Abstract

The deep convolutional neural network (ConvNet) achieves significant segmentation performance on medical images of various modalities. However, the isolated errors in a large testing set with various tumor conditions are not acceptable in clinical practice. This is usually caused in inadequate training and noise inherent during data collection, which are recognized as epistemic and aleatoric uncertainties in deep learning-based approaches. In this paper, we analyze the two types of uncertainties in medical image segmentation tasks and propose a reduction method by training models with data augmentation. The shelter zones in images are reduced with 2D imaging on surfaces of different angles from 3D organs. Rotation transformation and noise are estimated by Monte Carlo simulation with prior parameter distributions, and the aleatoric uncertainty is quantized in this process. Experiments on segmentation of computed tomography images demonstrate that overconfident incorrect predictions are reduced through uncertainty reduction and that our method outperforms prediction baselines based on epistemic and aleatoric estimation.

Highlights

  • As an essential task in many surgical applications, e.g., diagnosis, treatment and recovery [1], image segmentation is applied in recognizing the boundaries of tumors in organs

  • We carry out evaluations to validate uncertainty reduction improvement in terms of voxel-level and lesion-level accuracy by means of the true positive rate (TPR) and false detection rate (FDR)

  • The results are compared with officially provided annotations and categorized into true positive (TP), false positive (FP), true negative (TN) and false negative (FN) results

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Summary

Introduction

As an essential task in many surgical applications, e.g., diagnosis, treatment and recovery [1], image segmentation is applied in recognizing the boundaries of tumors in organs. Due to large variations in the segmentation target among patients, it is still far from accurate and reliable when applying segmentation to images from organic bodies [2]. The application is not usable in clinical practice even only isolated errors occur during segmentation due to the high precision requirement. The reduction in uncertainties is critical in accurate and reliable segmentation. With quantization of epistemic and aleatoric uncertainties, we can assess the reliability of the results and guide human intervention when needed

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