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SegQC: a segmentation network-based framework for multi-metric segmentation quality control and segmentation error
Bella Specktor-Fadida1, Liat Ben-Sira2, Dafna Ben-Bashat3
1Department of Medical Imaging Sciences, University of Haifa, Israel.
Medical Image Analysis
|May 15, 2025
Summary
SegQC is a new framework for medical image segmentation quality control. It accurately estimates segmentation quality and detects errors in 2D and 3D scans, outperforming existing methods.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- Accurate segmentation of structures in volumetric medical images is crucial for clinical practice and AI model development.
- Existing quality control (QC) methods have limitations in accuracy and error detection.
Purpose of the Study:
- Introduce SegQC, a novel framework for segmentation quality estimation and error detection in volumetric medical images.
- Evaluate SegQC's performance against unsupervised Test Time Augmentation (TTA) and supervised autoencoder (AE) based QC methods.
Main Methods:
- SegQCNet: a deep network for voxel-wise segmentation error probability estimation.
- Three novel segmentation quality metrics derived from error probabilities.
- A new method for detecting segmentation errors within slices.
- Evaluation using expert radiologist corrections on fetal MRI scans.
Main Results:
- SegQC outperforms TTA-based QC in quality estimation for fetal brain and body segmentation.
- SegQC achieves lower Mean Absolute Error (MAE) and higher Pearson correlation for Dice estimates compared to TTA and AE methods.
- Segmentation error detection achieved high recall and precision rates for fetal structures.
- SegQC's ranking metrics surpass TTA and SegQCNet estimations.
Conclusions:
- SegQC offers high-quality metrics estimation for 2D and 3D medical images.
- The framework provides effective error localization within slices, significantly improving segmentation QC.
- SegQC demonstrates superior performance in both quality estimation and error detection compared to existing methods.

