Morphologically-Aware Consensus Computation via Heuristics-based IterATive Optimization (MACCHIatO)
Dimitri Hamzaoui, Sarah Montagne, Rapha\"ele Renard-Penna, Nicholas, Ayache, Herv\'e Delingette

TL;DR
This paper introduces a new morphologically-aware consensus segmentation method that overcomes background size dependency and improves upon existing algorithms like STAPLE by using Fréchet means and heuristic optimization.
Contribution
The proposed method is a novel, background size-independent consensus segmentation approach based on Fréchet means and heuristic optimization, outperforming STAPLE and naive averaging.
Findings
Produces binary masks of intermediate size between Majority Voting and STAPLE.
Generates different posterior probabilities than existing methods.
Demonstrates robustness to image background size variations.
Abstract
The extraction of consensus segmentations from several binary or probabilistic masks is important to solve various tasks such as the analysis of inter-rater variability or the fusion of several neural network outputs. One of the most widely used methods to obtain such a consensus segmentation is the STAPLE algorithm. In this paper, we first demonstrate that the output of that algorithm is heavily impacted by the background size of images and the choice of the prior. We then propose a new method to construct a binary or a probabilistic consensus segmentation based on the Fr\'{e}chet means of carefully chosen distances which makes it totally independent of the image background size. We provide a heuristic approach to optimize this criterion such that a voxel's class is fully determined by its voxel-wise distance to the different masks, the connected component it belongs to and the group…
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