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Performance evaluation of deep learning models for image analysis: Considerations for visual assessment and
Christof A Bertram1, Jonas Ammeling2, Alexander Bartel3
1University of Veterinary Medicine Vienna, Vienna, Austria.
Veterinary Pathology
|July 6, 2026
Summary
Deep learning automated image analysis (DL-AIA) shows promise but requires rigorous performance assessment. Combining visual and statistical methods offers the most comprehensive evaluation of DL-AIA model reliability and error sources.
Area of Science:
- Veterinary pathology
- Computational pathology
- Medical imaging analysis
Background:
- Deep learning-based automated image analysis (DL-AIA) is increasingly used in pathology for tasks like feature quantification.
- DL-AIA applications are expanding from research to diagnostic and toxicologic pathology.
- Ensuring DL-AIA safety and reliability necessitates robust generalization performance assessment.
Purpose of the Study:
- To review current performance assessment practices for DL-AIA in veterinary pathology.
- To compare visual and statistical performance assessment methods.
- To discuss considerations for rigorous statistical performance evaluation.
Main Methods:
- Identified two main approaches: visual assessment and statistical assessment.
- Statistical assessment involves a hold-out test set with ground truth labels.
- Reviewed practices including metric selection, dataset composition, ground truth quality, and resampling.
Main Results:
- Visual assessment involves subjective evaluation of predictions.
- Statistical assessment provides objective, quantitative performance metrics.
- Both methods have complementary strengths and weaknesses.
Conclusions:
- A combined approach of visual and statistical evaluation provides the most comprehensive insight into DL-AIA model performance.
- This integrated approach aids in identifying model errors and improving reliability.
- Rigorous assessment is critical for the safe and effective implementation of DL-AIA in pathology.