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Automated CT and MRI Liver Segmentation and Biometry Using a Generalized Convolutional Neural Network.
PurposeTo assess feasibility of training a convolutional neural network (CNN) to automate liver segmentation across different imaging modalities and techniques used in clinical practice and apply this to enable automation of liver biometry.MethodsWe trained a 2D U-Net CNN for liver segmentation in two stages using 330 abdominal MRI and CT exams acquired at our institution. First, we trained the neural network with non-contrast multi-echo spoiled-gradient-echo (SGPR)images with 300 MRI exams to provide multiple signal-weightings. Then, we used transfer learning to generalize the CNN with additional images from 30 contrast-enhanced MRI and CT exams.We assessed the performance of the CNN using a distinct multi-institutional data set curated from multiple sources (n = 498 subjects). Segmentation accuracy was evaluated by computing Dice scores. Utilizing these segmentations, we computed liver volume from CT and T1-weighted (T1w) MRI exams, and estimated hepatic proton- density-fat-fraction (PDFF) from multi-echo T2*w MRI exams. We compared quantitative volumetry and PDFF estimates between automated and manual segmentation using Pearson correlation and Bland-Altman statistics.ResultsDice scores were 0.94 ± 0.06 for CT (n = 230), 0.95 ± 0.03 (n = 100) for T1w MR, and 0.92 ± 0.05 for T2*w MR (n = 169). Liver volume measured by manual and automated segmentation agreed closely for CT (95% limit-of-agreement (LoA) = [-298 mL, 180 mL]) and T1w MR (LoA = [-358 mL, 180 mL]). Hepatic PDFF measured by the two segmentations also agreed closely (LoA = [-0.62%, 0.80%]).ConclusionsUtilizing a transfer-learning strategy, we have demonstrated the feasibility of a CNN to be generalized to perform liver segmentations across different imaging techniques and modalities. With further refinement and validation, CNNs may have broad applicability for multimodal liver volumetry and hepatic tissue characterization
Keypoint Transfer for Fast Whole-Body Segmentation
We introduce an approach for image segmentation based on sparse
correspondences between keypoints in testing and training images. Keypoints
represent automatically identified distinctive image locations, where each
keypoint correspondence suggests a transformation between images. We use these
correspondences to transfer label maps of entire organs from the training
images to the test image. The keypoint transfer algorithm includes three steps:
(i) keypoint matching, (ii) voting-based keypoint labeling, and (iii)
keypoint-based probabilistic transfer of organ segmentations. We report
segmentation results for abdominal organs in whole-body CT and MRI, as well as
in contrast-enhanced CT and MRI. Our method offers a speed-up of about three
orders of magnitude in comparison to common multi-atlas segmentation, while
achieving an accuracy that compares favorably. Moreover, keypoint transfer does
not require the registration to an atlas or a training phase. Finally, the
method allows for the segmentation of scans with highly variable field-of-view.Comment: Accepted for publication at IEEE Transactions on Medical Imagin
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