Accurate segmentation of organs from abdominal CT scans is essential for clinical applications such as diagnosis, treatment planning, and patient monitoring. To handle challenges of heterogeneity in organ shapes, sizes, and complex anatomical relationships, we propose a \textbf{\textit{\ac{MDNet}}}, an encoder-decoder network that uses the pre-trained \textit{MiT-B2} as the encoder and multiple different decoder networks. Each decoder network is connected to a different part of the encoder via a multi-scale feature enhancement dilated block. With each decoder, we increase the depth of the network iteratively and refine segmentation masks, enriching feature maps by integrating previous decoders' feature maps. To refine the feature map further, we also utilize the predicted masks from the previous decoder to the current decoder to provide spatial attention across foreground and background regions. MDNet effectively refines the segmentation mask with a high dice similarity coefficient (DSC) of 0.9013 and 0.9169 on the Liver Tumor segmentation (LiTS) and MSD Spleen datasets. Additionally, it reduces Hausdorff distance (HD) to 3.79 for the LiTS dataset and 2.26 for the spleen segmentation dataset, underscoring the precision of MDNet in capturing the complex contours. Moreover, \textit{\ac{MDNet}} is more interpretable and robust compared to the other baseline models.
Human body is a complex dynamic system composed of various sub-dynamic parts. Especially, thoracic and abdominal organs have complex internal shape variations with different frequencies by various reasons such as respiration with fast motion and peristalsis with slower motion. CT protocols for abdominal lesions are multi-phase scans for various tumor detection to use different vascular contrast, however, they are not aligned well enough to visually check the same area. In this paper, we propose a time-efficient and accurate deformable registration algorithm for multi-phase CT scans considering…
Automated abdominal multi-organ segmentation is a crucial yet challenging task in the computer-aided diagnosis of abdominal organ-related diseases. Although numerous deep learning models have achieved remarkable success in many medical image segmentation tasks, accurate segmentation of abdominal organs remains challenging, due to the varying sizes of abdominal organs and the ambiguous boundaries among them. In this paper, we propose a boundary-aware network (BA-Net) to segment abdominal organs on CT scans and MRI scans. This model contains a shared encoder, a boundary decoder, and a segmentati…
Deformable registration of two-dimensional/three-dimensional (2D/3D) images of abdominal organs is a complicated task because the abdominal organs deform significantly and their contours are not detected in two-dimensional X-ray images. We propose a supervised deep learning framework that achieves 2D/3D deformable image registration between 3D volumes and single-viewpoint 2D projected images. The proposed method learns the translation from the target 2D projection images and the initial 3D volume to 3D displacement fields. In experiments, we registered 3D-computed tomography (CT) volumes to di…
Muroran Institute of Technology（室兰工业大学）；Niigata University of Health and Welfare（新潟医疗福祉大学）
To promote the development of medical image segmentation technology, AMOS, a large-scale abdominal multi-organ dataset for versatile medical image segmentation, is provided and AMOS 2022 challenge is held by using the dataset. In this report, we present our solution for the AMOS 2022 challenge. We employ residual U-Net with deep super vision as our base model. The experimental results show that the mean scores of Dice similarity coefficient and normalized surface dice are 0.8504 and 0.8476 for CT only task and CT/MRI task, respectively.
