# Evidential Calibrated Uncertainty-Guided Interactive Segmentation paradigm for Ultrasound Images

arXiv: https://arxiv.org/abs/2501.01072 · HTML: https://mlsanity.com/paper/2501.01072/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 26 of its 51 references that are in the map.
- First posted on arXiv 2 Jan 2025.

## Builds on (most cited first, 26 of 26)

- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Simple and Scalable Predictive Uncertainty Estimation using Deep Ensembles](https://mlsanity.com/paper/1612.01474/) (2016)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [SegNet: A Deep Convolutional Encoder-Decoder Architecture for Image Segmentation](https://mlsanity.com/paper/1511.00561/) (2015)
- [Evidential Deep Learning to Quantify Classification Uncertainty](https://mlsanity.com/paper/1806.01768/) (2018)
- [Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.12620/) (2023)
- [A Probabilistic U-Net for Segmentation of Ambiguous Images](https://mlsanity.com/paper/1806.05034/) (2018)
- [Aleatoric uncertainty estimation with test-time augmentation for medical image segmentation with convolutional neural networks](https://mlsanity.com/paper/1807.07356/) (2018)
- [Customized Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.13785/) (2023)
- [Exploring Uncertainty Measures in Deep Networks for Multiple Sclerosis Lesion Detection and Segmentation](https://mlsanity.com/paper/1808.01200/) (2018)
- [PHiSeg: Capturing Uncertainty in Medical Image Segmentation](https://mlsanity.com/paper/1906.04045/) (2019)
- [DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2106.06716/) (2021)
- [SAM-Med2D](https://mlsanity.com/paper/2308.16184/) (2023)
- [DeepIGeoS: A Deep Interactive Geodesic Framework for Medical Image Segmentation](https://mlsanity.com/paper/1707.00652/) (2017)
- [MA-SAM: Modality-agnostic SAM Adaptation for 3D Medical Image Segmentation](https://mlsanity.com/paper/2309.08842/) (2023)
- [Interactive segmentation of medical images through fully convolutional neural networks](https://mlsanity.com/paper/1903.08205/) (2019)
- [DeSAM: Decoupled Segment Anything Model for Generalizable Medical Image Segmentation](https://mlsanity.com/paper/2306.00499/) (2023)
- [Dirichlet-based Uncertainty Calibration for Active Domain Adaptation](https://mlsanity.com/paper/2302.13824/) (2023)
- [Rethinking Interactive Image Segmentation with Low Latency, High Quality, and Diverse Prompts](https://mlsanity.com/paper/2404.00741/) (2024)
- [An Evidential-enhanced Tri-Branch Consistency Learning Method for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2404.07032/) (2024)
- [EPL: Evidential Prototype Learning for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2404.06181/) (2024)
- [Interactive Medical Image Segmentation via Point-Based Interaction and Sequential Patch Learning](https://mlsanity.com/paper/1804.10481/) (2018)
- [DuEDL: Dual-Branch Evidential Deep Learning for Scribble-Supervised Medical Image Segmentation](https://mlsanity.com/paper/2405.14444/) (2024)

## Abstract (arXiv)

Accurate and robust ultrasound image segmentation is critical for computer-aided diagnostic systems. Nevertheless, the inherent challenges of ultrasound imaging, such as blurry boundaries and speckle noise, often cause traditional segmentation methods to struggle with performance. Despite recent advancements in universal image segmentation, such as the Segment Anything Model, existing interactive segmentation methods still suffer from inefficiency and lack of specialization. These methods rely heavily on extensive accurate manual or random sampling prompts for interaction, necessitating numerous prompts and iterations to reach satisfactory performance. In response to this challenge, we propose the Evidential Uncertainty-Guided Interactive Segmentation (EUGIS), an end-to-end, efficient tiered interactive segmentation paradigm based on evidential uncertainty estimation for ultrasound image segmentation. Specifically, EUGIS harnesses evidence-based uncertainty estimation, grounded in Dempster-Shafer theory and Subjective Logic, to gauge the level of uncertainty in the predictions of model for different regions. By prioritizing sampling the high-uncertainty region, our method can effectively simulate the interactive behavior of well-trained radiologists, enhancing the targeted of sampling while reducing the number of prompts and iterations required.Additionally, we propose a trainable calibration mechanism for uncertainty estimation, which can further optimize the boundary between certainty and uncertainty, thereby enhancing the confidence of uncertainty estimation.