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"""
P4 Article - Inference Script for ventricles and WMH segmentation task
Developer:
Mahdi Bashiri Bawil
"""
import tensorflow as tf
import os
from collections import defaultdict
import numpy as np
import matplotlib.pyplot as plt
from pathlib import Path
from tqdm import tqdm
import json
import nibabel as nib
import seaborn as sns
from sklearn.metrics import confusion_matrix, cohen_kappa_score, classification_report
from scipy.spatial.distance import directed_hausdorff
from scipy.ndimage import distance_transform_edt
from scipy.spatial.distance import cdist
from scipy.ndimage import binary_erosion
from scipy.ndimage import label as nd_label
from unet_model import build_unet_3class # must be updated with the actual used model for traininig
# Import data loader
from p4_data_loader import DataConfig, P2DataLoader
# Error analysis
from p4_error_analysis import run_error_analysis
print("TensorFlow Version:", tf.__version__)
###################### GPU Configuration ######################
# Configure GPU memory growth
physical_devices = tf.config.list_physical_devices('GPU')
if physical_devices:
try:
for device in physical_devices:
tf.config.experimental.set_memory_growth(device, True)
print("βœ… GPU memory growth enabled")
print(f" Available GPUs: {len(physical_devices)}")
except RuntimeError as e:
print(f"GPU configuration error: {e}")
else:
print("⚠️ No GPU detected - inference will be slow")
###################### Inference Configuration ######################
class InferenceConfig:
"""Configuration for inference"""
def __init__(self,
variant: int = 5,
preprocessing: str = 'standard',
class_scenario: str = '4class',
fold_id: int = 0,
model_name: str = 'best_dice_generator.h5',
architecture_name: str = 'unet'
):
# Experiment identification
self.variant = variant
self.preprocessing = preprocessing
self.class_scenario = class_scenario
self.fold_id = fold_id
self.model_name = model_name
self.architecture_name = architecture_name
# Number of classes
self.num_classes = 3 if class_scenario == '3class' else 4
# Class names
if self.num_classes == 4:
self.class_names = ['Background', 'Ventricles', 'Normal_WMH', 'Abnormal_WMH']
elif self.num_classes == 3:
self.class_names = ['Background', 'Ventricles', 'Abnormal_WMH']
# Image dimensions
self.batch_size = 1 # Use batch_size=1 for inference
self.img_width = 256
self.img_height = 256
# Paths
self.results_dir = Path(f"results_fold_{fold_id}_var_{variant}_zscore2")
self.models_dir = self.results_dir / "models" / f"{preprocessing}_{class_scenario}"
self.checkpoint_dir = self.models_dir / f"fold_{fold_id}"
# Output directories
self.inference_dir = self.results_dir / "inference_all_test" / f"{preprocessing}_{class_scenario}"
# self.predictions_dir = self.inference_dir / "predictions"
self.visualizations_dir = self.inference_dir / "visualizations"
self.metrics_dir = self.inference_dir / "metrics"
# Create directories
# self.predictions_dir.mkdir(parents=True, exist_ok=True)
self.visualizations_dir.mkdir(parents=True, exist_ok=True)
self.metrics_dir.mkdir(parents=True, exist_ok=True)
# Model path
self.model_path = self.checkpoint_dir / self.model_name
# Check if model exists
if not self.model_path.exists():
raise FileNotFoundError(f"Model not found: {self.model_path}")
print(f"\n{'='*70}")
print(f"INFERENCE CONFIGURATION")
print(f"{'='*70}")
print(f"Variant: {self.variant}")
print(f"Preprocessing: {self.preprocessing}")
print(f"Class scenario: {self.class_scenario} ({self.num_classes} classes)")
print(f"Fold: {self.fold_id}")
print(f"Architecture: {self.architecture_name}")
print(f"Model: {self.model_name}")
print(f"Model path: {self.model_path}")
print(f"Output directory: {self.inference_dir}")
print(f"{'='*70}\n")
###################### Utility Functions ######################
def prepare_input(paired_input):
"""
Extract and normalize FLAIR from paired input
Args:
paired_input: (bs, 256, 512, 1) with FLAIR + mask
Returns:
flair_normalized: FLAIR normalized to [-1, 1]
"""
# Extract FLAIR (left half)
flair_normalized = paired_input[:, :, :256, :]
return flair_normalized
def compute_hd95(mask1, mask2):
"""
Compute 95th percentile Hausdorff Distance between two binary masks
Args:
mask1: Binary mask 1
mask2: Binary mask 2
Returns:
HD95 value in pixels
"""
# Get boundary points
if not np.any(mask1) or not np.any(mask2):
return np.nan
# Compute distance transforms
dt1 = distance_transform_edt(~mask1.astype(bool))
dt2 = distance_transform_edt(~mask2.astype(bool))
# Get surface points
surface1 = mask1.astype(bool) & (dt1 <= 1)
surface2 = mask2.astype(bool) & (dt2 <= 1)
if not np.any(surface1) or not np.any(surface2):
return np.nan
# Get coordinates of surface points
coords1 = np.argwhere(surface1)
coords2 = np.argwhere(surface2)