Accurate and robust abdominal multi-organ segmentation from CT imaging of different modalities is a challenging task due to complex inter- and intra-organ shape and appearance variations among abdominal organs. In this paper, we propose a probabilistic multi-organ segmentation network with hierarchical spatial-wise feature modulation to capture flexible organ semantic variants and inject the learnt variants into different scales of feature maps for guiding segmentation. More specifically, we design an input decomposition module via a conditional variational auto-encoder to learn organ-specific…
Armed Forces Yangju Hospital（杨州武装部队医院）；Seoul National University（首尔国立大学）
For more clinical applications of deep learning models for medical image segmentation, high demands on labeled data and computational resources must be addressed. This study proposes a coarse-to-fine framework with two teacher models and a student model that combines knowledge distillation and cross teaching, a consistency regularization based on pseudo-labels, for efficient semi-supervised learning. The proposed method is demonstrated on the abdominal multi-organ segmentation task in CT images under the MICCAI FLARE 2022 challenge, with mean Dice scores of 0.8429 and 0.8520 in the validation …
University of Electronic Science and Technology of China（电子科技大学）；Shanghai Artificial Intelligence Laboratory（上海人工智能实验室）；Sichuan Cancer Hospital and Institute（四川省肿瘤医院（四川省肿瘤研究所））；Sichuan Cancer Center（四川省癌症中心）；Sichuan University（四川大学）；West China Hospital（华西医院）；Johns Hopkins University（约翰斯·霍普金斯大学）；SenseTime Research（商汤科技研究院）；Rutgers University（罗格斯大学）
Whole abdominal organ segmentation is important in diagnosing abdomen lesions, radiotherapy, and follow-up. However, oncologists' delineating all abdominal organs from 3D volumes is time-consuming and very expensive. Deep learning-based medical image segmentation has shown the potential to reduce manual delineation efforts, but it still requires a large-scale fine annotated dataset for training, and there is a lack of large-scale datasets covering the whole abdomen region with accurate and detailed annotations for the whole abdominal organ segmentation. In this work, we establish a new large-s…
Fosun Aitrox Information Technology Co LTD（复星艾特罗克斯信息技术有限公司）
The contextual information, presented in abdominal CT scan, is relative consistent. In order to make full use of the overall 3D context, we develop a whole-volume-based coarse-to-fine framework for efficient and effective abdominal multi-organ segmentation. We propose a new efficientSegNet network, which is composed of basic encoder, slim decoder and efficient context block. For the decoder module, anisotropic convolution with a k*k*1 intra-slice convolution and a 1*1*k inter-slice convolution, is designed to reduce the computation burden. For the context block, we propose strip pooling module…
Swinburne University of Technology（斯威本科技大学）；Victoria University（维多利亚大学）；Kyung Hee University（庆熙大学）
Quantitative assessment of the abdominal region from clinically acquired CT scans requires the simultaneous segmentation of abdominal organs. Thanks to the availability of high-performance computational resources, deep learning-based methods have resulted in state-of-the-art performance for the segmentation of 3D abdominal CT scans. However, the complex characterization of organs with fuzzy boundaries prevents the deep learning methods from accurately segmenting these anatomical organs. Specifically, the voxels on the boundary of organs are more vulnerable to misprediction due to the highly-va…
Objective : Abdominal anatomy segmentation is crucial for numerous applications from computer-assisted diagnosis to image-guided surgery. In this context, we address fully-automated multi-organ segmentation from abdominal CT and MR images using deep learning. Methods: The proposed model extends standard conditional generative adversarial networks. Additionally to the discriminator which enforces the model to create realistic organ delineations, it embeds cascaded partially pre-trained convolutional encoder-decoders as generator. Encoder fine-tuning from a large amount of non-medical images all…
The University of Manchester（曼彻斯特大学）；The Christie NHS Foundation Trust（克里斯蒂NHS基金会信托）
Abdominal organ segmentation is a difficult and time-consuming task. To reduce the burden on clinical experts, fully-automated methods are highly desirable. Current approaches are dominated by Convolutional Neural Networks (CNNs) however the computational requirements and the need for large data sets limit their application in practice. By implementing a small and efficient custom 3D CNN, compiling the trained model and optimizing the computational graph: our approach produces high accuracy segmentations (Dice Similarity Coefficient (%): Liver: 97.3$\pm$1.3, Kidneys: 94.8$\pm$3.6, Spleen: 96.4…
