Automated segmentation of anatomical structures is a crucial step in image analysis. For lung segmentation in computed tomography, a variety of approaches exist, involving sophisticated pipelines trained and validated on different datasets. However, the clinical applicability of these approaches across diseases remains limited. We compared four generic deep learning approaches trained on various datasets and two readily available lung segmentation algorithms. We performed evaluation on routine imaging data with more than six different disease patterns and three published data sets. Using different deep learning approaches, mean Dice similarity coefficients (DSCs) on test datasets varied not over 0.02. When trained on a diverse routine dataset (n = 36) a standard approach (U-net) yields a higher DSC (0.97 $\pm$ 0.05) compared to training on public datasets such as Lung Tissue Research Consortium (0.94 $\pm$ 0.13, p = 0.024) or Anatomy 3 (0.92 $\pm$ 0.15, p = 0.001). Trained on routine data (n = 231) covering multiple diseases, U-net compared to reference methods yields a DSC of 0.98 $\pm$ 0.03 versus 0.94 $\pm$ 0.12 (p = 0.024).
How well do routinely collected demographic and clinical variables aid point-of-care lung ultrasound TB classification
University of Stellenbosch（斯泰伦博斯大学）；Swiss Federal Institute of Technology (EPFL)（瑞士联邦理工学院（EPFL））；National Teaching Hospital for Tuberculosis and Pulmonary Diseases (CNHU-PPC)（国家结核病与肺部疾病教学医院（CNHU-PPC））；South African Medical Research Council（南非医学研究理事会）；Stellenbosch University（斯泰伦博斯大学）
Darmstadt University of Technology（达姆施塔特工业大学）；University Hospital Frankfurt（法兰克福大学医院）
Automatic segmentation of lung lesions in computer tomography has the potential to ease the burden of clinicians during the Covid-19 pandemic. Yet predictive deep learning models are not trusted in the clinical routine due to failing silently in out-of-distribution (OOD) data. We propose a lightweight OOD detection method that exploits the Mahalanobis distance in the feature space. The proposed approach can be seamlessly integrated into state-of-the-art segmentation pipelines without requiring changes in model architecture or training procedure, and can therefore be used to assess the suitabil…
Darmstadt University of Technology（达姆施塔特工业大学）；Uniklinik Frankfurt（法兰克福大学医院）
Automatic segmentation of ground glass opacities and consolidations in chest computer tomography (CT) scans can potentially ease the burden of radiologists during times of high resource utilisation. However, deep learning models are not trusted in the clinical routine due to failing silently on out-of-distribution (OOD) data. We propose a lightweight OOD detection method that leverages the Mahalanobis distance in the feature space and seamlessly integrates into state-of-the-art segmentation pipelines. The simple approach can even augment pre-trained models with clinically relevant uncertainty …
Thomas Jefferson University Hospital（托马斯·杰斐逊大学医院）；Georgia Institute of Technology（佐治亚理工学院）；Memorial Sloan Kettering Cancer Center（纪念斯隆·凯特琳癌症中心）
Spiculations/lobulations, sharp/curved spikes on the surface of lung nodules, are good predictors of lung cancer malignancy and hence, are routinely assessed and reported by radiologists as part of the standardized Lung-RADS clinical scoring criteria. Given the 3D geometry of the nodule and 2D slice-by-slice assessment by radiologists, manual spiculation/lobulation annotation is a tedious task and thus no public datasets exist to date for probing the importance of these clinically-reported features in the SOTA malignancy prediction algorithms. As part of this paper, we release a large-scale Cl…
Evaluating LeNet Algorithms in Classification Lung Cancer from Iraq-Oncology Teaching Hospital/National Center for Cancer Diseases
Faculty of Electrical and Computer Engineering, Islamic Azad University（伊斯兰阿扎德大学电气与计算机工程学院）；Young Researchers and Elite Club, Ardabil Branch, Islamic Azad University（伊斯兰阿扎德大学阿尔达比尔分校青年研究者与精英俱乐部）；Iraq-Oncology Teaching Hospital/National Center for Cancer Diseases（伊拉克肿瘤学教学医院/国家癌症疾病中心）
