Confidence is Not Reliability: Rethinking MC Dropout in Brain Tumour Segmentation
arXiv:2606. 19300v1 Announce Type: cross Abstract: Glioma segmentation in multiparametric MRI is a critical component of treatment planning.
The study evaluates the reliability of deep‑ensemble uncertainty for brain tumour segmentation on the BraTS‑GoAT dataset. A 5‑fold cross‑validated nnU‑Net baseline and a 3‑seed deep ensemble were compared for calibration and error detection; the ensemble showed modest gains in calibration on in‑distribution data but the single model’s confidence remained flat while accuracy degraded under synthetic corruptions. Disagreement among ensemble members rose sharply with corruption severity, proving to be a more sensitive indicator of acquisition shift than single‑model confidence.
arXiv:2606. 19300v1 Announce Type: cross Abstract: Glioma segmentation in multiparametric MRI is a critical component of treatment planning.
arXiv:2607. 16317v1 Announce Type: cross Abstract: Deep networks now subtype brain tumors on MRI about as well as specialist readers, yet accuracy is not what keeps them out of the clinic.
arXiv:2607. 22727v1 Announce Type: cross Abstract: Medical image segmentation models often report high benchmark accuracy under ideal imaging conditions, yet their failures under clinical degradation can be quiet: sensor noise, patient motion, low- resolution acquisition, and contrast variability may all alter model behavior without producing an obvious warning.
arXiv:2609.15524v1 Announce Type: new Abstract: BraTS-GoAT evaluates tumor segmentation across heterogeneous populations. We trained a conventional 3D nnU-Net on 1,351 labeled cases using five-fold c...
arXiv:2609.39429v1 Announce Type: cross Abstract: Uncertainty Quantification (UQ) is a key requirement for trustworthy AI in high-stakes medical image analysis. In this work, we evaluate UQ in a mult...
The paper introduces a decision‑aware evaluation protocol for medical image segmentation uncertainty that separates uncertainty estimation from deferral policy and assesses their joint performance under fixed review budgets. It reports metrics such as fixed‑budget error reduction, risk‑coverage behavior, region‑level review proxies, structural failure modes, and sensitivity to review assumptions. Experiments on retinal vessel, skin lesion, and polyp segmentation with various backbones and uncertainty estimators show that estimator rankings vary with review unit, uncertainty target, and cost model, and that boundary and thin‑structure failures are partly due to annotation ambiguity.
arXiv:2608. 09768v1 Announce Type: new Abstract: A prediction that is both confident and wrong is a critical reliability failure because it can bypass abstention and human review precisely when the model is mistaken.
arXiv:2608. 14766v1 Announce Type: cross Abstract: Uncertainty estimation is critical for the safe clinical deployment of deep learning in medical image segmentation, with aleatoric uncertainty theoretically designed to capture irreducible data ambiguity.
The paper introduces Missing Modality-Aware Local Temperature Scaling (MMA‑LTS), a post‑hoc voxel‑wise confidence calibration technique designed for multimodal brain tumor segmentation. MMA‑LTS adapts a temperature field based on which MRI modalities are present and a voxel‑wise difficulty score, addressing calibration errors that arise when specific modalities are missing. Experiments on BraTS 2020 and FeTS 2024 demonstrate that MMA‑LTS improves calibration while maintaining segmentation accuracy across various missing‑modality scenarios.
The paper presents a segmentation pipeline for brain metastases in both pre‑ and post‑treatment cases using a 5‑fold nnU‑Net ResEnc‑L ensemble trained on 1,296 four‑modality cases. A rule‑based post‑processing cascade improves the lesion‑wise Dice similarity coefficient (LW‑DSC) for enhancing tumour, tumour core, whole tumour, and resection cavity sub‑regions, achieving LW‑DSC scores of 0.733, 0.751, 0.713, and 0.549 respectively on the official validation leaderboard. The authors conduct a five‑fold out‑of‑fold analysis to validate the robustness of each post‑processing stage, provide a mechanistic explanation of LW‑DSC behaviour, and report thirteen negative results that challenge common intuitions, with all code released under Apache‑2.0.
arXiv:2609.17545v1 Announce Type: new Abstract: Deep learning models for cervical cytology are almost always evaluated as if every prediction must be acted upon, yet a screening system deployed along...
The paper presents a pragmatic segmentation pipeline for brain metastases in the BraTS 2026 Task 1, using a 5‑fold nnU-Net ResEnc‑L ensemble trained for 1,000 epochs on 1,296 four‑modality cases. A rule‑based post‑processing cascade tuned for the lesion‑wise Dice similarity coefficient (LW‑DSC) improves performance, achieving LW‑DSC scores of 0.733, 0.751, 0.713, and 0.549 on enhancing tumour, tumour core, whole tumour, and resection cavity, respectively. The authors audit each post‑processing stage with a five‑fold out‑of‑fold analysis, confirm two stages as robust, and provide a mechanistic analysis of LW‑DSC, along with thirteen negative results that challenge common intuitions.