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Pitfalls of Topology-Aware Image Segmentation

MCML Authors

Abstract

Topological correctness, i.e., the preservation of structural integrity and specific characteristics of shape, is a fundamental requirement for medical imaging tasks, such as neuron or vessel segmentation. Despite the recent surge in topology-aware methods addressing this challenge, their real-world applicability is hindered by flawed benchmarking practices. In this paper, we identify critical pitfalls in model evaluation that include inadequate connectivity choices, overlooked topological artifacts in ground truth annotations, and inappropriate use of evaluation metrics. Through detailed empirical analysis, we uncover these issues' profound impact on the evaluation and ranking of segmentation methods. Drawing from our findings, we propose a set of actionable recommendations to establish fair and robust evaluation standards for topology-aware medical image segmentation methods.

inproceedings


IPMI 2025

Information Processing in Medical Imaging. Kos Island, Greece, May 25-30, 2025.

Authors

A. H. Berger • L. LuxA. WeersM. J. MentenD. Rückert • J. C. Paetzold

Links

DOI

Research Area

 C1 | Medicine

BibTeXKey: BLW+25

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