# Compute distances from surface1 to surface2
distances1 = np.min(np.sqrt(np.sum((coords1[:, np.newaxis, :] - coords2[np.newaxis, :, :]) ** 2, axis=2)), axis=1)
# Compute distances from surface2 to surface1
distances2 = np.min(np.sqrt(np.sum((coords2[:, np.newaxis, :] - coords1[np.newaxis, :, :]) ** 2, axis=2)), axis=1)
# Combine distances
all_distances = np.concatenate([distances1, distances2])
# Return 95th percentile
return np.percentile(all_distances, 95)
def compute_hd95_3d(mask1, mask2):
"""
Compute 95th percentile Hausdorff Distance for 3D volume
Uses only surface voxels for efficiency
Args:
mask1: Binary mask (N, H, W)
mask2: Binary mask (N, H, W)
Returns:
HD95 value in pixels
"""
if not np.any(mask1) or not np.any(mask2):
return np.nan
# Extract surface voxels only (border voxels)
from scipy.ndimage import binary_erosion
# Surface = original mask minus eroded mask
surface1 = mask1.astype(bool) & ~binary_erosion(mask1.astype(bool))
surface2 = mask2.astype(bool) & ~binary_erosion(mask2.astype(bool))
# Get surface coordinates
coords1 = np.argwhere(surface1)
coords2 = np.argwhere(surface2)
if len(coords1) == 0 or len(coords2) == 0:
return np.nan
# Subsample if still too large (>10k points each)
max_points = 10000
if len(coords1) > max_points:
idx1 = np.random.choice(len(coords1), max_points, replace=False)
coords1 = coords1[idx1]
if len(coords2) > max_points:
idx2 = np.random.choice(len(coords2), max_points, replace=False)
coords2 = coords2[idx2]
# Compute distances
distances1 = np.min(cdist(coords1, coords2, metric='euclidean'), axis=1)
distances2 = np.min(cdist(coords2, coords1, metric='euclidean'), axis=1)
# Combine all distances
all_distances = np.concatenate([distances1, distances2])
# Return 95th percentile
return np.percentile(all_distances, 95)
def compute_lesion_level_metrics(gt_volume, pred_volume, iou_threshold=0.1):
"""
Compute lesion-level (instance-level) metrics by treating each connected
component in the GT as an individual lesion.
A GT lesion is considered DETECTED if its overlap (IoU) with any single
predicted component exceeds `iou_threshold`.
A predicted component is a TRUE POSITIVE if it overlaps any GT lesion
above threshold, otherwise it is a FALSE POSITIVE lesion.
Args:
gt_volume : binary 3-D numpy array (S, H, W) β€” ground truth for ONE class
pred_volume : binary 3-D numpy array (S, H, W) β€” prediction for ONE class
iou_threshold: minimum IoU to count a GT lesion as detected (default 0.1)
Returns:
dict with keys:
n_gt_lesions : total number of GT lesions
n_pred_lesions : total number of predicted lesion clusters
tp_lesions : GT lesions that were detected
fn_lesions : GT lesions that were missed
fp_lesions : predicted clusters with no GT overlap
lesion_sensitivity: tp_lesions / n_gt_lesions
lesion_precision : tp_lesions / n_pred_lesions
lesion_f1 : harmonic mean of lesion sensitivity and precision
"""
gt_bin = gt_volume.astype(bool)
pred_bin = pred_volume.astype(bool)
# Label connected components
gt_labeled, n_gt = nd_label(gt_bin)
pred_labeled, n_pred = nd_label(pred_bin)
tp_lesions = 0
detected_pred_ids = set()
for gt_id in range(1, n_gt + 1):
gt_mask = (gt_labeled == gt_id)
# Find all predicted components that overlap this GT lesion
overlapping_pred_ids = np.unique(pred_labeled[gt_mask])
overlapping_pred_ids = overlapping_pred_ids[overlapping_pred_ids > 0]
detected = False
for pred_id in overlapping_pred_ids:
pred_mask = (pred_labeled == pred_id)
intersection = np.logical_and(gt_mask, pred_mask).sum()
union = np.logical_or(gt_mask, pred_mask).sum()
iou = intersection / (union + 1e-7)
if iou >= iou_threshold:
detected = True
detected_pred_ids.add(pred_id)
if detected:
tp_lesions += 1
fn_lesions = n_gt - tp_lesions
fp_lesions = n_pred - len(detected_pred_ids)
lesion_sensitivity = tp_lesions / (n_gt + 1e-7)
lesion_precision = tp_lesions / (n_pred + 1e-7) if n_pred > 0 else 0.0
lesion_f1 = (2 * lesion_sensitivity * lesion_precision /
(lesion_sensitivity + lesion_precision + 1e-7))
return {
'n_gt_lesions' : int(n_gt),
'n_pred_lesions' : int(n_pred),
'tp_lesions' : int(tp_lesions),
'fn_lesions' : int(fn_lesions),
'fp_lesions' : int(fp_lesions),
'lesion_sensitivity' : float(lesion_sensitivity),
'lesion_precision' : float(lesion_precision),
'lesion_f1' : float(lesion_f1),
}
def compute_metrics_from_predictions(y_true, y_pred, num_classes, exclude_class=None):
"""
Compute comprehensive metrics from predictions
Args:
y_true: Ground truth class labels (N, H, W)
y_pred: Predicted class labels (N, H, W)
num_classes: Number of classes
exclude_class: Class to exclude from metrics (e.g., 2 for Normal_WMH in 4-class)
Returns:
Dictionary containing metrics
"""
# Convert to one-hot
y_true_onehot = tf.one_hot(y_true, depth=num_classes, dtype=tf.float32)
