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Paper · arXiv

MID: Mask-Image Distributional Divergence for Evaluating Medical Image Segmentation

Current evaluation protocols for medical image segmentation remain largely anchored in sample-wise comparisons, e.g., Dice and Hausdorff distance, which require each prediction to be paired with a ground-truth mask. Yet two limitations arise in practice: they are inapplicable when predictions are made on unlabeled data; and even when annotations are available, they cannot assess whether a collection of predictions matches the distributional structure of the ground-truth population. We introduce MID (Mask-Image Distributional Divergence), a distribution-level evaluation metric for medical image segmentation. MID builds upon the observation that segmentation quality is a property of the joi...

AuthorsVincenzo Marcianò, Xiaoming Zhang, Gianluca Guglielmo et al.
Primary categorycs.CV
Published12 October 2026
Last updated at source12 October 2026
cs.CVcs.AI
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