Uncertainty Estimation in Medical Image Classification: Systematic Review.

deep learning medical image classification medical imaging network calibration out-of-distribution detection uncertainty estimation

Journal

JMIR medical informatics
ISSN: 2291-9694
Titre abrégé: JMIR Med Inform
Pays: Canada
ID NLM: 101645109

Informations de publication

Date de publication:
02 Aug 2022
Historique:
received: 14 01 2022
accepted: 04 06 2022
revised: 11 04 2022
entrez: 2 8 2022
pubmed: 3 8 2022
medline: 3 8 2022
Statut: epublish

Résumé

Deep neural networks are showing impressive results in different medical image classification tasks. However, for real-world applications, there is a need to estimate the network's uncertainty together with its prediction. In this review, we investigate in what form uncertainty estimation has been applied to the task of medical image classification. We also investigate which metrics are used to describe the effectiveness of the applied uncertainty estimation. Google Scholar, PubMed, IEEE Xplore, and ScienceDirect were screened for peer-reviewed studies, published between 2016 and 2021, that deal with uncertainty estimation in medical image classification. The search terms "uncertainty," "uncertainty estimation," "network calibration," and "out-of-distribution detection" were used in combination with the terms "medical images," "medical image analysis," and "medical image classification." A total of 22 papers were chosen for detailed analysis through the systematic review process. This paper provides a table for a systematic comparison of the included works with respect to the applied method for estimating the uncertainty. The applied methods for estimating uncertainties are diverse, but the sampling-based methods Monte-Carlo Dropout and Deep Ensembles are used most frequently. We concluded that future works can investigate the benefits of uncertainty estimation in collaborative settings of artificial intelligence systems and human experts. RR2-10.2196/11936.

Sections du résumé

BACKGROUND BACKGROUND
Deep neural networks are showing impressive results in different medical image classification tasks. However, for real-world applications, there is a need to estimate the network's uncertainty together with its prediction.
OBJECTIVE OBJECTIVE
In this review, we investigate in what form uncertainty estimation has been applied to the task of medical image classification. We also investigate which metrics are used to describe the effectiveness of the applied uncertainty estimation.
METHODS METHODS
Google Scholar, PubMed, IEEE Xplore, and ScienceDirect were screened for peer-reviewed studies, published between 2016 and 2021, that deal with uncertainty estimation in medical image classification. The search terms "uncertainty," "uncertainty estimation," "network calibration," and "out-of-distribution detection" were used in combination with the terms "medical images," "medical image analysis," and "medical image classification."
RESULTS RESULTS
A total of 22 papers were chosen for detailed analysis through the systematic review process. This paper provides a table for a systematic comparison of the included works with respect to the applied method for estimating the uncertainty.
CONCLUSIONS CONCLUSIONS
The applied methods for estimating uncertainties are diverse, but the sampling-based methods Monte-Carlo Dropout and Deep Ensembles are used most frequently. We concluded that future works can investigate the benefits of uncertainty estimation in collaborative settings of artificial intelligence systems and human experts.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) UNASSIGNED
RR2-10.2196/11936.

Identifiants

pubmed: 35916701
pii: v10i8e36427
doi: 10.2196/36427
pmc: PMC9382553
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e36427

Informations de copyright

©Alexander Kurz, Katja Hauser, Hendrik Alexander Mehrtens, Eva Krieghoff-Henning, Achim Hekler, Jakob Nikolas Kather, Stefan Fröhling, Christof von Kalle, Titus Josef Brinker. Originally published in JMIR Medical Informatics (https://medinform.jmir.org), 02.08.2022.

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Auteurs

Alexander Kurz (A)

Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Katja Hauser (K)

Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Hendrik Alexander Mehrtens (HA)

Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Eva Krieghoff-Henning (E)

Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Achim Hekler (A)

Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Jakob Nikolas Kather (JN)

Department of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.

Stefan Fröhling (S)

Department of Translational Medical Oncology, National Center for Tumor Diseases (NCT), German Cancer Research Center (DKFZ), Heidelberg, Germany.

Christof von Kalle (C)

Department of Clinical-Translational Sciences, Berlin Institute of Health (BIH), Berlin, Germany.

Titus Josef Brinker (TJ)

Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Classifications MeSH