Metric-Guided Conformal Bounds for Probabilistic Image Reconstruction

17 Sept 2025 (modified: 17 Sept 2025)MICCAI 2025 Workshop UNSURE SubmissionEveryoneRevisionsBibTeXCC BY 4.0
Keywords: Image Reconstruction · Conformal Prediction · Sparse-view CT · Deep Generative Models
Abstract: Modern deep learning reconstruction algorithms generate impressively realistic scans from sparse inputs, but can often produce significant inaccuracies. This makes it difficult to provide statistically guaranteed claims about the true state of a subject from scans reconstructed by these algorithms. In this study, we propose a framework for computing provably valid prediction bounds on claims derived from probabilistic black-box image reconstruction algorithms. The key insights are to represent reconstructed scans with a derived clinical metric of interest and to calibrate bounds on the ground truth metric with conformal prediction (CP) using a prior calibration dataset. These bounds convey interpretable feedback about the subject’s state, and can also be used to retrieve nearest-neighbor reconstructed scans for visual inspection. We demonstrate the utility of this framework on sparse-view computed tomography (CT) for fat mass quantification and radiotherapy planning tasks. Results show that our framework produces visual bounds with better semantical interpretation than conventional pixelbased bounding approaches and captures important spatial correlations. Furthermore, we can flag dangerous outlier reconstructions that look plausible but have statistically unlikely metric values. Code available at: https://github.com/matthewyccheung/conformal-metric
Submission Number: 16
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