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Out-of-Distribution Detection in Medical Image Segmentation with β -VAE and Likelihood Regret.

Eliott Simon1, Alexia Briassouli2

  • 1Department of Advanced Computing Sciences, Maastricht University, Maastricht, The Netherlands.

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|March 17, 2026
PubMed
Summary

This study introduces a novel method for detecting out-of-distribution (OOD) data in medical image segmentation. The approach simultaneously identifies OOD image samples and segmentation masks, improving deep learning model reliability.

Keywords:
3D medical image segmentationDisentangled latent spacesLikelihood regretOut-of-DistributionVariational autoencoders

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Area of Science:

  • Medical Imaging
  • Deep Learning
  • Computer Vision

Background:

  • Deep learning model performance degrades with out-of-distribution (OOD) data.
  • Existing OOD detection methods primarily focus on image samples or pixels, neglecting OOD segmentation masks.
  • Corruptions in ground truth masks are common in real-world medical imaging, necessitating OOD mask detection.

Purpose of the Study:

  • To develop a method for simultaneous OOD detection of both image samples and segmentation masks in medical imaging.
  • To address the unexamined problem of OOD ground truth annotations in medical image segmentation.
  • To enhance the robustness and reliability of deep learning models in clinical settings.

Main Methods:

  • A novel model combining beta-Variational Autoencoder (β-VAE) for latent space disentanglement and U-Net for segmentation.
  • Introduction of Likelihood Regret to calculate OOD scores for input reconstruction and segmentation, improving distribution fit assessment.
  • Simultaneous OOD detection for both image samples and their corresponding segmentation masks.

Main Results:

  • The proposed method efficiently discriminates OOD data in 3D medical image segmentation.
  • Demonstrated excellent performance in detecting OOD data with large distribution drifts.
  • Achieved competitive performance even with very small distribution drifts.

Conclusions:

  • The developed method offers a systematic approach to OOD detection in medical image segmentation.
  • This work highlights the importance of considering OOD segmentation masks alongside OOD image samples.
  • The findings contribute to more reliable deep learning applications in medical imaging.