y_pred_onehot = tf.one_hot(y_pred, depth=num_classes, dtype=tf.float32)
# Flatten spatial dimensions
y_true_flat = tf.reshape(y_true_onehot, [-1, num_classes])
y_pred_flat = tf.reshape(y_pred_onehot, [-1, num_classes])
# Convert to numpy
y_true_np = y_true_flat.numpy()
y_pred_np = y_pred_flat.numpy()
metrics = {
'dice': {},
'precision': {},
'recall': {},
'iou': {},
'specificity': {},
'hd95': {},
'TP': {}
}
classes_to_evaluate = [c for c in range(num_classes) if c != exclude_class]
for class_idx in classes_to_evaluate:
# Extract binary masks for this class
true_class = y_true_np[:, class_idx]
pred_class = y_pred_np[:, class_idx]
# Compute confusion matrix elements
TP = np.sum((true_class == 1) & (pred_class == 1))
FP = np.sum((true_class == 0) & (pred_class == 1))
FN = np.sum((true_class == 1) & (pred_class == 0))
TN = np.sum((true_class == 0) & (pred_class == 0))
# Dice Score: 2*TP / (2*TP + FP + FN)
dice = (2 * TP) / (2 * TP + FP + FN + 1e-7)
# Precision: TP / (TP + FP)
precision = TP / (TP + FP + 1e-7)
# Recall (Sensitivity): TP / (TP + FN)
recall = TP / (TP + FN + 1e-7)
# IoU (Jaccard): TP / (TP + FP + FN)
iou = TP / (TP + FP + FN + 1e-7)
# Specificity: TN / (TN + FP)
specificity = TN / (TN + FP + 1e-7)
# HD95: Hausdorff Distance 95th percentile
# Compute on entire volume (all samples combined) for fairness
true_class_volume = y_true_np[:, class_idx].reshape(y_true.shape[0], y_true.shape[1], y_true.shape[2])
pred_class_volume = y_pred_np[:, class_idx].reshape(y_pred.shape[0], y_pred.shape[1], y_pred.shape[2])
hd95_value = compute_hd95_3d(true_class_volume, pred_class_volume)
metrics['dice'][f'class_{class_idx}'] = float(dice)
metrics['precision'][f'class_{class_idx}'] = float(precision)
metrics['recall'][f'class_{class_idx}'] = float(recall)
metrics['iou'][f'class_{class_idx}'] = float(iou)
metrics['specificity'][f'class_{class_idx}'] = float(specificity)
metrics['hd95'][f'class_{class_idx}'] = float(hd95_value)
metrics['TP'][f'class_{class_idx}'] = float(TP)
# Compute mean metrics (excluding the excluded class)
for metric_name in ['dice', 'precision', 'recall', 'iou', 'specificity', 'hd95', 'TP']:
metrics[metric_name]['mean'] = np.mean([v for v in metrics[metric_name].values()])
# --- Lesion-level metrics (connected-component analysis) ---
metrics['lesion'] = {}
for class_idx in classes_to_evaluate:
if class_idx <= 1: # skip background and ventricles
continue
true_vol = y_true_np[:, class_idx].reshape(y_true.shape)
pred_vol = y_pred_np[:, class_idx].reshape(y_pred.shape)
metrics['lesion'][f'class_{class_idx}'] = compute_lesion_level_metrics(
true_vol, pred_vol, iou_threshold=0.1
)
return metrics
# def aggregate_patient_metrics(per_patient_metrics, num_classes):
# """
# Returns both a flat structure (compatible with original overall_metrics)
# and an extended structure with std/n for richer reporting.
# """
# flat_metrics = {m: {} for m in ['dice', 'precision', 'recall', 'iou', 'specificity', 'hd95', 'TP']}
# rich_metrics = {m: {} for m in ['dice', 'precision', 'recall', 'iou', 'specificity', 'hd95', 'TP']}
# metric_names = ['dice', 'precision', 'recall', 'iou', 'specificity', 'hd95', 'TP']
# for metric_name in metric_names:
# for class_idx in range(num_classes):
# if class_idx == 0: continue
# key = f'class_{class_idx}'
# values = [
# per_patient_metrics[pid][metric_name][key]
# for pid in per_patient_metrics
# if key in per_patient_metrics[pid][metric_name]
# and not np.isnan(per_patient_metrics[pid][metric_name][key])
# ]
# TP_values = [
# per_patient_metrics[pid]['TP'][key]
# for pid in per_patient_metrics
# if key in per_patient_metrics[pid]['TP']
# and not np.isnan(per_patient_metrics[pid]['TP'][key])
# ]
# weighted_mean_values = np.sum((np.array(values) * np.array(TP_values)) / np.sum(np.array(TP_values)))
# mean_val = float(np.mean(values)) if values else np.nan
# std_val = float(np.std(values)) if values else np.nan
# # Flat: backward compatible with all existing print/save code
# flat_metrics[metric_name][key] = weighted_mean_values if metric_name != 'hd95' else mean_val
# # Rich: for extended reporting
# rich_metrics[metric_name][key] = {
# 'mean': mean_val,
# 'std': std_val,
# 'n': len(values)
# }
# # Mean across classes β€” same for both
# class_means = [
# flat_metrics[metric_name][f'class_{c}']
# for c in range(num_classes)
# if c!=0 and not np.isnan(flat_metrics[metric_name][f'class_{c}'])
# ]
# mean_across_classes = float(np.mean(class_means)) if class_means else np.nan
# flat_metrics[metric_name]['mean'] = mean_across_classes
# rich_metrics[metric_name]['mean'] = mean_across_classes
# return flat_metrics, rich_metrics
def aggregate_patient_metrics(per_patient_metrics, num_classes):
"""
Returns both a flat structure (compatible with original overall_metrics)
and an extended structure with std/n for richer reporting.
