spatial accuracy measure and the completeness measure can be used to quantify the correctness and the accuracy of when segmenting an image to multiple regions. Check in the following paper which uses the same measurement for evaluating a segmentation problem that has been formulated as a clustering problem.Chapter Visual Feature Clustering Using Temporal, Color and Spatial ...
I think those two terms can be interchanged. In oncology, the golden standard of tumor segmentations is provided by manual delineations by experts. Ground truth rarely is provided and comes from pathology.