Maximum-a-posteriori (MAP) estimation is the main Bayesian estimation methodology in imaging sciences, where high dimensionality is often addressed by using Bayesian models that are log-concave and whose posterior mode can be computed efficiently by convex optimisation. Despite its success and wide adoption, MAP estimation is not theoretically well understood yet. The prevalent view in the community is that MAP estimation is not proper Bayesian estimation in a decision-theoretic sense because it does not minimise a meaningful expected loss function (unlike the minimum mean squared error (MMSE) estimator that minimises the mean squared loss). This paper addresses this theoretical gap by presenting a decision-theoretic derivation of MAP estimation in Bayesian models that are log-concave. A main novelty is that our analysis is based on differential geometry, and proceeds as follows. First, we use the underlying convex geometry of the Bayesian model to induce a Riemannian geometry on the parameter space. We then use differential geometry to identify the so-called natural or canonical loss function to perform Bayesian point estimation in that Riemannian manifold. For log-concave models, this canonical loss is the Bregman divergence associated with the negative log posterior density. We then show that the MAP estimator is the only Bayesian estimator that minimises the expected canonical loss, and that the posterior mean or MMSE estimator minimises the dual canonical loss. We also study the question of MAP and MSSE estimation performance in large scales and establish a universal bound on the expected canonical error as a function of dimension, offering new insights into the good performance observed in convex problems. These results provide a new understanding of MAP and MMSE estimation in log-concave settings, and of the multiple roles that convex geometry plays in imaging problems.