Includes lesion-level metrics (connected-component analysis):
- lesion_sensitivity : mean across patients of (tp_lesions / n_gt_lesions)
- lesion_precision : mean across patients of (tp_lesions / n_pred_lesions)
- lesion_f1 : mean across patients of harmonic mean of the above
- n_gt_lesions : total GT lesions summed across all patients
- n_pred_lesions : total predicted lesion clusters summed across all patients
- tp_lesions : total TP lesions summed across all patients
- fn_lesions : total FN lesions summed across all patients
- fp_lesions : total FP lesions summed across all patients
"""
# ── Voxel-level metrics (unchanged) ─────────────────────────────────────
voxel_metric_names = ['dice', 'precision', 'recall', 'iou', 'specificity', 'hd95', 'TP']
flat_metrics = {m: {} for m in voxel_metric_names}
rich_metrics = {m: {} for m in voxel_metric_names}
for metric_name in voxel_metric_names:
for class_idx in range(num_classes):
if class_idx == 0:
continue
key = f'class_{class_idx}'
values = [
per_patient_metrics[pid][metric_name][key]
for pid in per_patient_metrics
if key in per_patient_metrics[pid][metric_name]
and not np.isnan(per_patient_metrics[pid][metric_name][key])
]
TP_values = [
per_patient_metrics[pid]['TP'][key]
for pid in per_patient_metrics
if key in per_patient_metrics[pid]['TP']
and not np.isnan(per_patient_metrics[pid]['TP'][key])
]
weighted_mean_values = np.sum(
(np.array(values) * np.array(TP_values)) / np.sum(np.array(TP_values))
)
mean_val = float(np.mean(values)) if values else np.nan
std_val = float(np.std(values)) if values else np.nan
flat_metrics[metric_name][key] = weighted_mean_values if metric_name != 'hd95' else mean_val
rich_metrics[metric_name][key] = {
'mean': mean_val,
'std': std_val,
'n': len(values)
}
# Mean across classes
class_means = [
flat_metrics[metric_name][f'class_{c}']
for c in range(num_classes)
if c != 0 and not np.isnan(flat_metrics[metric_name][f'class_{c}'])
]
mean_across_classes = float(np.mean(class_means)) if class_means else np.nan
flat_metrics[metric_name]['mean'] = mean_across_classes
rich_metrics[metric_name]['mean'] = mean_across_classes
# ── Lesion-level metrics (new) ───────────────────────────────────────────
# Scalar fields: averaged across patients (mean Β± std)
lesion_scalar_keys = ['lesion_sensitivity', 'lesion_precision', 'lesion_f1']
# Count fields: summed across patients (total pool)
lesion_count_keys = ['n_gt_lesions', 'n_pred_lesions', 'tp_lesions', 'fn_lesions', 'fp_lesions']
flat_metrics['lesion'] = {}
rich_metrics['lesion'] = {}
for class_idx in range(num_classes):
if class_idx <= 1: # skip background and ventricles
continue
key = f'class_{class_idx}'
flat_metrics['lesion'][key] = {}
rich_metrics['lesion'][key] = {}
# --- Scalar metrics: mean Β± std across patients ---
for sk in lesion_scalar_keys:
vals = [
per_patient_metrics[pid]['lesion'][key][sk]
for pid in per_patient_metrics
if 'lesion' in per_patient_metrics[pid]
and key in per_patient_metrics[pid]['lesion']
]
mean_val = float(np.mean(vals)) if vals else np.nan
std_val = float(np.std(vals)) if vals else np.nan
flat_metrics['lesion'][key][sk] = mean_val
rich_metrics['lesion'][key][sk] = {
'mean': mean_val,
'std': std_val,
'n': len(vals)
}
# --- Count metrics: sum across patients ---
for ck in lesion_count_keys:
vals = [
per_patient_metrics[pid]['lesion'][key][ck]
for pid in per_patient_metrics
if 'lesion' in per_patient_metrics[pid]
and key in per_patient_metrics[pid]['lesion']
]
flat_metrics['lesion'][key][ck] = int(np.sum(vals)) if vals else 0
rich_metrics['lesion'][key][ck] = int(np.sum(vals)) if vals else 0
# Mean lesion scalars across foreground classes
for sk in lesion_scalar_keys:
class_vals = [
flat_metrics['lesion'][f'class_{c}'][sk]
for c in range(num_classes)
if c > 1 and not np.isnan(flat_metrics['lesion'][f'class_{c}'][sk])
]
mean_across = float(np.mean(class_vals)) if class_vals else np.nan
flat_metrics['lesion'][f'mean_{sk}'] = mean_across
rich_metrics['lesion'][f'mean_{sk}'] = mean_across
# Summed counts across foreground classes
for ck in lesion_count_keys:
flat_metrics['lesion'][f'total_{ck}'] = int(np.sum([
flat_metrics['lesion'][f'class_{c}'][ck]
for c in range(num_classes) if c > 1
]))
rich_metrics['lesion'][f'total_{ck}'] = flat_metrics['lesion'][f'total_{ck}']
return flat_metrics, rich_metrics
###################### Original Visualization Functions ######################
def visualize_prediction(flair, ground_truth, prediction,