Multimodal positron emission tomography-computed tomography (PET-CT) is used routinely in the assessment of cancer. PET-CT combines the high sensitivity for tumor detection with PET and anatomical information from CT. Tumor segmentation is a critical element of PET-CT but at present, there is not an accurate automated segmentation method. Segmentation tends to be done manually by different imaging experts and it is labor-intensive and prone to errors and inconsistency. Previous automated segmentation methods largely focused on fusing information that is extracted separately from the PET and CT…
MESAHA-Net: Multi-Encoders based Self-Adaptive Hard Attention Network with Maximum Intensity Projections for Lung Nodule Segmentation in CT Scan
Department of Computer Science and Engineering, Seoul National University（计算机科学与工程系，首尔国立大学）；Center for Artificial Intelligence in Medicine and Imaging, HealthHub Co. Ltd.（医学与影像人工智能中心，HealthHub公司）；Department of Electrical and Computer Engineering, The University of Alabama（电气与计算机工程系，阿拉巴马大学）；Department of Electrical Engineering, COMSATS University Islamabad（电气工程系，COMSATS大学伊斯兰堡分校）
Stress-testing cross-cancer generalizability of 3D nnU-Net for PET-CT tumor segmentation: multi-cohort evaluation with novel oesophageal and lung cancer datasets
QIMR Berghofer Medical Research Institute（昆士兰医学研究 institute）；Australian Institute for Bioengineering and Nanotechnology（澳大利亚生物工程与纳米技术研究所）；The University of Queensland（昆士兰大学）；Frazer Institute（弗拉泽研究所）；Princess Alexandra Hospital（亚历山大公主医院）；Faculty of Health, Medicine and Behavioural Sciences（健康、医学与行为科学学院）；School of Biomedical Sciences（生物医学科学学院）；Uppsala University（乌普萨拉大学）；Rohtak Nuclear Medcare Imaging Therapy and Research Center（罗塔克核医学成像治疗与研究中心）
Faculty of Engineering of University of Porto (FEUP)（波尔图大学工程学院）；Institute for Systems and Computer Engineering, Technology and Science (INESC TEC)（系统与计算机工程、技术与科学研究所）；Faculty of Medicine of University of Porto (FMUP)（波尔图大学医学院）；University of Trás-os-Montes e Alto Douro (UTAD)（山后上杜罗大学）
Early diagnosis of lung cancer via computed tomography can significantly reduce the morbidity and mortality rates associated with the pathology. However, search lung nodules is a high complexity task, which affects the success of screening programs. Whilst computer-aided detection systems can be used as second observers, they may bias radiologists and introduce significant time overheads. With this in mind, this study assesses the potential of using gaze information for integrating automatic detection systems in the clinical practice. For that purpose, 4 radiologists were asked to annotate 20 …
Harbin Institute of Technology（哈尔滨工业大学）；CVTE Research（视源股份研究院）；Southern University of Science and Technology（南方科技大学）；Guangdong University of Technology（广东工业大学）；CVTE（视源股份）
In the management of lung nodules, we are desirable to predict nodule evolution in terms of its diameter variation on Computed Tomography (CT) scans and then provide a follow-up recommendation according to the predicted result of the growing trend of the nodule. In order to improve the performance of growth trend prediction for lung nodules, it is vital to compare the changes of the same nodule in consecutive CT scans. Motivated by this, we screened out 4,666 subjects with more than two consecutive CT scans from the National Lung Screening Trial (NLST) dataset to organize a temporal dataset ca…
The Ohio State University College of Medicine（俄亥俄州立大学医学院）
Consistency and duplicability in Computed Tomography (CT) output is essential to quantitative imaging for lung cancer detection and monitoring. This study of CT-detected lung nodules investigated the reproducibility of volume-, density-, and texture-based features (outcome variables) over routine ranges of radiation-dose, reconstruction kernel, and slice thickness. CT raw data of 23 nodules were reconstructed using 320 acquisition/reconstruction conditions (combinations of 4 doses, 10 kernels, and 8 thicknesses). Scans at 12.5%, 25%, and 50% of protocol dose were simulated; reduced-dose and fu…
University of Waterloo（滑铁卢大学）；DarwinAI Corp.（DarwinAI公司）；Stony Brook School of Medicine（石溪大学医学院）；Montefiore Medical Center（蒙蒂菲奥里医疗中心）；Albert Einstein College of Medicine（阿尔伯特·爱因斯坦医学院）
