Performance Estimation for Supervised Medical Image Segmentation Models on Unlabeled Data Using UniverSeg

The performance of medical image segmentation models is usually evaluated using metrics like the Dice score and Hausdorff distance, which compare predicted masks to ground truth annotations. However, when applying the model to unseen data, such as in clinical settings, it is often impractical to annotate all the data, making the model's performance uncertain. To address this challenge, we propose the Segmentation Performance Evaluator (SPE), a framework for estimating segmentation models' performance on unlabeled data. This framework is adaptable to various evaluation metrics and model architectures. Experiments on six publicly available datasets across six evaluation metrics including pixel-based metrics such as Dice score and distance-based metrics like HD95, demonstrated the versatility and effectiveness of our approach, achieving a high correlation (0.956$\pm$0.046) and low MAE (0.025$\pm$0.019) compare with real Dice score on the independent test set. These results highlight its ability to reliably estimate model performance without requiring annotations. The SPE framework integrates seamlessly into any model training process without adding training overhead, enabling performance estimation and facilitating the real-world application of medical image segmentation algorithms. The source code is publicly available

In-Context Reverse Classification Accuracy: Efficient Estimation of Segmentation Quality without Ground-Truth

Assessing the quality of automatic image segmentation is crucial in clinical practice, but often very challenging due to the limited availability of ground truth annotations. In this paper, we introduce In-Context Reverse Classification Accuracy (In-Context RCA), a novel framework for automatically estimating segmentation quality in the absence of ground-truth annotations. By leveraging recent in-context learning segmentation models and incorporating retrieval-augmentation techniques to select the most relevant reference images, our approach enables efficient quality estimation with minimal reference data. Validated across diverse medical imaging modalities, our method demonstrates robust performance and computational efficiency, offering a promising solution for automated quality control in clinical workflows, where fast and reliable segmentation assessment is essential. The code is available at https://github.com/mcosarinsky/In-Context-RCA.