probability_map, save_path,
sample_id, num_classes):
"""
Create comprehensive visualization of prediction
Args:
flair: Input FLAIR image (H, W)
ground_truth: Ground truth mask (H, W)
prediction: Predicted mask (H, W)
probability_map: Max probability map (H, W)
save_path: Path to save figure
sample_id: Sample identifier
num_classes: Number of classes
"""
fig, axes = plt.subplots(2, 3, figsize=(18, 12))
# Input FLAIR
axes[0, 0].imshow(flair, cmap='gray')
axes[0, 0].set_title('Input FLAIR', fontsize=14, fontweight='bold')
axes[0, 0].axis('off')
# Ground truth
im1 = axes[0, 1].imshow(ground_truth, cmap='jet', vmin=0, vmax=num_classes-1)
axes[0, 1].set_title('Ground Truth', fontsize=14, fontweight='bold')
axes[0, 1].axis('off')
plt.colorbar(im1, ax=axes[0, 1], fraction=0.046, pad=0.04)
# Prediction
im2 = axes[0, 2].imshow(prediction, cmap='jet', vmin=0, vmax=num_classes-1)
axes[0, 2].set_title('Prediction', fontsize=14, fontweight='bold')
axes[0, 2].axis('off')
plt.colorbar(im2, ax=axes[0, 2], fraction=0.046, pad=0.04)
# Max probability
im3 = axes[1, 0].imshow(probability_map, cmap='viridis', vmin=0, vmax=1)
axes[1, 0].set_title('Prediction Confidence', fontsize=14, fontweight='bold')
axes[1, 0].axis('off')
plt.colorbar(im3, ax=axes[1, 0], fraction=0.046, pad=0.04)
# Error map
error_map = (prediction != ground_truth).astype(float)
im4 = axes[1, 1].imshow(error_map, cmap='Reds', vmin=0, vmax=1)
axes[1, 1].set_title('Error Map (Red=Wrong)', fontsize=14, fontweight='bold')
axes[1, 1].axis('off')
plt.colorbar(im4, ax=axes[1, 1], fraction=0.046, pad=0.04)
# Overlay: FLAIR + Prediction contours
axes[1, 2].imshow(flair, cmap='gray')
# Create contours for each class
from scipy import ndimage
for class_idx in range(1, num_classes): # Skip background
class_mask = (prediction == class_idx)
contours = class_mask ^ ndimage.binary_erosion(class_mask)
if np.any(contours):
axes[1, 2].contour(contours, colors=[plt.cm.jet(class_idx/(num_classes-1))], linewidths=1.5)
axes[1, 2].set_title('FLAIR + Prediction Overlay', fontsize=14, fontweight='bold')
axes[1, 2].axis('off')
plt.suptitle(f'Sample: {sample_id}', fontsize=16, fontweight='bold', y=0.98)
plt.tight_layout()
plt.savefig(save_path, dpi=150, bbox_inches='tight')
plt.close()
def visualize_prediction_short(flair, ground_truth, prediction,
probability_map, save_path,
sample_id, num_classes):
"""
Create comprehensive visualization of prediction
Args:
flair: Input FLAIR image (H, W)
ground_truth: Ground truth mask (H, W)
prediction: Predicted mask (H, W)
probability_map: Max probability map (H, W)
save_path: Path to save figure
sample_id: Sample identifier
num_classes: Number of classes
"""
fig, axes = plt.subplots(2, 1, figsize=(6, 12))
cmap = plt.cm.jet
flair_norm = (flair - flair.min()) / (flair.max() - flair.min() + 1e-8)
flair_rgb = np.stack([flair_norm] * 3, axis=-1)
for ax, mask, title in zip(axes, [ground_truth, prediction], ['Ground Truth Overlay', 'Prediction Overlay']):
mask_rgb = cmap(mask / (num_classes - 1))[..., :3] # (H, W, 3)
foreground = mask > 0
alpha = np.where(foreground, 0.6, 0.0)[..., np.newaxis] # fade non-background
blended = flair_rgb * (1 - alpha) + mask_rgb * alpha
ax.imshow(blended)
# ax.set_title(title, fontsize=14, fontweight='bold')
ax.axis('off')
# Shared colorbar
sm = plt.cm.ScalarMappable(cmap=cmap, norm=plt.Normalize(vmin=0, vmax=num_classes - 1))
sm.set_array([])
# fig.colorbar(sm, ax=axes.ravel().tolist(), fraction=0.02, pad=0.04)
# plt.suptitle(f'Sample: {sample_id}', fontsize=16, fontweight='bold')
plt.tight_layout()
try:
plt.savefig(save_path, dpi=150, bbox_inches='tight')
except:
print(f"\n Unsaved image: {save_path}")
plt.close()
def save_prediction_as_nifti(prediction, save_path, reference_nifti=None):
"""
Save prediction as NIfTI file
Args:
prediction: Prediction array (H, W) or (H, W, D)
save_path: Path to save NIfTI file
reference_nifti: Optional reference NIfTI for header info
"""
if reference_nifti is not None:
# Use reference header
nifti_img = nib.Nifti1Image(prediction.astype(np.uint8), reference_nifti.affine, reference_nifti.header)
else:
# Create new NIfTI with identity affine
nifti_img = nib.Nifti1Image(prediction.astype(np.uint8), np.eye(4))
nib.save(nifti_img, save_path)
###################### Post-processing Function ######################
def post_process_pred(pred_classes, num_classes=3, min_object_size=5, closing_kernel_size=2):
"""
Post-process a single 2-D multi-class prediction slice.
