1. Liver Tumor Screening and Diagnosis in CT with Pixel-Lesion-Patient Network
- Author
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Yan, Ke, Yin, Xiaoli, Xia, Yingda, Wang, Fakai, Wang, Shu, Gao, Yuan, Yao, Jiawen, Li, Chunli, Bai, Xiaoyu, Zhou, Jingren, Zhang, Ling, Lu, Le, and Shi, Yu
- Subjects
FOS: Computer and information sciences ,Computer Vision and Pattern Recognition (cs.CV) ,Image and Video Processing (eess.IV) ,Computer Science - Computer Vision and Pattern Recognition ,FOS: Electrical engineering, electronic engineering, information engineering ,Electrical Engineering and Systems Science - Image and Video Processing - Abstract
Liver tumor segmentation and classification are important tasks in computer aided diagnosis. We aim to address three problems: liver tumor screening and preliminary diagnosis in non-contrast computed tomography (CT), and differential diagnosis in dynamic contrast-enhanced CT. A novel framework named Pixel-Lesion-pAtient Network (PLAN) is proposed. It uses a mask transformer to jointly segment and classify each lesion with improved anchor queries and a foreground-enhanced sampling loss. It also has an image-wise classifier to effectively aggregate global information and predict patient-level diagnosis. A large-scale multi-phase dataset is collected containing 939 tumor patients and 810 normal subjects. 4010 tumor instances of eight types are extensively annotated. On the non-contrast tumor screening task, PLAN achieves 95% and 96% in patient-level sensitivity and specificity. On contrast-enhanced CT, our lesion-level detection precision, recall, and classification accuracy are 92%, 89%, and 86%, outperforming widely used CNN and transformers for lesion segmentation. We also conduct a reader study on a holdout set of 250 cases. PLAN is on par with a senior human radiologist, showing the clinical significance of our results., Comment: MICCAI 2023
- Published
- 2023
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