · Holland Particle Therapy Center · Delft University of Technology

    Affiliation as printed

    Department of Radiation Oncology, Leiden University Medical Center, Leiden, The Netherlands

    Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands

    Computer Graphics and Visualization Group , EEMCS, TU Delft, Delft, The Netherlands

    Department of Radiation Oncology, University Medical Center, Utrecht, The Netherlands

    HollandPTC consortium -Erasmus Medical Center, Rotterdam, Holland Proton Therapy Centre, Delft,

    Leiden University Medical Center, Leiden and TU Delft, Delft, The Netherlands

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References 65