Fully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT images

Abstract Manual delineation of liver segments on computed tomography (CT) images for primary/secondary liver cancer (LC) patients is time-intensive and prone to inter/intra-observer variability. Therefore, we developed a deep-learning-based model to auto-contour liver segments and spleen on contrast...

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Main Authors: Aashish C. Gupta, Guillaume Cazoulat, Mais Al Taie, Sireesha Yedururi, Bastien Rigaud, Austin Castelo, John Wood, Cenji Yu, Caleb O’Connor, Usama Salem, Jessica Albuquerque Marques Silva, Aaron Kyle Jones, Molly McCulloch, Bruno C. Odisio, Eugene J. Koay, Kristy K. Brock
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-53997-y
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author Aashish C. Gupta
Guillaume Cazoulat
Mais Al Taie
Sireesha Yedururi
Bastien Rigaud
Austin Castelo
John Wood
Cenji Yu
Caleb O’Connor
Usama Salem
Jessica Albuquerque Marques Silva
Aaron Kyle Jones
Molly McCulloch
Bruno C. Odisio
Eugene J. Koay
Kristy K. Brock
author_facet Aashish C. Gupta
Guillaume Cazoulat
Mais Al Taie
Sireesha Yedururi
Bastien Rigaud
Austin Castelo
John Wood
Cenji Yu
Caleb O’Connor
Usama Salem
Jessica Albuquerque Marques Silva
Aaron Kyle Jones
Molly McCulloch
Bruno C. Odisio
Eugene J. Koay
Kristy K. Brock
author_sort Aashish C. Gupta
collection DOAJ
description Abstract Manual delineation of liver segments on computed tomography (CT) images for primary/secondary liver cancer (LC) patients is time-intensive and prone to inter/intra-observer variability. Therefore, we developed a deep-learning-based model to auto-contour liver segments and spleen on contrast-enhanced CT (CECT) images. We trained two models using 3d patch-based attention U-Net ( $${{\text{M}}}_{{\text{paU}}-{\text{Net}}})$$ M paU - Net ) and 3d full resolution of nnU-Net ( $${{\text{M}}}_{{\text{nnU}}-{\text{Net}}})$$ M nnU - Net ) to determine the best architecture ( $${\text{BA}})$$ BA ) . BA was used with vessels ( $${{\text{M}}}_{{\text{Vess}}})$$ M Vess ) and spleen ( $${{\text{M}}}_{{\text{seg}}+{\text{spleen}}})$$ M seg + spleen ) to assess the impact on segment contouring. Models were trained, validated, and tested on 160 ( $${{\text{C}}}_{{\text{RTTrain}}}$$ C RTTrain ), 40 ( $${{\text{C}}}_{{\text{RTVal}}}$$ C RTVal ), 33 ( $${{\text{C}}}_{{\text{LS}}}$$ C LS ), 25 (CCH) and 20 (CPVE) CECT of LC patients. $${{\text{M}}}_{{\text{nnU}}-{\text{Net}}}$$ M nnU - Net outperformed $${{\text{M}}}_{{\text{paU}}-{\text{Net}}}$$ M paU - Net across all segments with median differences in Dice similarity coefficients (DSC) ranging 0.03–0.05 (p < 0.05). $${{\text{M}}}_{{\text{seg}}+{\text{spleen}}}$$ M seg + spleen , and $${{\text{M}}}_{{\text{nnU}}-{\text{Net}}}$$ M nnU - Net were not statistically different (p > 0.05), however, both were slightly better than $${{\text{M}}}_{{\text{Vess}}}$$ M Vess by DSC up to 0.02. The final model, $${{\text{M}}}_{{\text{seg}}+{\text{spleen}}}$$ M seg + spleen , showed a mean DSC of 0.89, 0.82, 0.88, 0.87, 0.96, and 0.95 for segments 1, 2, 3, 4, 5–8, and spleen, respectively on entire test sets. Qualitatively, more than 85% of cases showed a Likert score $$\ge$$ ≥ 3 on test sets. Our final model provides clinically acceptable contours of liver segments and spleen which are usable in treatment planning.
