A Boundary-Metric Evaluation Protocol for Whiteboard Stroke Segmentation Under Extreme Imbalance
Nicholas Korcynski

TL;DR
This paper introduces a comprehensive evaluation protocol for whiteboard stroke segmentation that accounts for extreme class imbalance and thin-stroke accuracy, revealing trade-offs between mean performance and worst-case reliability.
Contribution
It proposes a novel evaluation protocol combining region, boundary, and equity metrics, and demonstrates how different loss functions and resolutions affect segmentation performance and robustness.
Findings
Overlap-based losses significantly improve F1 scores.
Boundary metrics confirm contour accuracy improvements.
Higher resolution training boosts F1 by 12.7 points.
Abstract
The binary segmentation of whiteboard strokes is hindered by extreme class imbalance, caused by stroke pixels that constitute only of the image on average, and in addition, the thin-stroke subset averages in the foreground. Standard region metrics (F1, IoU) can mask thin-stroke failures because the vast majority of the background dominates the score. In contrast, adding boundary-aware metrics and a thin-subset equity analysis changes how loss functions rank and exposes hidden trade-offs. We contribute an evaluation protocol that jointly examines region metrics, boundary metrics (BF1, B-IoU), a core/thin-subset equity analysis, and per-image robustness statistics (median, IQR, worst-case) under seeded, multi-run training with non-parametric significance testing. Five losses -- cross-entropy, focal, Dice, Dice+focal, and Tversky -- are trained three times each on…
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Taxonomy
TopicsAcute Ischemic Stroke Management · Advanced Neural Network Applications · Medical Image Segmentation Techniques
