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Confidence-Calibrating Regularization for Robust Brain MRI Segmentation Under Domain Shift

arxiv.org/abs/2509.23176

Updated 50 min ago · first seen 11 Sept 2026

paper_01M294H30EYQCFTSNNJEVB9Y0P

Published
11 Sept 2026
T1 · 50 min ago
arXiv
2509.23176
T1 · 50 min ago
Category
cs.CV
T1 · 50 min ago

Abstract

The Segment Anything Model (SAM) exhibits strong zero-shot performance on natural images but suffers from domain shift and overconfidence when applied to medical volumes. We propose \textbf{CalSAM}, a lightweight adaptation framework that (i) reduces encoder sensitivity to domain shift via a \emph{Feature Fisher Information Penalty} (FIP) computed on 3D feature maps and (ii) penalizes overconfident voxel-wise errors through a \emph{Confidence Misalignment Penalty} (CMP). The combined loss, \(\mathcal{L}_{\mathrm{CalSAM}}\) fine-tunes only the mask decoder while keeping SAM's encoders frozen. On cross-center and scanner-shift evaluations, CalSAM substantially improves accuracy and calibration: e.g., on the BraTS scanner split (Siemens$\to$GE) CalSAM shows a $+7.4\%$ relative improvement in $\mathrm{DSC}$ (80.1\% vs.\ 74.6\%), a $-26.9\%$ reduction in $\mathrm{HD95}$ (4.6 mm vs.\ 6.3 mm), and a $-39.5\%$ reduction in $\mathrm{ECE}$ (5.2\% vs.\ 8.6\%). On ATLAS-C (motion corruptions), CalSAM achieves a $+5.3\%$ relative improvement in $\mathrm{DSC}$ (75.9\%) and a $-32.6\%$ reduction in $\mathrm{ECE}$ (5.8\%). Ablations show FIP and CMP contribute complementary gains ($p<0.01$), and the Fisher penalty incurs a modest $\sim$15\% training-time overhead. CalSAM therefore delivers improved domain generalization and better-calibrated uncertainty estimates for brain MRI segmentation, while retaining the computational benefits of freezing SAM's encoder.

Authors 3

Behraj Khan, Tahir Qasim Syed, Syed Ahmad Chan Bukhari

Specification

Official page

Source:arXiv (Atom API + RSS)T1observed 50 min agohigh

Arxiv announce type
replace

Source:arXiv (Atom API + RSS)T1observed 50 min agohigh

arXiv id
2509.23176

Source:arXiv (Atom API + RSS)T1observed 50 min agohigh

Categories
cs.CV

Source:arXiv (Atom API + RSS)T1observed 50 min agohigh

PDF

Source:arXiv (Atom API + RSS)T1observed 50 min agohigh

Primary category
cs.CV

Source:arXiv (Atom API + RSS)T1observed 50 min agohigh

Published
11 Sept 2026

Source:arXiv (Atom API + RSS)T1observed 50 min agohigh

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Provenance

Attributed facts

9

Source tiers

T19

Freshest observation

50 min ago

Conflicts

None