Abstract

Segmentation is crucial in medical imaging. Deep learning based on convolutional neural networks showed promising results. However, the absence of large-scale datasets and a high degree of inter- and intra-observer variations pose a bottleneck. Crowdsourcing might be an alternative, as many non-experts provide references. We aim to compare different types of crowdsourcing for medical image segmentation. We develop a crowdsourcing platform that integrates citizen science (incentive: participating in the research), paid microtask (incentive: financial reward), and gamification (incentive: entertainment). For evaluation, we choose the use case of sclera segmentation in fundus images as a proof-of-concept and analyze the accuracy of crowdsourced masks and the generalization of learning models trained with crowdsourced masks. The developed platform is suited for the different types of crowdsourcing and offers an easy and intuitive way to implement crowdsourcing studies. Regarding the proof-of-concept study, citizen science, paid microtask, and gamification yield a median F-score of 82.2, 69.4, and 69.3 % compared to expert-labeled ground truth, respectively. Generating consensus masks improves the gamification masks (78.3 %). Despite the small training data (50 images), deep learning reaches median F-scores of 80.0, 73.5, and 76.5 % for citizen science, paid microtask, and gamification, respectively, indicating sufficient generalizability. As the platform has proven useful, we aim to make it available as open-source software for other researchers.

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