Input
-----
pred_classes : np.ndarray of shape (H, W) β€” integer class labels
produced by tf.argmax(...).numpy()[0] inside the
inference loop (one slice at a time).
num_classes : 3 β†’ classes are 0=BG, 1=Vent, 2=AbWMH
4 β†’ classes are 0=BG, 1=Vent, 2=NormWMH, 3=AbWMH
min_object_size : connected components smaller than this (pixels) are
removed after morphological cleaning. Default 5.
closing_kernel_size: radius of the disk used for binary_closing. Default 2.
Output
------
post_pred : np.ndarray of shape (H, W), same dtype as pred_classes,
with cleaned and overlap-resolved integer class labels.
Processing pipeline (per class)
--------------------------------
1. Extract binary mask for each foreground class from the label map.
2. Apply binary_closing β†’ fill small holes / bridge tiny gaps.
3. Apply remove_small_objects β†’ discard isolated noise specks.
4. Resolve overlaps by anatomical priority:
Ventricles > Normal WMH > Abnormal WMH
(a higher-priority class always wins contested pixels)
5. Reconstruct the integer label map from the cleaned binary masks.
"""
from skimage.morphology import remove_small_objects, binary_erosion, binary_closing, disk, binary_dilation
kernel = disk(closing_kernel_size)
def clean(mask):
"""Apply closing + small-object removal to a single binary mask."""
if not mask.any():
return mask
mask = binary_closing(mask, kernel)
# mask = binary_erosion(mask, disk(1))
mask = remove_small_objects(mask, min_size=min_object_size)
return mask
# ── 1. Extract per-class binary masks from the 2-D label map ────────────
vent_mask = (pred_classes == 1)
if num_classes == 4:
nwmh_mask = (pred_classes == 2)
abwmh_mask = (pred_classes == 3)
else:
# 3-class scenario: no Normal WMH, AbWMH is class 2
nwmh_mask = np.zeros_like(vent_mask)
abwmh_mask = (pred_classes == 2)
# ── 2-3. Morphological cleaning per class ───────────────────────────────
vent_mask = clean(vent_mask)
nwmh_mask = clean(nwmh_mask)
abwmh_mask = clean(abwmh_mask)
# ── 4. Resolve overlaps: higher-priority mask wins ───────────────────────
# Ventricles > Normal WMH > Abnormal WMH
nwmh_mask = nwmh_mask & ~vent_mask # NormWMH cannot overlap Vent
abwmh_mask = abwmh_mask & ~vent_mask # AbWMH cannot overlap Vent
abwmh_mask = abwmh_mask & ~nwmh_mask # AbWMH cannot overlap NormWMH
# ── 5. Reconstruct the integer label map ─────────────────────────────────
post_pred = np.zeros_like(pred_classes) # background = 0
post_pred[vent_mask] = 1
if num_classes == 4:
post_pred[nwmh_mask] = 2
post_pred[abwmh_mask] = 3
else:
post_pred[abwmh_mask] = 2
return post_pred
###################### Main Inference Function ######################
def run_inference(config: InferenceConfig):
"""
Main inference function
Args:
config: InferenceConfig object
Returns:
Dictionary containing all predictions and metrics
"""
print("\n" + "="*70)
print(f"RUNNING INFERENCE")
print("="*70)
# Initialize data loader
data_config = DataConfig()
data_loader = P2DataLoader(data_config)
# Load test dataset
print("Loading test data...")
test_dataset = data_loader.create_dataset_for_fold(
fold_id=config.fold_id,
split='test',
preprocessing=config.preprocessing,
class_scenario=config.class_scenario,
batch_size=config.batch_size,
shuffle=False
)
# Get dataset size
test_size = tf.data.experimental.cardinality(test_dataset).numpy()
if test_size < 0:
test_size = sum(1 for _ in test_dataset)
test_dataset = data_loader.create_dataset_for_fold(
fold_id=config.fold_id, split='test',
preprocessing=config.preprocessing,
class_scenario=config.class_scenario,
batch_size=config.batch_size, shuffle=False
)
print(f"Test samples: {test_size}\n")
# Load model
print(f"Loading model from: {config.model_path}")
try:
if config.architecture_name == 'unet':
from unet_model import build_unet_3class as build_specific_3class # must be updated with the actual used model for traininig
elif config.architecture_name == 'attnunet':
from attn_unet_model import build_attention_unet_3class as build_specific_3class
elif config.architecture_name == 'dlv3unet':
from dlv3_unet_model_GN import build_deeplabv3_unet_3class as build_specific_3class
elif config.architecture_name == 'transunet':
from trans_unet_model import build_trans_unet_3class as build_specific_3class
else:
print(f"❌ Error loading model: Invalid Model Name")
raise
# Build model architecture first
generator = build_specific_3class(
input_shape=(256, 256, 1),
num_classes=config.num_classes
)
# Load weights
generator.load_weights(str(config.model_path))
print("βœ… Model loaded successfully\n")
except Exception as e:
print(f"❌ Error loading model: {e}")
raise
# Initialize storage - keyed by patient ID
patient_results = defaultdict(lambda: {
'predictions': [],
'ground_truths': [],
'probabilities': [],
'flairs': [],
'slice_indices': []
})
sample_ids = []
# Run inference
print("Running inference on test set...")
