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This research introduces GRC-ProbNet, a deep ensemble approach that extracts uncertainty features from segmentation masks to enhance cardiovascular disease classification in CT images. The study demonstrates that leveraging these probabilistic signals yields a measurable improvement in AUROC compared to deterministic baselines, highlighting the value of quantifying model ambiguity in medical imaging pipelines.
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GRC-ProbNet: Uncertainty-aware Feature Extraction for Cardiovascular Disease Classification

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arXiv:2607.10357v2 Announce Type: replace-cross Abstract: The automatic detection and classification of cardiovascular disease (CVD) from computed tomography (CT) images plays an important role in clinical practice. Recently, a hybrid pipeline (GRC-Net) for CVD classification was proposed, which leverages a deep-learning-based segmentation and registration method to extract radiomic and geometric features. However, GRC-Net relies on a deterministic segmentation mask, without considering the inherent ambiguity associated with cardiac anatomy. In this paper, we propose GRC-ProbNet, which takes advantage of a deep ensemble to produce multiple segmentation masks for a given input. From these masks, we extract multiple uncertainty features. We analyze these uncertainty features for both their correlation with segmentation error and their propagation effects on downstream CVD classification performance. Our experiments on the publicly available MM-WHS and ASOCA datasets show that the uncertainty measure that best reflects segmentation quality is not necessarily the one that provides the strongest signal for downstream CVD classification. Overall, our results demonstrate that GRC-ProbNet utilizing uncertainty features substantially improves CVD classification AUROC (92.92\) compared to the baseline GRC-Net model (91.25%). Our code is publicly available: https://github.com/biomedia-mira/GRC-ProbNet.

Abstract:The automatic detection and classification of cardiovascular disease (CVD) from computed tomography (CT) images plays an important role in clinical practice. Recently, a hybrid pipeline (GRC-Net) for CVD classification was proposed, which leverages a deep-learning-based segmentation and registration method to extract radiomic and geometric features. However, GRC-Net relies on a deterministic segmentation mask, without considering the inherent ambiguity associated with cardiac anatomy. In this paper, we propose GRC-ProbNet, which takes advantage of a deep ensemble to produce multiple segmentation masks for a given input. From these masks, we extract multiple uncertainty features. We analyze these uncertainty features for both their correlation with segmentation error and their propagation effects on downstream CVD classification performance. Our experiments on the publicly available MM-WHS and ASOCA datasets show that the uncertainty measure that best reflects segmentation quality is not necessarily the one that provides the strongest signal for downstream CVD classification. Overall, our results demonstrate that GRC-ProbNet utilizing uncertainty features substantially improves CVD classification AUROC (92.92\) compared to the baseline GRC-Net model (91.25%). Our code is publicly available: this https URL.

Computer Vision and Pattern Recognition (cs.CV); Artificial Intelligence (cs.AI)

arXiv:2607.10357 [cs.CV]

(or arXiv:2607.10357v2 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2607.10357 Focus to learn more arXiv-issued DOI via DataCite

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