Towards increased trustworthiness of deep learning segmentation methods on cardiac MRI
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Abstract (arXiv)
Current state-of-the-art deep learning segmentation methods have not yet made a broad entrance into the clinical setting in spite of high demand for such automatic methods. One important reason is the lack of reliability caused by models that fail unnoticed and often locally produce anatomically implausible results that medical experts would not make. This paper presents an automatic image segmentation method based on (Bayesian) dilated convolutional networks (DCNN) that generate segmentation masks and spatial uncertainty maps for the input image at hand. The method was trained and evaluated using segmentation of the left ventricle (LV) cavity, right ventricle (RV) endocardium and myocardium (Myo) at end-diastole (ED) and end-systole (ES) in 100 cardiac 2D MR scans from the MICCAI 2017 Challenge (ACDC). Combining segmentations and uncertainty maps and employing a human-in-the-loop setting, we provide evidence that image areas indicated as highly uncertain regarding the obtained segmentation almost entirely cover regions of incorrect segmentations. The fused information can be harnessed to increase segmentation performance. Our results reveal that we can obtain valuable spatial uncertainty maps with low computational effort using DCNNs.
Key facts. Cited by 16 papers in the map (data through 7 Oct 2026). First posted on arXiv 27 Sep 2018.
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Citing papers per year: 2021: 7; 2022: 4; 2023: 1; 2024: 3; 2025: 0; 2026: 1.
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- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysiscited by 62
- 2021Calibrating the Dice loss to handle neural network overconfidence for biomedical image segmentationcited by 17
- 2021Orthogonal Ensemble Networks for Biomedical Image Segmentationcited by 16
- 2021Maximum Entropy on Erroneous Predictions (MEEP): Improving model calibration for medical image segmentationcited by 13
- 2021Recent Advances in Fibrosis and Scar Segmentation from Cardiac MRI: A State-of-the-Art Review and Future Perspectivescited by 7
- 2022Beyond Voxel Prediction Uncertainty: Identifying brain lesions you can trustcited by 6
- 2024A Review of Bayesian Uncertainty Quantification in Deep Probabilistic Image Segmentationcited by 6
- 2021Using uncertainty estimation to reduce false positives in liver lesion detectioncited by 5
- 2023Assessment of Deep Learning Segmentation for Real-Time Free-Breathing Cardiac Magnetic Resonance Imaging at Rest and Under Exercise Stresscited by 4
- 2022Influence of uncertainty estimation techniques on false-positive reduction in liver lesion detectioncited by 3
- 2021Comparing Bayesian Models for Organ Contouring in Head and Neck Radiotherapycited by 1
- 2021Automatic quality control framework for more reliable integration of machine learning-based image segmentation into medical workflowscited by 1
4 more
- 2022Automated Diagnosis of Cardiovascular Diseases from Cardiac Magnetic Resonance Imaging Using Deep Learning Models: A Reviewcited by 0
- 2024Improved Robustness for Deep Learning-based Segmentation of Multi-Center Myocardial Perfusion MRI Datasets Using Data Adaptive Uncertainty-guided Space-time Analysiscited by 0
- 2024Uncertainty and Prediction Quality Estimation for Semantic Segmentation via Graph Neural Networkscited by 0
- 2026Beyond scalar losses: calibrating segmentation models via gradient vector field surgerycited by 0
- 2026Beyond scalar losses: calibrating segmentation models via gradient vector field surgery15 Jul 2026
- 2024A Review of Bayesian Uncertainty Quantification in Deep Probabilistic Image Segmentation25 Nov 2024
- 2024Uncertainty and Prediction Quality Estimation for Semantic Segmentation via Graph Neural Networks17 Sep 2024
- 2024Improved Robustness for Deep Learning-based Segmentation of Multi-Center Myocardial Perfusion MRI Datasets Using Data Adaptive Uncertainty-guided Space-time Analysis9 Aug 2024
