Random forests have become popular for clinical risk prediction modelling. In a case study on predicting ovarian malignancy, we observed training c-statistics close to 1. Although this suggests overfitting, performance was competitive on test data. We aimed to understand the behaviour of random forests by (1) visualizing data space in three real world case studies and (2) a simulation study. For the case studies, risk estimates were visualised using heatmaps in a 2-dimensional subspace. The simulation study included 48 logistic data generating mechanisms (DGM), varying the predictor distribution, the number of predictors, the correlation between predictors, the true c-statistic and the strength of true predictors. For each DGM, 1000 training datasets of size 200 or 4000 were simulated and RF models trained with minimum node size 2 or 20 using ranger package, resulting in 192 scenarios in total. The visualizations suggested that the model learned spikes of probability around events in the training set. A cluster of events created a bigger peak, isolated events local peaks. In the simulation study, median training c-statistics were between 0.97 and 1 unless there were 4 or 16 binary predictors with minimum node size 20. Median test c-statistics were higher with higher events per variable, higher minimum node size, and binary predictors. Median training slopes were always above 1, and were not correlated with median test slopes across scenarios (correlation -0.11). Median test slopes were higher with higher true c-statistic, higher minimum node size, and higher sample size. Random forests learn local probability peaks that often yield near perfect training c-statistics without strongly affecting c-statistics on test data. When the aim is probability estimation, the simulation results go against the common recommendation to use fully grown trees in random forest models.
Validation metrics are key for the reliable tracking of scientific progress and for bridging the current chasm between artificial intelligence (AI) research and its translation into practice. However, increasing evidence shows that particularly in image analysis, metrics are often chosen inadequately in relation to the underlying research problem. This could be attributed to a lack of accessibility of metric-related knowledge: While taking into account the individual strengths, weaknesses, and limitations of validation metrics is a critical prerequisite to making educated choices, the relevant knowledge is currently scattered and poorly accessible to individual researchers. Based on a multi-stage Delphi process conducted by a multidisciplinary expert consortium as well as extensive community feedback, the present work provides the first reliable and comprehensive common point of access to information on pitfalls related to validation metrics in image analysis. Focusing on biomedical image analysis but with the potential of transfer to other fields, the addressed pitfalls generalize across application domains and are categorized according to a newly created, domain-agnostic taxonomy. To facilitate comprehension, illustrations and specific examples accompany each pitfall. As a structured body of information accessible to researchers of all levels of expertise, this work enhances global comprehension of a key topic in image analysis validation.
The field of automatic biomedical image analysis crucially depends on robust and meaningful performance metrics for algorithm validation. Current metric usage, however, is often ill-informed and does not reflect the underlying domain interest. Here, we present a comprehensive framework that guides researchers towards choosing performance metrics in a problem-aware manner. Specifically, we focus on biomedical image analysis problems that can be interpreted as a classification task at image, object or pixel level. The framework first compiles domain interest-, target structure-, data set- and algorithm output-related properties of a given problem into a problem fingerprint, while also mapping it to the appropriate problem category, namely image-level classification, semantic segmentation, instance segmentation, or object detection. It then guides users through the process of selecting and applying a set of appropriate validation metrics while making them aware of potential pitfalls related to individual choices. In this paper, we describe the current status of the Metrics Reloaded recommendation framework, with the goal of obtaining constructive feedback from the image analysis community. The current version has been developed within an international consortium of more than 60 image analysis experts and will be made openly available as a user-friendly toolkit after community-driven optimization.