Online Bayesian Approximation Based Uncertainty Aware Model for Ophthalmic Image Segmentation

The robust segmentation of different targets in multiple modality images is challenging due to factors such as low contrast, variations in target size and shape, and interference from diseases, which may lead to segmentation ambiguity. In addition, the assessment of the reliability of artificial intelligence is crucial for its clinical application. This paper proposes the Online Bayesian approximation based Uncertainty-aware Network (OBU-Net) for robust ophthalmic image segmentation. Our approach introduces an efficient online Bayesian method to update a spatial uncertainty map during training continuously. Then, the Spatial Uncertainty Aware Block (SUA-B) leverages the uncertainty map to localize and prioritize attention to ambiguous regions. Additionally, we extract pixel-wise confidence from multi-scale predictions to integrate hierarchical predictions. We compare OBU-Net with state-of-the-art (SOTA) methods on six datasets. The experimental results demonstrate that our method achieves the best overall performance across different modalities and segmentation tasks, highlighting the robustness of our approach. Additionally, metamorphic testing experiments were conducted, exploring the algorithm's stability against random perturbations. Lastly, we propose an image-level uncertainty score and demonstrate its effectiveness for evaluating the model's segmentation reliability.