A two-step concept for 3D segmentation on 5 abdominal organs inside volumetric CT images is presented. First each relevant organ's volume of interest is extracted as bounding box. The extracted volume acts as input for a second stage, wherein two compared U-Nets with different architectural dimensions re-construct an organ segmentation as label mask. In this work, we focus on comparing 2D U-Nets vs. 3D U-Net counterparts. Our initial results indicate Dice improvements of about 6\% at maximum. In this study to our surprise, liver and kidneys for instance were tackled significantly better using …
Devil is in Details: Locality-Aware 3D Abdominal CT Volume Generation for Self-Supervised Organ Segmentation
National Engineering Research Center for Multimedia Software（多媒体软件国家工程研究中心）；Hubei Key Laboratory of Multimedia and Network Communication Engineering（湖北省多媒体与网络通信工程重点实验室）；Institute of Artificial Intelligence（人工智能研究院）；School of Computer Science（计算机科学学院）
Dokuz Eylul University（多库兹·埃吕尔大学）；Ca’ Foscari University of Venice（威尼斯大学）；Ege University（爱琴海大学）；IMT Atlantique（大西洋国立高等工业技术学院）；Median Technologies（Median科技公司）；University of Duisburg-Essen（杜伊斯堡-埃森大学）；Otto von Guericke University（奥托·冯·格里克大学）；Middle East Technical University（中东技术大学）；Johns Hopkins University（约翰斯·霍普金斯大学）
Segmentation of abdominal organs has been a comprehensive, yet unresolved, research field for many years. In the last decade, intensive developments in deep learning (DL) have introduced new state-of-the-art segmentation systems. In order to expand the knowledge on these topics, the CHAOS - Combined (CT-MR) Healthy Abdominal Organ Segmentation challenge has been organized in conjunction with IEEE International Symposium on Biomedical Imaging (ISBI), 2019, in Venice, Italy. CHAOS provides both abdominal CT and MR data from healthy subjects for single and multiple abdominal organ segmentation. F…
MRISegmentator-Abdomen: A Fully Automated Multi-Organ and Structure Segmentation Tool for T1-weighted Abdominal MRI
Radiology and Imaging Sciences（放射学与影像科学）；National Institutes of Health Clinical Center（国家卫生研究院临床中心）；Walter Reed National Military Medical Center（沃尔特·里德国家军事医学中心）；Biostatistics and Clinical Epidemiology Services（生物统计与临床流行病学服务）
Large curated datasets are necessary, but annotating medical images is a time-consuming, laborious, and expensive process. Therefore, recent supervised methods are focusing on utilizing a large amount of unlabeled data. However, to do so, is a challenging task. To address this problem, we propose a new 3D Cross-Pseudo Supervision (3D-CPS) method, a semi-supervised network architecture based on nnU-Net with the Cross-Pseudo Supervision method. We design a new nnU-Net based preprocessing. In addition, we set the semi-supervised loss weights to expand linearity with each epoch to prevent the mode…
The University of Hong Kong（香港大学）；Shenzhen Research Institute of Big Data, The Chinese University of Hong Kong (Shenzhen)（香港中文大学（深圳）深圳大数据研究院）；Longgang Central Hospital of Shenzhen（深圳龙岗中心医院）；Longgang People Hospital of Shenzhen（深圳龙岗人民医院）
Despite the considerable progress in automatic abdominal multi-organ segmentation from CT/MRI scans in recent years, a comprehensive evaluation of the models' capabilities is hampered by the lack of a large-scale benchmark from diverse clinical scenarios. Constraint by the high cost of collecting and labeling 3D medical data, most of the deep learning models to date are driven by datasets with a limited number of organs of interest or samples, which still limits the power of modern deep models and makes it difficult to provide a fully comprehensive and fair estimate of various methods. To miti…
Multi-planar 2D-U-Net Segmentation of 3D-CT Abdominal Organs augmented by Spatial Occurrence Maps
Glasgow Caledonian University School of Science & Engineering（格拉斯哥卡里多尼亚大学科学与工程学院）；Jade University of Applied Sciences Department of Engineering & Medical Technology（雅德应用科学大学工程与医疗技术系）
Dynamic U-Net: Adaptively Calibrate Features for Abdominal Multi-organ Segmentation
Washington University School of Medicine（华盛顿大学医学院）；Institute for Informatics, Data Science and Biostatistics, Washington University School of Medicine（华盛顿大学医学院信息学、数据科学与生物统计学研究所）
University of California, Los Angeles（加州大学洛杉矶分校）；Cedars-Sinai Medical Center（西达赛奈医疗中心）；Capital Medical University（首都医科大学）；Fujian Medical University Union Hospital（福建医科大学附属协和医院）；University of Southern California（南加州大学）
Segmentation of multiple organs-at-risk (OARs) is essential for radiation therapy treatment planning and other clinical applications. We developed an Automated deep Learning-based Abdominal Multi-Organ segmentation (ALAMO) framework based on 2D U-net and a densely connected network structure with tailored design in data augmentation and training procedures such as deep connection, auxiliary supervision, and multi-view. The model takes in multi-slice MR images and generates the output of segmentation results. Three-Tesla T1 VIBE (Volumetric Interpolated Breath-hold Examination) images of 102 su…
