TBraTS: Trusted Brain Tumor Segmentation
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Abstract (arXiv)
Despite recent improvements in the accuracy of brain tumor segmentation, the results still exhibit low levels of confidence and robustness. Uncertainty estimation is one effective way to change this situation, as it provides a measure of confidence in the segmentation results. In this paper, we propose a trusted brain tumor segmentation network which can generate robust segmentation results and reliable uncertainty estimations without excessive computational burden and modification of the backbone network. In our method, uncertainty is modeled explicitly using subjective logic theory, which treats the predictions of backbone neural network as subjective opinions by parameterizing the class probabilities of the segmentation as a Dirichlet distribution. Meanwhile, the trusted segmentation framework learns the function that gathers reliable evidence from the feature leading to the final segmentation results. Overall, our unified trusted segmentation framework endows the model with reliability and robustness to out-of-distribution samples. To evaluate the effectiveness of our model in robustness and reliability, qualitative and quantitative experiments are conducted on the BraTS 2019 dataset.
Key facts. Cited by 30 papers in the map (data through 7 Oct 2026). Builds on 24 of its 33 references that are in the map. First posted on arXiv 19 Jun 2022.
Builds on
24 of 33 references.
References · 24
- 2015U-Net: Convolutional Networks for Biomedical Image Segmentationcited by 19,604
- 2015Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learningcited by 4,416
- 2016Simple and Scalable Predictive Uncertainty Estimation using Deep Ensemblescited by 3,888
- 2016V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentationcited by 2,284
- 2021TransUNet: Transformers Make Strong Encoders for Medical Image Segmentationcited by 1,552
- 2018Attention U-Net: Learning Where to Look for the Pancreascited by 1,420
- 2018Evidential Deep Learning to Quantify Classification Uncertaintycited by 728
- 2019UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentationcited by 583
- 2018Identifying the Best Machine Learning Algorithms for Brain Tumor Segmentation, Progression Assessment, and Overall Survival Prediction in the BRATS Challengecited by 508
- 2018A Probabilistic U-Net for Segmentation of Ambiguous Imagescited by 281
- 2021TransBTS: Multimodal Brain Tumor Segmentation Using Transformercited by 265
- 2022Trusted Multi-View Classification with Dynamic Evidential Fusioncited by 167
12 more
- 2019Confidence Calibration and Predictive Uncertainty Estimation for Deep Medical Image Segmentationcited by 162
- 2018Exploring Uncertainty Measures in Deep Networks for Multiple Sclerosis Lesion Detection and Segmentationcited by 146
- 2021Trusted Multi-View Classificationcited by 94
- 2022Video Polyp Segmentation: A Deep Learning Perspectivecited by 81
- 2019Assessing Reliability and Challenges of Uncertainty Estimations for Medical Image Segmentationcited by 75
- 2020Robust Multimodal Brain Tumor Segmentation via Feature Disentanglement and Gated Fusioncited by 67
- 2018On the Effect of Inter-observer Variability for a Reliable Estimation of Uncertainty of Medical Image Segmentationcited by 46
- 2017Automatic Brain Tumor Detection and Segmentation Using U-Net Based Fully Convolutional Networkscited by 42
- 2020KiU-Net: Overcomplete Convolutional Architectures for Biomedical Image and Volumetric Segmentationcited by 32
- 2021Deep Deterministic Uncertainty for Semantic Segmentationcited by 24
- 2021Belief function-based semi-supervised learning for brain tumor segmentationcited by 11
- 2021Evidential segmentation of 3D PET/CT imagescited by 8
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Citing papers per year: 2022: 4; 2023: 11; 2024: 11; 2025: 4.
