SC-MFJ: A Simple Haptic Quality Metric for Medical Image Segmentation
For developers of surgical simulators, SC-MFJ provides a cheap way to evaluate segmentation suitability for haptic rendering, revealing that simple post-processing may suffice.
SC-MFJ is a haptic quality metric for medical image segmentation that reveals a 147x gap in haptic quality between raw binary and Gaussian-smoothed outputs on pancreas CT, invisible to Dice and HD95, and shows Gaussian smoothing produces more consistent haptic quality than learned SDF regression.
Standard segmentation metrics such as Dice and Hausdorff distance measure geometric overlap but say nothing about whether a segmented surface is suitable for haptic rendering in surgical simulation. We propose SC-MFJ (Surface-Constrained Mean Force Jerk), a simple, inexpensive metric that samples a segmented organ surface with many short virtual stylus walks and measures how jerky the resulting contact forces are. The metric is computed from existing segmentation outputs and uses roughly one minute of CPU time per case. We evaluate three pancreas CT segmentation approaches-binary nnU-Net output, Gaussian-smoothed output, and learned signed distance function (SDF) regression-across 80 cases in five-fold cross-validation. SC-MFJ reveals a 147x gap in haptic quality between the raw binary baseline and simple Gaussian post-processing, a difference entirely invisible to Dice and HD95. It also shows that learned SDF regression, despite requiring full model retraining, produces more variable haptic quality than Gaussian smoothing, with a case-level standard deviation of 168 N/s2 compared with 22 N/s2 for Gaussian. A second evaluation on the LiTS liver dataset (131 cases) confirms the generality of these findings: the binary-to-Gaussian gap widens to 189x, and Gaussian smoothing again produces consistently low force jerk across all folds. Our results suggest that for haptic simulation applications, a one-line post-processing step may be sufficient, and that a cheap metric like SC-MFJ can flag problems that geometric metrics miss.