Uncertainty estimation has been widely studied in medical image segmentation as a tool to provide reliability, particularly in deep learning approaches. However, previous methods generally lack effective supervision in uncertainty estimation, leading to low interpretability and robustness of the predictions. In this work, we propose a self-supervised approach to guide the learning of uncertainty. Specifically, we introduce three principles about the relationships between the uncertainty and the image gradients around boundaries and noise. Based on these principles, two uncertainty supervision losses are designed. These losses enhance the alignment between model predictions and human interpretation. Accordingly, we introduce novel quantitative metrics for evaluating the interpretability and robustness of uncertainty. Experimental results demonstrate that compared to state-of-the-art approaches, the proposed method can achieve competitive segmentation performance and superior results in out-of-distribution (OOD) scenarios while significantly improving the interpretability and robustness of uncertainty estimation.

Existing polyp segmentation models are limited by high labeling costs and the small size of datasets. Additionally, vast polyp datasets remain underutilized because these models typically rely on a single type of annotation. To address this dilemma, we introduce MARIO, a mixed supervision model designed to accommodate various annotation types, significantly expanding the range of usable data. MARIO learns from underutilized datasets by incorporating five forms of supervision: pixel-level, box-level, polygon-level, scribblelevel, and point-level. Each form of supervision is associated with a tailored loss that effectively leverages the supervision labels while minimizing the noise. This allows MARIO to move beyond the constraints of relying on a single annotation type. Furthermore, MARIO primarily utilizes dataset with weak and cheap annotations, reducing the dependence on large-scale, fully annotated ones. Experimental results across five benchmark datasets demonstrate that MARIO consistently outperforms existing methods, highlighting its efficacy in balancing trade-offs between different forms of supervision and maximizing polyp segmentation performance

Image segmentation entails partitioning image pixels into different classes. Some applications include identifying tumour regions in medical images, separating land and water areas in drone images, etc. Unlike classification, where CNNs output a class probability score vector, segmentation requires CNNs to output an image. Accordingly, traditional CNN architectures are tweaked to yield the desired result. An array of architectures, including transformers, are available to segment images.