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- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysiscited by 62
- 2023A Review of Uncertainty Estimation and its Application in Medical Imagingcited by 59
- 2024A Comprehensive Survey on Evidential Deep Learning and Its Applicationscited by 25
- 2022Region-Based Evidential Deep Learning to Quantify Uncertainty and Improve Robustness of Brain Tumor Segmentationcited by 20
- 2023Uncertainty-inspired Open Set Learning for Retinal Anomaly Identificationcited by 18
- 2024MedSAM-U: Uncertainty-Guided Auto Multi-Prompt Adaptation for Reliable MedSAMcited by 17
- 2024Uncertainty-aware Medical Diagnostic Phrase Identification and Groundingcited by 13
- 2024Comparative Benchmarking of Failure Detection Methods in Medical Image Segmentation: Unveiling the Role of Confidence Aggregationcited by 12
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Surveycited by 11
- 2023Enhancing the Reliability of Segment Anything Model for Auto-Prompting Medical Image Segmentation with Uncertainty Rectificationcited by 8
- 2022Large-Kernel Attention for 3D Medical Image Segmentationcited by 7
- 2023Uncertainty-informed Mutual Learning for Joint Medical Image Classification and Segmentationcited by 7
18 more
- 2023Federated Uncertainty-Aware Aggregation for Fundus Diabetic Retinopathy Stagingcited by 7
- 2023Uncertainty Estimation for Safety-critical Scene Segmentation via Fine-grained Reward Maximizationcited by 7
- 2023EVIL: Evidential Inference Learning for Trustworthy Semi-supervised Medical Image Segmentationcited by 6
- 2024An Evidential-enhanced Tri-Branch Consistency Learning Method for Semi-supervised Medical Image Segmentationcited by 5
- 2023Towards Reliable Medical Image Segmentation by Modeling Evidential Calibrated Uncertaintycited by 3
- 2023Trustworthy Multi-phase Liver Tumor Segmentation via Evidence-based Uncertaintycited by 3
- 2022Reliable Joint Segmentation of Retinal Edema Lesions in OCT Imagescited by 2
- 2023Deep evidential fusion with uncertainty quantification and contextual discounting for multimodal medical image segmentationcited by 2
- 2024Deep Evidential Learning for Radiotherapy Dose Predictioncited by 2
- 2023Cross-supervised Dual Classifiers for Semi-supervised Medical Image Segmentationcited by 1
- 2024DuEDL: Dual-Branch Evidential Deep Learning for Scribble-Supervised Medical Image Segmentationcited by 1
- 2025Unleashing Vision Foundation Models for Coronary Artery Segmentation: Parallel ViT-CNN Encoding and Variational Fusioncited by 1
- 2025Progressive Uncertainty-Guided Evidential U-KAN for Trustworthy Medical Image Segmentationcited by 1
- 2024Training-free image style alignment for self-adapting domain shift on handheld ultrasound devicescited by 0
- 2024DDEvENet: Evidence-based Ensemble Learning for Uncertainty-aware Brain Parcellation Using Diffusion MRIcited by 0
- 2024Uncertainty-Error correlations in Evidential Deep Learning models for biomedical segmentationcited by 0
- 2024Uncertainty quantification for White Matter Hyperintensity segmentation detects silent failures and improves automated Fazekas quantificationcited by 0
- 2025MEGAN: Mixture of Experts for Robust Uncertainty Estimation in Endoscopy Videoscited by 0
- 2025Progressive Uncertainty-Guided Evidential U-KAN for Trustworthy Medical Image Segmentation10 Oct 2025
- 2025MEGAN: Mixture of Experts for Robust Uncertainty Estimation in Endoscopy Videos16 Sep 2025
- 2025Unleashing Vision Foundation Models for Coronary Artery Segmentation: Parallel ViT-CNN Encoding and Variational Fusion17 Jul 2025
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Survey4 May 2025
- 2024Uncertainty quantification for White Matter Hyperintensity segmentation detects silent failures and improves automated Fazekas quantification26 Nov 2024
- 2024Uncertainty-Error correlations in Evidential Deep Learning models for biomedical segmentation24 Oct 2024
- 2024DDEvENet: Evidence-based Ensemble Learning for Uncertainty-aware Brain Parcellation Using Diffusion MRI11 Sep 2024
- 2024A Comprehensive Survey on Evidential Deep Learning and Its Applications7 Sep 2024
- 2024MedSAM-U: Uncertainty-Guided Auto Multi-Prompt Adaptation for Reliable MedSAM2 Sep 2024
- 2024Comparative Benchmarking of Failure Detection Methods in Medical Image Segmentation: Unveiling the Role of Confidence Aggregation5 Jun 2024
- 2024DuEDL: Dual-Branch Evidential Deep Learning for Scribble-Supervised Medical Image Segmentation23 May 2024
- 2024Deep Evidential Learning for Radiotherapy Dose Prediction26 Apr 2024