test_bar = tqdm(test_dataset, total=test_size, desc="Inference")
for idx, (paired_input, target_mask, patient_id_tensor, slice_num_tensor) in enumerate(test_bar):
patient_id = patient_id_tensor.numpy()[0].decode('utf-8') # batch dim + bytes→str
slice_num = int(slice_num_tensor.numpy()[0])
sample_ids.append(f"{patient_id}_slice_{slice_num:03d}")
# Prepare input
flair_normalized = prepare_input(paired_input)
# Generate prediction
prediction_softmax = generator(flair_normalized, training=False)
# Convert to class labels
pred_classes = tf.argmax(prediction_softmax, axis=-1).numpy()[0]
max_prob = tf.reduce_max(prediction_softmax, axis=-1).numpy()[0]
ground_truth = target_mask.numpy()[0]
flair = flair_normalized.numpy()[0, :, :, 0]
# Post-process the predictions
# pred_classes_post = post_process_pred(pred_classes, num_classes=config.num_classes)
# Store per-patient
patient_results[patient_id]['predictions'].append(pred_classes)
patient_results[patient_id]['ground_truths'].append(ground_truth)
patient_results[patient_id]['probabilities'].append(max_prob)
patient_results[patient_id]['flairs'].append(flair)
patient_results[patient_id]['slice_indices'].append(slice_num)
# Create visualization
if idx % 10 == 0 or True: # Visualize every 10th sample
# viz_path = config.visualizations_dir / f"visualization_{idx:04d}.png"
viz_path = config.visualizations_dir / f"{sample_ids[-1]}.png"
visualize_prediction_short(
flair, ground_truth, pred_classes,
max_prob, viz_path,
sample_ids[-1], config.num_classes
)
print("\nβœ… Inference complete!\n")
# Compute overall metrics
print("Computing metrics...")
exclude_class = None
per_patient_metrics = {}
for patient_id, data in patient_results.items():
# Sort slices by anatomical order
order = np.argsort(data['slice_indices'])
gt_volume = np.array(data['ground_truths'])[order] # (S, H, W)
pred_volume = np.array(data['predictions'])[order] # (S, H, W)
per_patient_metrics[patient_id] = compute_metrics_from_predictions(
gt_volume,
pred_volume,
config.num_classes
)
print(f"\nPatint_id : {patient_id} , Stats: {per_patient_metrics[patient_id]}\n")
pm = per_patient_metrics[patient_id]
print(f"\nPatient_id: {patient_id}")
print(f" Voxel β€” Dice: { {k: round(v,4) for k,v in pm['dice'].items()} }")
if 'lesion' in pm:
for cls, ld in pm['lesion'].items():
print(f" Lesion [{cls}] β€” "
f"GT:{ld['n_gt_lesions']} Pred:{ld['n_pred_lesions']} "
f"TP:{ld['tp_lesions']} FP:{ld['fp_lesions']} FN:{ld['fn_lesions']} "
f"Sens:{ld['lesion_sensitivity']:.3f} Prec:{ld['lesion_precision']:.3f} "
f"F1:{ld['lesion_f1']:.3f}")
# Aggregate across patients
overall_metrics, overall_metrics_rich = aggregate_patient_metrics(
per_patient_metrics, config.num_classes
)
# overall_metrics β†’ drop-in replacement for old overall_metrics, all print/save code unchanged
# overall_metrics_rich β†’ use wherever we want mean Β± std reporting
# Print standard metrics
print("\n" + "="*70)
print("STANDARD METRICS (Class vs Rest)")
print("="*70)
print("\nClass-wise Dice Scores:")
for class_idx, class_name in enumerate(config.class_names):
if exclude_class is not None and class_idx == exclude_class:
continue
key = f'class_{class_idx}'
if key in overall_metrics['dice']:
print(f" {class_name}: {overall_metrics['dice'][key]:.4f}")
print(f" Mean Dice: {overall_metrics['dice']['mean']:.4f}")
print("\nClass-wise Precision:")
for class_idx, class_name in enumerate(config.class_names):
if exclude_class is not None and class_idx == exclude_class:
continue
key = f'class_{class_idx}'
if key in overall_metrics['precision']:
print(f" {class_name}: {overall_metrics['precision'][key]:.4f}")
print(f" Mean Precision: {overall_metrics['precision']['mean']:.4f}")
print("\nClass-wise Recall:")
for class_idx, class_name in enumerate(config.class_names):
if exclude_class is not None and class_idx == exclude_class:
continue
key = f'class_{class_idx}'
if key in overall_metrics['recall']:
print(f" {class_name}: {overall_metrics['recall'][key]:.4f}")
print(f" Mean Recall: {overall_metrics['recall']['mean']:.4f}")
print("\nClass-wise IoU:")
for class_idx, class_name in enumerate(config.class_names):
if exclude_class is not None and class_idx == exclude_class:
continue
key = f'class_{class_idx}'
if key in overall_metrics['iou']:
print(f" {class_name}: {overall_metrics['iou'][key]:.4f}")
print(f" Mean IoU: {overall_metrics['iou']['mean']:.4f}")
print("\nClass-wise Specificity:")
for class_idx, class_name in enumerate(config.class_names):