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spelling doaj.art-6f8b71221bc04ad193b13173d4a5714c2024-03-05T18:48:42ZengNature PortfolioScientific Reports2045-23222024-02-0114111910.1038/s41598-024-53997-yFully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT imagesAashish C. Gupta0Guillaume Cazoulat1Mais Al Taie2Sireesha Yedururi3Bastien Rigaud4Austin Castelo5John Wood6Cenji Yu7Caleb O’Connor8Usama Salem9Jessica Albuquerque Marques Silva10Aaron Kyle Jones11Molly McCulloch12Bruno C. Odisio13Eugene J. Koay14Kristy K. Brock15Department of Imaging Physics, The University of Texas MD Anderson Cancer CenterDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterAbdominal Imaging Department, The University of Texas MD Anderson Cancer CenterDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterThe University of Texas MD Anderson Cancer Center UTHealth Graduate School of Biomedical SciencesDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterAbdominal Imaging Department, The University of Texas MD Anderson Cancer CenterDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer CenterDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer CenterThe University of Texas MD Anderson Cancer Center UTHealth Graduate School of Biomedical SciencesDepartment of Imaging Physics, The University of Texas MD Anderson Cancer CenterAbstract Manual delineation of liver segments on computed tomography (CT) images for primary/secondary liver cancer (LC) patients is time-intensive and prone to inter/intra-observer variability. Therefore, we developed a deep-learning-based model to auto-contour liver segments and spleen on contrast-enhanced CT (CECT) images. We trained two models using 3d patch-based attention U-Net ( $${{\text{M}}}_{{\text{paU}}-{\text{Net}}})$$ M paU - Net ) and 3d full resolution of nnU-Net ( $${{\text{M}}}_{{\text{nnU}}-{\text{Net}}})$$ M nnU - Net ) to determine the best architecture ( $${\text{BA}})$$ BA ) . BA was used with vessels ( $${{\text{M}}}_{{\text{Vess}}})$$ M Vess ) and spleen ( $${{\text{M}}}_{{\text{seg}}+{\text{spleen}}})$$ M seg + spleen ) to assess the impact on segment contouring. Models were trained, validated, and tested on 160 ( $${{\text{C}}}_{{\text{RTTrain}}}$$ C RTTrain ), 40 ( $${{\text{C}}}_{{\text{RTVal}}}$$ C RTVal ), 33 ( $${{\text{C}}}_{{\text{LS}}}$$ C LS ), 25 (CCH) and 20 (CPVE) CECT of LC patients. $${{\text{M}}}_{{\text{nnU}}-{\text{Net}}}$$ M nnU - Net outperformed $${{\text{M}}}_{{\text{paU}}-{\text{Net}}}$$ M paU - Net across all segments with median differences in Dice similarity coefficients (DSC) ranging 0.03–0.05 (p < 0.05). $${{\text{M}}}_{{\text{seg}}+{\text{spleen}}}$$ M seg + spleen , and $${{\text{M}}}_{{\text{nnU}}-{\text{Net}}}$$ M nnU - Net were not statistically different (p > 0.05), however, both were slightly better than $${{\text{M}}}_{{\text{Vess}}}$$ M Vess by DSC up to 0.02. The final model, $${{\text{M}}}_{{\text{seg}}+{\text{spleen}}}$$ M seg + spleen , showed a mean DSC of 0.89, 0.82, 0.88, 0.87, 0.96, and 0.95 for segments 1, 2, 3, 4, 5–8, and spleen, respectively on entire test sets. Qualitatively, more than 85% of cases showed a Likert score $$\ge$$ ≥ 3 on test sets. Our final model provides clinically acceptable contours of liver segments and spleen which are usable in treatment planning.https://doi.org/10.1038/s41598-024-53997-y
spellingShingle Aashish C. Gupta
Guillaume Cazoulat
Mais Al Taie
Sireesha Yedururi
Bastien Rigaud
Austin Castelo
John Wood
Cenji Yu
Caleb O’Connor
Usama Salem
Jessica Albuquerque Marques Silva
Aaron Kyle Jones
Molly McCulloch
Bruno C. Odisio
Eugene J. Koay
Kristy K. Brock
Fully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT images
Scientific Reports
title Fully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT images
title_full Fully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT images
title_fullStr Fully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT images
title_full_unstemmed Fully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT images
title_short Fully automated deep learning based auto-contouring of liver segments and spleen on contrast-enhanced CT images
title_sort fully automated deep learning based auto contouring of liver segments and spleen on contrast enhanced ct images
url https://doi.org/10.1038/s41598-024-53997-y
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