In clinical trials, one of the radiologists' routine work is to measure tumor sizes on medical images using the RECIST criteria (Response Evaluation Criteria In Solid Tumors). However, manual measurement is tedious and subject to inter-observer variability. We propose a unified framework named SEENet for semi-automatic lesion \textit{SE}gmentation and RECIST \textit{E}stimation on a variety of lesions over the entire human body. The user is only required to provide simple guidance by clicking once near the lesion. SEENet consists of two main parts. The first one extracts the lesion of interest with the one-click guidance, roughly segments the lesion, and estimates its RECIST measurement. Based on the results of the first network, the second one refines the lesion segmentation and RECIST estimation. SEENet achieves state-of-the-art performance in lesion segmentation and RECIST estimation on the large-scale public DeepLesion dataset. It offers a practical tool for radiologists to generate reliable lesion measurements (i.e. segmentation mask and RECIST) with minimal human effort and greatly reduced time.
Accurate, automated lesion detection in Computed Tomography (CT) is an important yet challenging task due to the large variation of lesion types, sizes, locations and appearances. Recent work on CT lesion detection employs two-stage region proposal based methods trained with centroid or bounding-box annotations. We propose a highly accurate and efficient one-stage lesion detector, by re-designing a RetinaNet to meet the particular challenges in medical imaging. Specifically, we optimize the anchor configurations using a differential evolution search algorithm. For training, we leverage the res…
National Institutes of Health（美国国立卫生研究院）；University of Florida（佛罗里达大学）；Nvidia Corp（英伟达公司）；Ping An Insurance (Group) Company of China Ltd（中国平安保险（集团）股份有限公司）
Volumetric lesion segmentation via medical imaging is a powerful means to precisely assess multiple time-point lesion/tumor changes. Because manual 3D segmentation is prohibitively time consuming and requires radiological experience, current practices rely on an imprecise surrogate called response evaluation criteria in solid tumors (RECIST). Despite their coarseness, RECIST marks are commonly found in current hospital picture and archiving systems (PACS), meaning they can provide a potentially powerful, yet extraordinarily challenging, source of weak supervision for full 3D segmentation. Towa…
Imaging Biomarkers and Computer-Aided Diagnosis Laboratory（影像生物标志物与计算机辅助诊断实验室）；NVIDIA（英伟达）；Clinical Image Processing Service（临床图像处理服务部）；Ping An Insurance Company of China（中国平安保险（集团）股份有限公司）；National Institutes of Health Clinical Center（美国国立卫生研究院临床中心）
Response evaluation criteria in solid tumors (RECIST) is the standard measurement for tumor extent to evaluate treatment responses in cancer patients. As such, RECIST annotations must be accurate. However, RECIST annotations manually labeled by radiologists require professional knowledge and are time-consuming, subjective, and prone to inconsistency among different observers. To alleviate these problems, we propose a cascaded convolutional neural network based method to semi-automatically label RECIST annotations and drastically reduce annotation time. The proposed method consists of two stage…
Lesion segmentation in medical imaging serves as an effective tool for assessing tumor sizes and monitoring changes in growth. However, not only is manual lesion segmentation time-consuming, but it is also expensive and requires expert radiologist knowledge. Therefore many hospitals rely on a loose substitute called response evaluation criteria in solid tumors (RECIST). Although these annotations are far from precise, they are widely used throughout hospitals and are found in their picture archiving and communication systems (PACS). Therefore, these annotations have the potential to serve as a…
Imaging Biomarkers and Computer-Aided Diagnosis Laboratory, Radiology and Imaging Sciences, National Institutes of Health Clinical Center（美国国立卫生研究院临床中心放射与成像科学部成像生物标志物和计算机辅助诊断实验室）；Ping An Insurance Company of China（中国平安保险（集团）股份有限公司）
Lesion segmentation on computed tomography (CT) scans is an important step for precisely monitoring changes in lesion/tumor growth. This task, however, is very challenging since manual segmentation is prohibitively time-consuming, expensive, and requires professional knowledge. Current practices rely on an imprecise substitute called response evaluation criteria in solid tumors (RECIST). Although these markers lack detailed information about the lesion regions, they are commonly found in hospitals' picture archiving and communication systems (PACS). Thus, these markers have the potential to se…
PAII Inc.（PAII公司）；Ping An Technology（平安科技）；Beijing United Family Hospital（北京和睦家医院）；Chang Gung Memorial Hospital（长庚纪念医院）