if exclude_class is not None and class_idx == exclude_class:
continue
key = f'class_{class_idx}'
if key in overall_metrics['specificity']:
print(f" {class_name}: {overall_metrics['specificity'][key]:.4f}")
print(f" Mean Specificity: {overall_metrics['specificity']['mean']:.4f}")
print("\nClass-wise HD95 (lower is better):")
for class_idx, class_name in enumerate(config.class_names):
if exclude_class is not None and class_idx == exclude_class:
continue
key = f'class_{class_idx}'
if key in overall_metrics['hd95']:
print(f" {class_name}: {overall_metrics['hd95'][key]:.4f}")
print(f" Mean HD95: {overall_metrics['hd95']['mean']:.4f}")
print("="*70 + "\n")
# Print lesion-level metrics
print("\n" + "="*70)
print("LESION-LEVEL METRICS (Connected-Component Analysis)")
print("="*70)
for class_idx, class_name in enumerate(config.class_names):
if class_idx == 0:
continue
key = f'class_{class_idx}'
if key not in overall_metrics.get('lesion', {}):
continue
ld = overall_metrics['lesion'][key]
print(f"\n [{class_name}]")
print(f" GT Lesions : {ld['n_gt_lesions']}")
print(f" Predicted Lesions : {ld['n_pred_lesions']}")
print(f" TP Lesions : {ld['tp_lesions']}")
print(f" FP Lesions : {ld['fp_lesions']}")
print(f" FN Lesions : {ld['fn_lesions']}")
print(f" Lesion Sensitivity : {ld['lesion_sensitivity']:.4f}")
print(f" Lesion Precision : {ld['lesion_precision']:.4f}")
print(f" Lesion F1 : {ld['lesion_f1']:.4f}")
print(f"\n [Summary across foreground classes]")
print(f" Total GT Lesions : {overall_metrics['lesion']['total_n_gt_lesions']}")
print(f" Total Pred Lesions : {overall_metrics['lesion']['total_n_pred_lesions']}")
print(f" Total TP Lesions : {overall_metrics['lesion']['total_tp_lesions']}")
print(f" Total FP Lesions : {overall_metrics['lesion']['total_fp_lesions']}")
print(f" Total FN Lesions : {overall_metrics['lesion']['total_fn_lesions']}")
print(f" Mean Lesion Sensitivity : {overall_metrics['lesion']['mean_lesion_sensitivity']:.4f}")
print(f" Mean Lesion Precision : {overall_metrics['lesion']['mean_lesion_precision']:.4f}")
print(f" Mean Lesion F1 : {overall_metrics['lesion']['mean_lesion_f1']:.4f}")
print("="*70 + "\n")
# Save all metrics to JSON
metrics_file = config.metrics_dir / "test_metrics_complete.json"
def convert_to_serializable(obj):
"""Convert numpy types to Python native types"""
if isinstance(obj, dict):
return {k: convert_to_serializable(v) for k, v in obj.items()}
elif isinstance(obj, (np.integer, np.int64, np.int32)):
return int(obj)
elif isinstance(obj, (np.floating, np.float64, np.float32)):
return float(obj)
elif isinstance(obj, np.ndarray):
return obj.tolist()
else:
return obj
metrics_to_save = {
'config': {
'variant': int(config.variant),
'preprocessing': config.preprocessing,
'class_scenario': config.class_scenario,
'fold_id': int(config.fold_id),
'num_classes': int(config.num_classes),
'class_names': config.class_names,
'architecture_name': config.architecture_name,
'model_name': config.model_name,
'test_samples': int(test_size)
},
'metrics': convert_to_serializable(overall_metrics)
}
with open(metrics_file, 'w') as f:
json.dump(metrics_to_save, f, indent=2)
print(f"\nβœ… All metrics saved to: {metrics_file}")
# print(f"βœ… Predictions saved to: {config.predictions_dir}")
print(f"βœ… Visualizations saved to: {config.visualizations_dir}")
# Return results
return {
'patients_results': patient_results,
'metrics': overall_metrics,
'rich_metrics': overall_metrics_rich
}
###################### Main Execution ######################
if __name__ == "__main__":
# Run inference
preprocess_options = ['standard'] # ['zoomed', 'standard']
scenarios = ['3class'] # ['3class', '4class']
fold_numbers = list(np.array([0, 1, 2, 3]))
for fold_number in fold_numbers:
for preprocess_option in preprocess_options:
for scenario in scenarios:
config = InferenceConfig(
variant=1,
preprocessing=preprocess_option,
class_scenario=scenario,
fold_id=fold_number,
model_name='best_dice_model.h5',
architecture_name='unet' # a choice from ['unet', 'attnunet', 'dlv3unet', 'transunet']
)
results = run_inference(config)
# ── Error Analysis ──────────────────────────────────────
error_results = run_error_analysis(
results=results,
config=config,
top_n_slices=300, # visualise N hardest slices
top_n_patients=20, # patient summary plots
fg_dice_weight=0.7, # tunable ranking weights
error_rate_weight=0.2,
confidence_weight=0.2,
)
# ────────────────────────────────────────────────────────
print("\n" + "="*70)
print("INFERENCE + ERROR ANALYSIS COMPLETE")
print("="*70)