UADSN: Uncertainty-Aware Dual-Stream Network for Facial Nerve Segmentation

Facial nerve segmentation is crucial for preoperative path planning in cochlear implantation surgery. Recently, researchers have proposed some segmentation methods, such as atlas-based and deep learning-based methods. However, since the facial nerve is a tubular organ with a diameter of only 1.0-1.5mm, it is challenging to locate and segment the facial nerve in CT scans. In this work, we propose an uncertainty-aware dual-stream network (UADSN). UADSN consists of a 2D segmentation stream and a 3D segmentation stream. Predictions from two streams are used to identify uncertain regions, and a consistency loss is employed to supervise the segmentation of these regions. In addition, we introduce channel squeeze & spatial excitation modules into the skip connections of U-shaped networks to extract meaningful spatial information. In order to consider topology-preservation, a clDice loss is introduced into the supervised loss function. Experimental results on the facial nerve dataset demonstrate the effectiveness of UADSN and our submodules.