# Dice Coefficient

> Evaluates a disease-weighted attention refinement framework for medical image analysis. It probes the model's ability to align cross-attention maps with radiologist annotations (grounding) while maintaining diagnostic accuracy on chest X-ray classification tasks. Use when the user has predictions and gold and needs to compute Dice Coefficient.

- Skill: `qhjqhj00/dice-coefficient` (Agent Skill)
- Install (CLI): `npx skillmds add qhjqhj00/dice-coefficient`
- Raw SKILL.md: https://api.skillmd.com/api/skills/qhjqhj00/dice-coefficient/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: AI & ML
- Author: qhjqhj00 (https://skillmd.com/u/qhjqhj00)
- Updated: 2026-09-08
- Page: https://skillmd.com/skills/qhjqhj00/dice-coefficient

---


# dice-coefficient

> DWARF: Disease-weighted network for attention map refinement — Luo et al. (2024) (arXiv:2406.17032, 2024)

## What this evaluates

Evaluates a disease-weighted attention refinement framework for medical image analysis. It probes the model's ability to align cross-attention maps with radiologist annotations (grounding) while maintaining diagnostic accuracy on chest X-ray classification tasks.

## Datasets

- (no dataset; pure metric skill)

## Metrics

- `Dice Coefficient` **(primary)** — range: [0, 1]
  - Assesses spatial alignment between predicted regions ($\hat{R}$) and expert annotations ($R$). Formula: $\text{Dice}=\frac{2|\hat{R}\cap R|}{|\hat{R}|+|R|}$. Emphasizes both precision and recall, and is more sensitive to small mismatches than IoU.
- `Hit-rate` — range: [0, 1]
  - Evaluates the extent to which algorithmically identified key areas overlap with expert annotations. A higher value indicates better alignment between model focus and expert annotations.
- `AUC-ROC` — range: [0, 1]
  - Measures the model's ability to distinguish between classes across different probability thresholds. Values close to 1 indicate excellent discriminative power, while 0.5 indicates random chance.
- `MCC` — range: [-1, 1]
  - Matthews Correlation Coefficient evaluates binary classification quality. Provides a balanced score even with imbalanced classes, ranging from -1 (total disagreement) to +1 (perfect prediction), with 0 indicating random guessing.
- `F1 Score` — range: [0, 1]
  - Harmonic mean of precision and recall. Ranges from 0 to 1, with 1 indicating perfect precision and recall. Performs well under uneven class distribution.

## Input / output format

**Input**: Chest X-ray images paired with disease labels and expert radiologist region annotations.

**Output**: Predicted disease labels, refined cross-attention maps (binary or continuous regions $\hat{R}$), and computed metric scores.

## Scoring recipe

```python
def compute_metrics(pred_maps, pred_labels, gold_maps, gold_labels):
    dice = 2 * np.sum(pred_maps & gold_maps) / (np.sum(pred_maps) + np.sum(gold_maps))
    hit_rate = np.mean((pred_maps & gold_maps).any(axis=1))
    auc = roc_auc_score(gold_labels, pred_labels)
    mcc = matthews_corrcoef(gold_labels, pred_labels)
    f1 = f1_score(gold_labels, pred_labels, average='weighted')
    return {'dice': dice, 'hit_rate': hit_rate, 'auc': auc, 'mcc': mcc, 'f1': f1}
```

## Common pitfalls

- Dice and IoU are frequently confused; Dice yields higher values for partial overlaps and is more sensitive to small mismatches than IoU.
- MCC is preferred over accuracy for imbalanced clinical datasets, but many baselines still report accuracy or macro-F1 without addressing class imbalance.
- Hit-rate requires a threshold to binarize continuous attention maps before computing overlap with annotations; the threshold choice significantly impacts the score.

## Evidence (verbatim from paper)

> The Dice Coefficient assesses the alignment between the predicted regions ($\hat{R}$) and expert annotations ($R$). It is defined as: $\text{Dice}=\frac{2|\hat{R}\cap R|}{|\hat{R}|+|R|}$ This metric emphasizes both precision and recall, capturing spatial overlap effectively. Compared to the Intersection over Union (IoU), defined as: $\text{IoU}=\frac{|\hat{R}\cap R|}{|\hat{R}\cup R|}$ the Dice Coefficient generally yields higher values for partial overlaps and is more sensitive to small mismatches.

## Citation

```bibtex
@misc{luo2024dwarf,
  title={DWARF: Disease-weighted network for attention map refinement},
  author={Luo et al. (2024)},
  year={2024},
  note={arXiv:2406.17032}
}
```

- arXiv: 2406.17032