Uncertainty-aware segmentation quality prediction via deep learning Bayesian Modeling: Comprehensive evaluation and interpretation on skin cancer and liver segmentation

O. K. Sikha, Meritxell Riera-Marín, Adrián Galdrán, Javier García López, Júlia Rodríguez‐Comas, Gemma Piella, Miguel Á. González Ballester · Computerized Medical Imaging and Graphics · 2025

score of 85.03 and a Pearson correlation of 65.02, demonstrating cross-modality robustness. Additionally, we propose an aggregation strategy that combines multiple uncertainty estimates into a single score per image, offering a more robust and comprehensive assessment of segmentation quality compared to evaluating each measure independently. The proposed uncertainty-aware segmentation quality prediction network is interpreted using gradient-based methods such as Grad-CAM and feature embedding analysis through UMAP. These techniques provide insights into the model's behavior and reliability, helping to assess the impact of incorporating uncertainty into the segmentation quality prediction pipeline. The code is available at: https://github.com/sikha2552/Uncertainty-Aware-Segmentation-Quality-Prediction-Bayesian-Modeling-with-Comprehensive-Evaluation-.

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