Background: A critical step in effective care and treatment planning for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of the COVID-19 pandemic, is the assessment of the severity of disease progression. Chest x-rays (CXRs) are often used to assess SARS-CoV-2 severity, with two important assessment metrics being extent of lung involvement and degree of opacity. In this proof-of-concept study, we assess the feasibility of computer-aided scoring of CXRs of SARS-CoV-2 lung disease severity using a deep learning system. Materials and Methods: Data consisted of 396 CXRs fro…
Ultrasound Image Synthesis Using Generative AI for Lung Ultrasound Detection
Johns Hopkins University（约翰斯·霍普金斯大学）；Philips Ultrasound（飞利浦超声）；Columbia University Vagelos College of Physicians and Surgeons（哥伦比亚大学瓦格洛斯内科医生与外科医生学院）；MedStar Washington Hospital Center（MedStar华盛顿医院中心）；Yale University School of Medicine（耶鲁大学医学院）
University College London（伦敦大学学院）；Frimley Health NHS Foundation Trust（弗林姆利健康国民医疗服务基金会信托）；Royal Berkshire NHS Foundation Trust（皇家伯克郡国民医疗服务基金会信托）；Hospital de La Santa Creu I Sant Pau（圣克鲁和圣保罗医院）；West Suffolk NHS Foundation Trust（西萨福克国民医疗服务基金会信托）；Cambridge University Hospital（剑桥大学医院）；University of Cambridge（剑桥大学）；Great Ormond Street Children's Hospital NHS Foundation Trust（大奥蒙德街儿童医院国民医疗服务基金会信托）；Institute of Child Health, University College London（伦敦大学学院儿童健康研究所）；UCL Queen Square Institute of Neurology（伦敦大学学院皇后广场神经病学研究所）；University of Pavia（帕维亚大学）
Lung ultrasound imaging has been shown effective in detecting typical patterns for interstitial pneumonia, as a point-of-care tool for both patients with COVID-19 and other community-acquired pneumonia (CAP). In this work, we focus on the hyperechoic B-line segmentation task. Using deep neural networks, we automatically outline the regions that are indicative of pathology-sensitive artifacts and their associated sonographic patterns. With a real-world data-scarce scenario, we investigate approaches to utilize both COVID-19 and CAP lung ultrasound data to train the networks; comparing fine-tuni…
Visually scoring lung involvement in systemic sclerosis from CT scans plays an important role in monitoring progression, but its labor intensiveness hinders practical application. We proposed, therefore, an automatic scoring framework that consists of two cascaded deep regression neural networks. The first (3D) network aims to predict the craniocaudal position of five anatomically defined scoring levels on the 3D CT scans. The second (2D) network receives the resulting 2D axial slices and predicts the scores. We used 227 3D CT scans to train and validate the first network, and the resulting 11…
Shanghai Jiao Tong University（上海交通大学）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）；ShanghaiTech University（上海科技大学）
Lung nodule detection in chest X-ray (CXR) images is common to early screening of lung cancers. Deep-learning-based Computer-Assisted Diagnosis (CAD) systems can support radiologists for nodule screening in CXR. However, it requires large-scale and diverse medical data with high-quality annotations to train such robust and accurate CADs. To alleviate the limited availability of such datasets, lung nodule synthesis methods are proposed for the sake of data augmentation. Nevertheless, previous methods lack the ability to generate nodules that are realistic with the size attribute desired by the …
For most if not all cancers, prognosis is of significant importance, and extensive modeling research has been conducted. With the genetic nature of cancer, in the past two decades, multiple types of molecular data (such as gene expressions and DNA mutations) have been explored. More recently, histopathological imaging data, which is routinely collected in biopsy, has been shown as informative for modeling prognosis. In this study, using the TCGA LUAD and LUSC data as a showcase, we examine and compare modeling lung cancer overall survival using gene expressions versus histopathological imaging…
Advancing oncology with federated learning: transcending boundaries in breast, lung, and prostate cancer. A systematic review