Measuring lesion size is an important step to assess tumor growth and monitor disease progression and therapy response in oncology image analysis. Although it is tedious and highly time-consuming, radiologists have to work on this task by using RECIST criteria (Response Evaluation Criteria In Solid Tumors) routinely and manually. Even though lesion segmentation may be the more accurate and clinically more valuable means, physicians can not manually segment lesions as now since much more heavy laboring will be required. In this paper, we present a prior-guided dual-path network (PDNet) to segme…
Automatically measuring lesion/tumor size with RECIST (Response Evaluation Criteria In Solid Tumors) diameters and segmentation is important for computer-aided diagnosis. Although it has been studied in recent years, there is still space to improve its accuracy and robustness, such as (1) enhancing features by incorporating rich contextual information while keeping a high spatial resolution and (2) involving new tasks and losses for joint optimization. To reach this goal, this paper proposes a transformer-based network (MeaFormer, Measurement transFormer) for lesion RECIST diameter prediction …
Sliding Window FastEdit: A Framework for Lesion Annotation in Whole-body PET Images
HIDSS4Health - Helmholtz Information and Data Science School for Health（亥姆霍兹信息与健康数据科学学院）；Institute for AI in Medicine (IKIM), University Hospital Essen（埃森大学医院医学人工智能研究所）
Herein we propose a deep learning-based approach for the prediction of lung lesion response based on radiomic features extracted from clinical CT scans of patients in non-small cell lung cancer trials. The approach starts with the classification of lung lesions from the set of primary and metastatic lesions at various anatomic locations. Focusing on the lung lesions, we perform automatic segmentation to extract their 3D volumes. Radiomic features are then extracted from the lesion on the pre-treatment scan and the first follow-up scan to predict which lesions will shrink at least 30% in diamet…
Guiding the Guidance: A Comparative Analysis of User Guidance Signals for Interactive Segmentation of Volumetric Images
Karlsruhe Institute of Technology（卡尔斯鲁厄理工学院）；HIDSS4Health - Helmholtz Information and Data Science School for Health（HIDSS4Health——亥姆霍兹健康信息与数据科学学院）；Institute for AI in Medicine, University Hospital Essen（埃森大学医院医学人工智能研究所）；Cancer Research Center Cologne Essen (CCCE), University Medicine Essen（埃森大学医学院科隆埃森癌症研究中心（CCCE））
Scale-aware Test-time Click Adaptation for Pulmonary Nodule and Mass Segmentation
Wuhan University（武汉大学）；Artificial Intelligence Institute of Wuhan University（武汉大学人工智能研究院）；Swiss Federal Institute of Technology Lausanne (EPFL)（洛桑联邦理工学院（EPFL））；Dianei Technology（点内科技）
DeepEdit: Deep Editable Learning for Interactive Segmentation of 3D Medical Images
School of Biomedical Engineering & Imaging Sciences, King’s College London（伦敦国王学院生物医学工程与影像科学学院）；NVIDIA（英伟达）；Semmelweis University（塞麦尔维斯大学）；EBATINCA, S.L.（EBATINCA有限公司）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）；Isomics, Inc.（Isomics公司）
University of Electronic Science and Technology of China（电子科技大学）；SenseTime Research（商汤科技研究院）；Shanghai Jiao Tong University（上海交通大学）；University Hospitals Leuven（鲁汶大学医院）；University College London（伦敦大学学院）；King’s College London（伦敦国王学院）
Segmentation of organs or lesions from medical images plays an essential role in many clinical applications such as diagnosis and treatment planning. Though Convolutional Neural Networks (CNN) have achieved the state-of-the-art performance for automatic segmentation, they are often limited by the lack of clinically acceptable accuracy and robustness in complex cases. Therefore, interactive segmentation is a practical alternative to these methods. However, traditional interactive segmentation methods require a large amount of user interactions, and recently proposed CNN-based interactive segmen…
ONCOPILOT: A Promptable CT Foundation Model For Solid Tumor Evaluation
Raidium, Paris Biotech Santé（Raidium，巴黎生物医疗健康）；AP-HP. Nord, Department of Radiology, FHU MOSAIC, Beaujon Hospital（AP-HP. Nord，放射科，FHU MOSAIC，贝琼医院）；Université Paris Cité（巴黎城市大学）；Université Paris Cité, AP-HP, Hôpital Européen Georges Pompidou, Department of Vascular and Oncological Interventional Radiology（巴黎城市大学，AP-HP，欧文·庞皮杜医院，血管和肿瘤介入放射科）；Department of Radiology, Hôpital Cochin, AP-HP（放射科，克里克医院，AP-HP）；Centre d’Imagerie du Nord（北影像中心）
Rethinking Annotator Simulation: Realistic Evaluation of Whole-Body PET Lesion Interactive Segmentation Methods
Karlsruhe Institute of Technology（卡尔斯鲁厄理工学院）；HIDSS4Health - Helmholtz Information and Data Science School for Health（HIDSS4Health亥姆霍兹健康信息与数据科学学院）；Institute for AI in Medicine, University Hospital Essen（埃森大学医院医学人工智能研究所）；Cancer Research Center Cologne Essen (CCCE), University Medicine Essen（埃森大学医学院科隆埃森癌症研究中心）