18 more
- 2024An Evidential-enhanced Tri-Branch Consistency Learning Method for Semi-supervised Medical Image Segmentation10 Apr 2024
- 2024Uncertainty-aware Medical Diagnostic Phrase Identification and Grounding10 Apr 2024
- 2024Training-free image style alignment for self-adapting domain shift on handheld ultrasound devices17 Feb 2024
- 2023Enhancing the Reliability of Segment Anything Model for Auto-Prompting Medical Image Segmentation with Uncertainty Rectification17 Nov 2023
- 2023Uncertainty Estimation for Safety-critical Scene Segmentation via Fine-grained Reward Maximization5 Nov 2023
- 2023Deep evidential fusion with uncertainty quantification and contextual discounting for multimodal medical image segmentation12 Sep 2023
- 2023EVIL: Evidential Inference Learning for Trustworthy Semi-supervised Medical Image Segmentation18 Jul 2023
- 2023Cross-supervised Dual Classifiers for Semi-supervised Medical Image Segmentation25 May 2023
- 2023Trustworthy Multi-phase Liver Tumor Segmentation via Evidence-based Uncertainty9 May 2023
- 2023Uncertainty-inspired Open Set Learning for Retinal Anomaly Identification8 Apr 2023
- 2023Federated Uncertainty-Aware Aggregation for Fundus Diabetic Retinopathy Staging23 Mar 2023
- 2023Uncertainty-informed Mutual Learning for Joint Medical Image Classification and Segmentation17 Mar 2023
- 2023A Review of Uncertainty Estimation and its Application in Medical Imaging16 Feb 2023
- 2023Towards Reliable Medical Image Segmentation by Modeling Evidential Calibrated Uncertainty1 Jan 2023
- 2022Reliable Joint Segmentation of Retinal Edema Lesions in OCT Images1 Dec 2022
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysis5 Oct 2022
- 2022Region-Based Evidential Deep Learning to Quantify Uncertainty and Improve Robustness of Brain Tumor Segmentation11 Aug 2022
- 2022Large-Kernel Attention for 3D Medical Image Segmentation19 Jul 2022
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysiscited by 62
- 2023A Review of Uncertainty Estimation and its Application in Medical Imagingcited by 59
- 2024A Comprehensive Survey on Evidential Deep Learning and Its Applicationscited by 25
- 2022Region-Based Evidential Deep Learning to Quantify Uncertainty and Improve Robustness of Brain Tumor Segmentationcited by 20
- 2023Uncertainty-inspired Open Set Learning for Retinal Anomaly Identificationcited by 18
- 2024MedSAM-U: Uncertainty-Guided Auto Multi-Prompt Adaptation for Reliable MedSAMcited by 17
- 2024Comparative Benchmarking of Failure Detection Methods in Medical Image Segmentation: Unveiling the Role of Confidence Aggregationcited by 12
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Surveycited by 11
- 2023Enhancing the Reliability of Segment Anything Model for Auto-Prompting Medical Image Segmentation with Uncertainty Rectificationcited by 8
- 2022Large-Kernel Attention for 3D Medical Image Segmentationcited by 7
- 2023Uncertainty-informed Mutual Learning for Joint Medical Image Classification and Segmentationcited by 7
- 2023Federated Uncertainty-Aware Aggregation for Fundus Diabetic Retinopathy Stagingcited by 7
12 most cited of 28 All 28 (JSON)
- 2025Progressive Uncertainty-Guided Evidential U-KAN for Trustworthy Medical Image Segmentation10 Oct 2025
- 2025Unleashing Vision Foundation Models for Coronary Artery Segmentation: Parallel ViT-CNN Encoding and Variational Fusion17 Jul 2025
- 2025Uncertainty Quantification for Machine Learning in Healthcare: A Survey4 May 2025
- 2024Uncertainty quantification for White Matter Hyperintensity segmentation detects silent failures and improves automated Fazekas quantification26 Nov 2024
- 2024Uncertainty-Error correlations in Evidential Deep Learning models for biomedical segmentation24 Oct 2024
- 2024DDEvENet: Evidence-based Ensemble Learning for Uncertainty-aware Brain Parcellation Using Diffusion MRI11 Sep 2024
- 2024A Comprehensive Survey on Evidential Deep Learning and Its Applications7 Sep 2024
- 2024MedSAM-U: Uncertainty-Guided Auto Multi-Prompt Adaptation for Reliable MedSAM2 Sep 2024
- 2024Comparative Benchmarking of Failure Detection Methods in Medical Image Segmentation: Unveiling the Role of Confidence Aggregation5 Jun 2024
- 2024DuEDL: Dual-Branch Evidential Deep Learning for Scribble-Supervised Medical Image Segmentation23 May 2024
- 2024Deep Evidential Learning for Radiotherapy Dose Prediction26 Apr 2024
- 2024An Evidential-enhanced Tri-Branch Consistency Learning Method for Semi-supervised Medical Image Segmentation10 Apr 2024
12 newest of 28 All 28 (JSON)