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Paper · arXiv

TwinTrack: Post-hoc Multi-Rater Calibration for Medical Image Segmentation

Pancreatic ductal adenocarcinoma (PDAC) segmentation on contrast-enhanced CT is inherently ambiguous: inter-rater disagreement among experts reflects genuine uncertainty rather than annotation noise. Standard deep learning approaches assume a single ground truth, producing probabilistic outputs that can be poorly calibrated and difficult to interpret under such ambiguity. We present TwinTrack, a framework that addresses this gap through post-hoc calibration of ensemble segmentation probabilities to the empirical mean human response (MHR) -the fraction of expert annotators labeling a voxel as tumor. Calibrated probabilities are thus directly interpretable as the expected proportion of anno...

AuthorsTristan Kirscher, Alexandra Ertl, Klaus Maier-Hein et al.
Primary categorycs.LG
Published17 April 2026
Last updated at source18 May 2026
cs.LG
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