Variance-Penalized MC-Dropout as a Learned Smoothing Prior for Brain Tumour Segmentation
This addresses segmentation accuracy and efficiency for medical imaging applications, representing an incremental improvement over existing methods.
The paper tackled noisy boundary predictions in brain tumor segmentation by introducing UAMSA-UNet, which improved Dice Similarity Coefficient by up to 4.5% and reduced FLOPs by 42.5% compared to baselines.
Brain tumor segmentation is essential for diagnosis and treatment planning, yet many CNN and U-Net based approaches produce noisy boundaries in regions of tumor infiltration. We introduce UAMSA-UNet, an Uncertainty-Aware Multi-Scale Attention-based Bayesian U-Net that in- stead leverages Monte Carlo Dropout to learn a data-driven smoothing prior over its predictions, while fusing multi-scale features and attention maps to capture both fine details and global context. Our smoothing-regularized loss augments binary cross-entropy with a variance penalty across stochas- tic forward passes, discouraging spurious fluctuations and yielding spatially coherent masks. On BraTS2023, UAMSA- UNet improves Dice Similarity Coefficient by up to 3.3% and mean IoU by up to 2.7% over U-Net; on BraTS2024, it delivers up to 4.5% Dice and 4.0% IoU gains over the best baseline. Remarkably, it also reduces FLOPs by 42.5% rel- ative to U-Net++ while maintaining higher accuracy. These results demonstrate that, by combining multi-scale attention with a learned smoothing prior, UAMSA-UNet achieves both better segmentation quality and computational efficiency, and provides a flexible foundation for future integration with transformer-based modules for further enhanced segmenta- tion results.