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Confident Learning-Based Label Correction for Retinal Image Segmentation
Tanatorn Pethmunee1, Supaporn Kansomkeat1, Patama Bhurayanontachai2
1Division of Computational Science, Faculty of Science, Prince of Songkla University, Songkhla 90110, Thailand.
Diagnostics (Basel, Switzerland)
|July 29, 2025
Summary
This study introduces a novel framework using Confident Learning (CL) and human review to correct noisy labels in medical images, significantly improving diabetic retinopathy segmentation accuracy and reliability.
Area of Science:
- Medical Image Analysis
- Computer Vision
- Machine Learning
Background:
- Accurate labeling is critical in medical image analysis, especially for diabetic retinopathy detection.
- Label noise in retinal images can lead to diagnostic errors and complicate segmentation tasks.
Purpose of the Study:
- To develop and evaluate an innovative label correction framework for pixel-level inaccuracies in retinal image segmentation.
- To combine Confident Learning (CL) with human-in-the-loop re-annotation to enhance data quality.
Main Methods:
- Two CL strategies, Confident Joint Analysis (CJA) and Prune by Noise Rate (PBNR), were assessed using DeeplabV3+ and ResNet architectures.
- The methods were applied to four public datasets (HRF, STARE, DRIVE, CHASE_DB1) to quantify and correct label noise.
- Performance was evaluated based on accuracy, Intersection over Union (IoU), and Mean Boundary F1 Score (MeanBFScore) before and after noise reduction.
Main Results:
- Label noise reduction consistently improved accuracy, IoU, and weighted IoU across all datasets.
- Segmentation of small structures like the fovea showed significant enhancement after refinement.
- CL with human refinement boosted segmentation accuracy and evaluation robustness, achieving notable increases in key metrics.
Conclusions:
- The proposed methodology offers a feasible and scalable solution for addressing label noise in medical image analysis.
- This approach holds significant potential for improving the accuracy and reliability of automated diagnostic tools in clinical settings.
- The framework enhances segmentation accuracy and evaluation robustness, crucial for real-world applications.