- 2023Assessment of Deep Learning Segmentation for Real-Time Free-Breathing Cardiac Magnetic Resonance Imaging at Rest and Under Exercise Stress23 Nov 2023
- 2022Automated Diagnosis of Cardiovascular Diseases from Cardiac Magnetic Resonance Imaging Using Deep Learning Models: A Review26 Oct 2022
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysis5 Oct 2022
- 2022Beyond Voxel Prediction Uncertainty: Identifying brain lesions you can trust22 Sep 2022
- 2022Influence of uncertainty estimation techniques on false-positive reduction in liver lesion detection22 Jun 2022
- 2021Maximum Entropy on Erroneous Predictions (MEEP): Improving model calibration for medical image segmentation22 Dec 2021
- 2021Automatic quality control framework for more reliable integration of machine learning-based image segmentation into medical workflows6 Dec 2021
- 2021Comparing Bayesian Models for Organ Contouring in Head and Neck Radiotherapy1 Nov 2021
4 more
- 2021Calibrating the Dice loss to handle neural network overconfidence for biomedical image segmentation31 Oct 2021
- 2021Recent Advances in Fibrosis and Scar Segmentation from Cardiac MRI: A State-of-the-Art Review and Future Perspectives28 Jun 2021
- 2021Orthogonal Ensemble Networks for Biomedical Image Segmentation22 May 2021
- 2021Using uncertainty estimation to reduce false positives in liver lesion detection12 Jan 2021
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysiscited by 62
- 2021Calibrating the Dice loss to handle neural network overconfidence for biomedical image segmentationcited by 17
- 2021Orthogonal Ensemble Networks for Biomedical Image Segmentationcited by 16
- 2021Maximum Entropy on Erroneous Predictions (MEEP): Improving model calibration for medical image segmentationcited by 13
- 2021Recent Advances in Fibrosis and Scar Segmentation from Cardiac MRI: A State-of-the-Art Review and Future Perspectivescited by 7
- 2022Beyond Voxel Prediction Uncertainty: Identifying brain lesions you can trustcited by 6
- 2024A Review of Bayesian Uncertainty Quantification in Deep Probabilistic Image Segmentationcited by 6
- 2021Using uncertainty estimation to reduce false positives in liver lesion detectioncited by 5
- 2023Assessment of Deep Learning Segmentation for Real-Time Free-Breathing Cardiac Magnetic Resonance Imaging at Rest and Under Exercise Stresscited by 4
- 2022Influence of uncertainty estimation techniques on false-positive reduction in liver lesion detectioncited by 3
- 2021Comparing Bayesian Models for Organ Contouring in Head and Neck Radiotherapycited by 1
- 2021Automatic quality control framework for more reliable integration of machine learning-based image segmentation into medical workflowscited by 1
12 most cited of 16 All 16 (JSON)
- 2026Beyond scalar losses: calibrating segmentation models via gradient vector field surgery15 Jul 2026
- 2024A Review of Bayesian Uncertainty Quantification in Deep Probabilistic Image Segmentation25 Nov 2024
- 2024Uncertainty and Prediction Quality Estimation for Semantic Segmentation via Graph Neural Networks17 Sep 2024
- 2024Improved Robustness for Deep Learning-based Segmentation of Multi-Center Myocardial Perfusion MRI Datasets Using Data Adaptive Uncertainty-guided Space-time Analysis9 Aug 2024
- 2023Assessment of Deep Learning Segmentation for Real-Time Free-Breathing Cardiac Magnetic Resonance Imaging at Rest and Under Exercise Stress23 Nov 2023
- 2022Automated Diagnosis of Cardiovascular Diseases from Cardiac Magnetic Resonance Imaging Using Deep Learning Models: A Review26 Oct 2022
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysis5 Oct 2022
- 2022Beyond Voxel Prediction Uncertainty: Identifying brain lesions you can trust22 Sep 2022
- 2022Influence of uncertainty estimation techniques on false-positive reduction in liver lesion detection22 Jun 2022
- 2021Maximum Entropy on Erroneous Predictions (MEEP): Improving model calibration for medical image segmentation22 Dec 2021
- 2021Automatic quality control framework for more reliable integration of machine learning-based image segmentation into medical workflows6 Dec 2021
- 2021Comparing Bayesian Models for Organ Contouring in Head and Neck Radiotherapy1 Nov 2021
12 newest of 16 All 16 (JSON)