Hierarchical brain parcellation with uncertainty
Mark S. Graham, Carole H. Sudre, Thomas Varsavsky, Petru-Daniel, Tudosiu, Parashkev Nachev, Sebastien Ourselin, and M. Jorge Cardoso

TL;DR
This paper presents a hierarchically-aware brain parcellation method that predicts decisions at each branch of a label tree, providing improved accuracy and detailed uncertainty estimates at multiple levels of brain segmentation.
Contribution
The paper introduces a novel hierarchical brain parcellation approach that models uncertainty at each branch, outperforming flat methods and enabling multi-level, self-consistent tissue mapping.
Findings
Outperforms flat uncertainty methods in accuracy
Provides decomposed uncertainty estimates for each branch
Enables thresholded tissue maps at any hierarchy level
Abstract
Many atlases used for brain parcellation are hierarchically organised, progressively dividing the brain into smaller sub-regions. However, state-of-the-art parcellation methods tend to ignore this structure and treat labels as if they are `flat'. We introduce a hierarchically-aware brain parcellation method that works by predicting the decisions at each branch in the label tree. We further show how this method can be used to model uncertainty separately for every branch in this label tree. Our method exceeds the performance of flat uncertainty methods, whilst also providing decomposed uncertainty estimates that enable us to obtain self-consistent parcellations and uncertainty maps at any level of the label hierarchy. We demonstrate a simple way these decision-specific uncertainty maps may be used to provided uncertainty-thresholded tissue maps at any level of the label tree.
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