Seoul National University Bundang Hospital（首尔大学盆唐医院）；Maastricht University（马斯特里赫特大学）；Pfizer Pharma GmbH（辉瑞制药有限公司）；Queen Mary University of London（伦敦玛丽女王大学）；University of Oxford（牛津大学）；Imperial College London（帝国理工学院）；Flower Labs；Academy of Athens（雅典科学院）；Helmholtz-Zentrum Dresden-Rossendorf（德累斯顿罗森多夫亥姆霍兹中心）；Pfizer Inc（辉瑞公司）
Georgia Institute of Technology（佐治亚理工学院）；Memorial Sloan-Kettering Cancer Center（纪念斯隆-凯特琳癌症中心）；Peking University Cancer Hospital（北京大学肿瘤医院）
In current clinical practice, noisy and artifact-ridden weekly cone-beam computed tomography (CBCT) images are only used for patient setup during radiotherapy. Treatment planning is done once at the beginning of the treatment using high-quality planning CT (pCT) images and manual contours for organs-at-risk (OARs) structures. If the quality of the weekly CBCT images can be improved while simultaneously segmenting OAR structures, this can provide critical information for adapting radiotherapy mid-treatment as well as for deriving biomarkers for treatment response. Using a novel physics-based da…
Imagia Inc.（Imagia公司）；Quebec AI Institute (Mila)（魁北克人工智能研究所（Mila））；McGill University（麦吉尔大学）；University of Waterloo（滑铁卢大学）
Diversity in data is critical for the successful training of deep learning models. Leveraged by a recurrent generative adversarial network, we propose the CT-SGAN model that generates large-scale 3D synthetic CT-scan volumes ($\geq 224\times224\times224$) when trained on a small dataset of chest CT-scans. CT-SGAN offers an attractive solution to two major challenges facing machine learning in medical imaging: a small number of given i.i.d. training data, and the restrictions around the sharing of patient data preventing to rapidly obtain larger and more diverse datasets. We evaluate the fideli…
University of Sydney（悉尼大学）；Shanghai Jiao Tong University（上海交通大学）
Multi-modality Fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) has been routinely used in the assessment of common cancers, such as lung cancer, lymphoma, and melanoma. This is mainly attributed to the fact that PET/CT combines the high sensitivity for tumor detection of PET and anatomical information from CT. In PET/CT image assessment, automatic tumor segmentation is an important step, and in recent years, deep learning based methods have become the state-of-the-art. Unfortunately, existing methods tend to over-segment the tumor regions and include region…
Inception Institute of Artificial Intelligence（起源人工智能研究院）；Indian Institute of Technology, Kanpur（印度理工学院坎普尔分校）
While medical image segmentation is an important task for computer aided diagnosis, the high expertise requirement for pixelwise manual annotations makes it a challenging and time consuming task. Since conventional data augmentations do not fully represent the underlying distribution of the training set, the trained models have varying performance when tested on images captured from different sources. Most prior work on image synthesis for data augmentation ignore the interleaved geometric relationship between different anatomical labels. We propose improvements over previous GAN-based medical…
The ULS23 Challenge: a Baseline Model and Benchmark Dataset for 3D Universal Lesion Segmentation in Computed Tomography
Radboud University Medical Center（拉德堡德大学医学中心）；Jeroen Bosch Hospital（杰伦博世医院）；University Medical Center Groningen（格罗宁根大学医学中心）；Fraunhofer Institute for Digital Medicine MEVIS（弗劳恩霍夫数字医学梅维斯研究所）
International Institute of Information Technology（国际信息技术学院）；Grace Cancer Foundation（格蕾丝癌症基金会）
Computer tomography (CT) have been routinely used for the diagnosis of lung diseases and recently, during the pandemic, for detecting the infectivity and severity of COVID-19 disease. One of the major concerns in using ma-chine learning (ML) approaches for automatic processing of CT scan images in clinical setting is that these methods are trained on limited and biased sub-sets of publicly available COVID-19 data. This has raised concerns regarding the generalizability of these models on external datasets, not seen by the model during training. To address some of these issues, in this work CT …
