# Uncertainty Quantification in Medical Image Segmentation with Multi-decoder U-Net

arXiv: https://arxiv.org/abs/2109.07045 · HTML: https://mlsanity.com/paper/2109.07045/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 12 of its 14 references that are in the map.
- First posted on arXiv 15 Sep 2021.

## Builds on (most cited first, 12 of 12)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learning](https://mlsanity.com/paper/1506.02142/) (2015)
- [Simple and Scalable Predictive Uncertainty Estimation using Deep Ensembles](https://mlsanity.com/paper/1612.01474/) (2016)
- [What Uncertainties Do We Need in Bayesian Deep Learning for Computer Vision?](https://mlsanity.com/paper/1703.04977/) (2017)
- [Arbitrary Style Transfer in Real-time with Adaptive Instance Normalization](https://mlsanity.com/paper/1703.06868/) (2017)
- [A Probabilistic U-Net for Segmentation of Ambiguous Images](https://mlsanity.com/paper/1806.05034/) (2018)
- [Bayesian SegNet: Model Uncertainty in Deep Convolutional Encoder-Decoder Architectures for Scene Understanding](https://mlsanity.com/paper/1511.02680/) (2015)
- [Evaluating Scalable Bayesian Deep Learning Methods for Robust Computer Vision](https://mlsanity.com/paper/1906.01620/) (2019)
- [Hyperparameter Ensembles for Robustness and Uncertainty Quantification](https://mlsanity.com/paper/2006.13570/) (2020)
- [Assessing Reliability and Challenges of Uncertainty Estimations for Medical Image Segmentation](https://mlsanity.com/paper/1907.03338/) (2019)
- [Supervised Uncertainty Quantification for Segmentation with Multiple Annotations](https://mlsanity.com/paper/1907.01949/) (2019)

## Built on by (most cited first, 2 of 2)

- [Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysis](https://mlsanity.com/paper/2210.03736/) (2022)
- [UGPL: Uncertainty-Guided Progressive Learning for Evidence-Based Classification in Computed Tomography](https://mlsanity.com/paper/2507.14102/) (2025)

## Abstract (arXiv)

Accurate medical image segmentation is crucial for diagnosis and analysis. However, the models without calibrated uncertainty estimates might lead to errors in downstream analysis and exhibit low levels of robustness. Estimating the uncertainty in the measurement is vital to making definite, informed conclusions. Especially, it is difficult to make accurate predictions on ambiguous areas and focus boundaries for both models and radiologists, even harder to reach a consensus with multiple annotations. In this work, the uncertainty under these areas is studied, which introduces significant information with anatomical structure and is as important as segmentation performance. We exploit the medical image segmentation uncertainty quantification by measuring segmentation performance with multiple annotations in a supervised learning manner and propose a U-Net based architecture with multiple decoders, where the image representation is encoded with the same encoder, and segmentation referring to each annotation is estimated with multiple decoders. Nevertheless, a cross-loss function is proposed for bridging the gap between different branches. The proposed architecture is trained in an end-to-end manner and able to improve predictive uncertainty estimates. The model achieves comparable performance with fewer parameters to the integrated training model that ranked the runner-up in the MICCAI-QUBIQ 2020 challenge.