A distance-based loss for smooth and continuous skin layer segmentation in optoacoustic images
Stefan Gerl, Johannes C. Paetzold, Hailong He, Ivan Ezhov, Suprosanna, Shit, Florian Kofler, Amirhossein Bayat, Giles Tetteh, Vasilis Ntziachristos,, Bjoern Menze

TL;DR
This paper introduces a shape-specific loss function for optoacoustic skin layer segmentation that produces smooth, continuous surfaces and improves downstream vessel segmentation accuracy.
Contribution
The authors propose a novel distance-based loss function tailored for epidermis segmentation in RSOM images, enhancing surface smoothness without sacrificing volumetric accuracy.
Findings
20% improvement in vessel segmentation Dice score with epidermis mask
The loss function overcomes discontinuities in segmentation surfaces
Validation through vessel segmentation sensitivity analysis
Abstract
Raster-scan optoacoustic mesoscopy (RSOM) is a powerful, non-invasive optical imaging technique for functional, anatomical, and molecular skin and tissue analysis. However, both the manual and the automated analysis of such images are challenging, because the RSOM images have very low contrast, poor signal to noise ratio, and systematic overlaps between the absorption spectra of melanin and hemoglobin. Nonetheless, the segmentation of the epidermis layer is a crucial step for many downstream medical and diagnostic tasks, such as vessel segmentation or monitoring of cancer progression. We propose a novel, shape-specific loss function that overcomes discontinuous segmentations and achieves smooth segmentation surfaces while preserving the same volumetric Dice and IoU. Further, we validate our epidermis segmentation through the sensitivity of vessel segmentation. We found a 20 …
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