Efficient Conformal Volumetry for Template-Based Segmentation

📅 2026-02-28
📈 Citations: 0
Influential: 0
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🤖 AI Summary
Existing template-based segmentation methods suffer from inefficiency and overly conservative confidence intervals in volumetric uncertainty quantification, primarily due to treating the registration process as a black box or relying on unavailable model features. This work proposes ConVOLT, a novel framework that, for the first time, integrates deformation field characteristics from deformable registration into conformal prediction calibration. By learning volume scaling factors directly in the deformation space, ConVOLT enables precise calibration of segmentation volume metrics. The approach overcomes the limitations of traditional black-box treatment in output space, consistently achieving target coverage while producing significantly tighter volume confidence intervals across multiple datasets and registration algorithms, thereby substantially improving both the efficiency and accuracy of uncertainty quantification.

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📝 Abstract
Template-based segmentation, a widely used paradigm in medical imaging, propagates anatomical labels via deformable registration from a labeled atlas to a target image, and is often used to compute volumetric biomarkers for downstream decision-making. While conformal prediction (CP) provides finite-sample valid intervals for scalar metrics, existing segmentation-based uncertainty quantification (UQ) approaches either rely on learned model features, often unavailable in classic template-based pipelines, or treat the registration process as a black box, resulting in overly conservative intervals when applied directly in output space. We introduce ConVOLT, a CP framework that achieves efficient volumetric UQ by conditioning calibration on properties of the estimated deformation field from template-based segmentation. ConVOLT calibrates a learned volumetric scaling factor from deformation space features. We evaluate ConVOLT on template-based segmentation tasks involving global, regional, and label volumetry across multiple datasets and registration methods. ConVOLT achieves target coverage while producing substantially tighter intervals than output-space conformal baselines. Our work paves way to exploit the registration process for efficient UQ in medical imaging pipelines.
Problem

Research questions and friction points this paper is trying to address.

conformal prediction
uncertainty quantification
template-based segmentation
volumetric biomarkers
deformable registration
Innovation

Methods, ideas, or system contributions that make the work stand out.

Conformal Prediction
Template-based Segmentation
Uncertainty Quantification
Deformation Field
Volumetric Biomarkers
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