Vanderbilt University（范德堡大学）；Vanderbilt University Medical Center（范德堡大学医学中心）
Non-contrast computed tomography (NCCT) is commonly acquired for lung cancer screening, assessment of general abdominal pain or suspected renal stones, trauma evaluation, and many other indications. However, the absence of contrast limits distinguishing organ in-between boundaries. In this paper, we propose a novel unsupervised approach that leverages pairwise contrast-enhanced CT (CECT) context to compute non-contrast segmentation without ground-truth label. Unlike generative adversarial approaches, we compute the pairwise morphological context with CECT to provide teacher guidance instead of…
Vanderbilt University（范德堡大学）；Vanderbilt University Medical Center（范德堡大学医学中心）
Performing coarse-to-fine abdominal multi-organ segmentation facilitates to extract high-resolution segmentation minimizing the lost of spatial contextual information. However, current coarse-to-refine approaches require a significant number of models to perform single organ refine segmentation corresponding to the extracted organ region of interest (ROI). We propose a coarse-to-fine pipeline, which starts from the extraction of the global prior context of multiple organs from 3D volumes using a low-resolution coarse network, followed by a fine phase that uses a single refined model to segment…
Universal and Extensible Language-Vision Models for Organ Segmentation and Tumor Detection from Abdominal Computed Tomography
City University of Hong Kong（香港城市大学）；Johns Hopkins University（约翰斯·霍普金斯大学）；University of California, San Francisco（加州大学旧金山分校）；University of Illinois Urbana-Champaign（伊利诺伊大学厄巴纳-香槟分校）；Chinese University of Hong Kong（香港中文大学）；NVIDIA（英伟达）
Two-Stage Hybrid Supervision Framework for Fast, Low-resource, and Accurate Organ and Pan-cancer Segmentation in Abdomen CT
Beijing University of Posts and Telecommunications（北京邮电大学）；Dalian University of Technology（大连理工大学）；Guilin University of Electronic Technology（桂林电子科技大学）
Vanderbilt University（范德堡大学）；Sigma Technologies（12西格玛科技公司）；Vanderbilt University Medical Center（范德堡大学医学中心）
Segmentation of abdominal computed tomography(CT) provides spatial context, morphological properties, and a framework for tissue-specific radiomics to guide quantitative Radiological assessment. A 2015 MICCAI challenge spurred substantial innovation in multi-organ abdominal CT segmentation with both traditional and deep learning methods. Recent innovations in deep methods have driven performance toward levels for which clinical translation is appealing. However, continued cross-validation on open datasets presents the risk of indirect knowledge contamination and could result in circular reason…
Vanderbilt University（范德堡大学）；Vanderbilt University Medical Center（范德堡大学医学中心）；University of Lübeck（吕贝克大学）
The construction of three-dimensional multi-modal tissue maps provides an opportunity to spur interdisciplinary innovations across temporal and spatial scales through information integration. While the preponderance of effort is allocated to the cellular level and explore the changes in cell interactions and organizations, contextualizing findings within organs and systems is essential to visualize and interpret higher resolution linkage across scales. There is a substantial normal variation of kidney morphometry and appearance across body size, sex, and imaging protocols in abdominal computed…
Robustness Evaluation of a Foundation Segmentation Model Under Simulated Domain Shifts in Abdominal CT: Implications for Health Digital Twin Deployment
Healthcare Informatics, University of Illinois Springfield（医疗信息学，伊利诺伊大学斯普林菲尔德分校）
The manual ground truth of abdominal multi-organ is labor-intensive. In order to make full use of CT data, we developed a semi-supervised learning based dual-light UNet. In the training phase, it consists of two light UNets, which make full use of label and unlabeled data simultaneously by using consistent-based learning. Moreover, separable convolution and residual concatenation was introduced light UNet to reduce the computational cost. Further, a robust segmentation loss was applied to improve the performance. In the inference phase, only a light UNet is used, which required low time cost a…
Emory University（埃默里大学）；Johns Hopkins University（约翰斯·霍普金斯大学）；Memorial Sloan Kettering Cancer Center（纪念斯隆·凯特琳癌症中心）
In this work, we propose an adversarial attack-based data augmentation method to improve the deep-learning-based segmentation algorithm for the delineation of Organs-At-Risk (OAR) in abdominal Computed Tomography (CT) to facilitate radiation therapy. We introduce Adversarial Feature Attack for Medical Image (AFA-MI) augmentation, which forces the segmentation network to learn out-of-distribution statistics and improve generalization and robustness to noises. AFA-MI augmentation consists of three steps: 1) generate adversarial noises by Fast Gradient Sign Method (FGSM) on the intermediate featu…
TotalRegistrator: Towards a Lightweight Foundation Model for CT Image Registration
Department of Imaging, Radboudumc, Nijmegen, the Netherlands（影像部，Radboudumc，尼姆egen，荷兰）；Institute for Medical Informatics, University of Lübeck, Lübeck, Germany（医学信息研究所，吕贝克大学，吕贝克，德国）；Department of Nuclear Medicine, Hospital 108, Hanoi, Vietnam（核医学部，108医院，河内，越南）；Department of Diagnostic Imaging and Interventional Radiology, Thai Nguyen National Hospital, Thai Nguyen, Vietnam（诊断影像和介入放射科，Thai Nguyen国家医院，Thai Nguyen，越南）；Interventional Radiology Center, Tam Anh Hospital, Hanoi, Vietnam（介入放射科中心，Tam Anh医院，河内，越南）；FET, Vietnam National University, University of Engineering and Technology, Hanoi, Vietnam（FET，越南国家大学，工程与技术大学，河内，越南）
Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）
We developed a new joint probabilistic segmentation and image distribution matching generative adversarial network (PSIGAN) for unsupervised domain adaptation (UDA) and multi-organ segmentation from magnetic resonance (MRI) images. Our UDA approach models the co-dependency between images and their segmentation as a joint probability distribution using a new structure discriminator. The structure discriminator computes structure of interest focused adversarial loss by combining the generated pseudo MRI with probabilistic segmentations produced by a simultaneously trained segmentation sub-networ…
Osaka University Graduate School of Medicine（大阪大学医学研究生院）
Multi-organ segmentation enables organ evaluation, accounts the relationship between multiple organs, and facilitates accurate diagnosis and treatment decisions. However, only few models can perform segmentation accurately because of the lack of datasets and computational resources. On AMOS2022 challenge, which is a large-scale, clinical, and diverse abdominal multiorgan segmentation benchmark, we trained a 3D-UNet model with large batch and patch sizes using multi-GPU distributed training. Segmentation performance tended to increase for models with large batch and patch sizes compared with th…
Electron density maps must be accurately estimated to achieve valid dose calculation in MR-only radiotherapy. The goal of this study is to assess whether two deep learning models, the conditional generative adversarial network (cGAN) and the cycle-consistent generative adversarial network (cycleGAN), can generate accurate abdominal synthetic CT (sCT) images from 0.35T MR images for MR-only liver radiotherapy. A retrospective study was performed using CT images and 0.35T MR images of 12 patients with liver (n=8) and non-liver abdominal (n=4) cancer. CT images were deformably registered to the c…
A Study of Anatomical Priors for Deep Learning-Based Segmentation of Pheochromocytoma in Abdominal CT
Imaging Biomarkers and Computer-Aided Diagnosis Laboratory（影像生物标记与计算机辅助诊断实验室）；Clinical Center, NIH（国家卫生研究院临床中心）；Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH（欧尼丝·凯蒂·施里弗国家儿童健康与人类发展研究所，国家卫生研究院）；National Cancer Institute, NIH（国家癌症研究所，国家卫生研究院）；National Institute of Diabetes and Digestive and Kidney Diseases, NIH（国家糖尿病、消化系统与肾病研究所，国家卫生研究院）
Shape reconstruction of deformable organs from two-dimensional X-ray images is a key technology for image-guided intervention. In this paper, we propose an image-to-graph convolutional network (IGCN) for deformable shape reconstruction from a single-viewpoint projection image. The IGCN learns relationship between shape/deformation variability and the deep image features based on a deformation mapping scheme. In experiments targeted to the respiratory motion of abdominal organs, we confirmed the proposed framework with a regularized loss function can reconstruct liver shapes from a single digit…
Graduate School of Informatics, Kyoto University（京都大学信息学研究科）；Graduate School of Medicine, Kyoto University（京都大学医学研究科）
Organ shape reconstruction based on a single-projection image during treatment has wide clinical scope, e.g., in image-guided radiotherapy and surgical guidance. We propose an image-to-graph convolutional network that achieves deformable registration of a 3D organ mesh for a single-viewpoint 2D projection image. This framework enables simultaneous training of two types of transformation: from the 2D projection image to a displacement map, and from the sampled per-vertex feature to a 3D displacement that satisfies the geometrical constraint of the mesh structure. Assuming application to radiati…
Automatic Organ and Pan-cancer Segmentation in Abdomen CT: the FLARE 2023 Challenge
University of Toronto（多伦多大学）；University Health Network（大学网络健康中心）；Vector Institute（向量研究所）；Lenovo Research（联想研究院）；Nanjing Anke Medical Technology Co., Ltd.（南京安科医疗科技有限公司）；Ocean University of China（中国海洋大学）；ShenZhen Yorktal DMIT Co. LTD.（深圳约克塔尔DMIT有限公司）；Shanghai Jiao Tong University（上海交通大学）；East China University of Science and Technology（华东理工大学）；Shanghai AI Laboratory（上海人工智能实验室）；City University of Macau（澳门城市大学）；Hanglok-Tech Co., Ltd.（恒乐科技有限公司）；Nanjing Drum Tower Hospital（南京鼓楼医院）
