Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International Challenge

Purpose: Clinicians rely on imaging features to calculate complexity of renal masses based on validated scoring systems. These scoring methods are labor-intensive and are subjected to interobserver variability. Artificial intelligence has been increasingly utilized by the medical community to solve...

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Main Authors: Niranjan J. Sathianathen, Nicholas Heller, Resha Tejpaul, Bethany Stai, Arveen Kalapara, Jack Rickman, Joshua Dean, Makinna Oestreich, Paul Blake, Heather Kaluzniak, Shaneabbas Raza, Joel Rosenberg, Keenan Moore, Edward Walczak, Zachary Rengel, Zach Edgerton, Ranveer Vasdev, Matthew Peterson, Sean McSweeney, Sarah Peterson, Nikolaos Papanikolopoulos, Christopher Weight
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Digital Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2021.797607/full
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author Niranjan J. Sathianathen
Nicholas Heller
Resha Tejpaul
Bethany Stai
Arveen Kalapara
Jack Rickman
Joshua Dean
Makinna Oestreich
Paul Blake
Heather Kaluzniak
Shaneabbas Raza
Joel Rosenberg
Keenan Moore
Edward Walczak
Zachary Rengel
Zach Edgerton
Ranveer Vasdev
Matthew Peterson
Sean McSweeney
Sarah Peterson
Nikolaos Papanikolopoulos
Christopher Weight
author_facet Niranjan J. Sathianathen
Nicholas Heller
Resha Tejpaul
Bethany Stai
Arveen Kalapara
Jack Rickman
Joshua Dean
Makinna Oestreich
Paul Blake
Heather Kaluzniak
Shaneabbas Raza
Joel Rosenberg
Keenan Moore
Edward Walczak
Zachary Rengel
Zach Edgerton
Ranveer Vasdev
Matthew Peterson
Sean McSweeney
Sarah Peterson
Nikolaos Papanikolopoulos
Christopher Weight
author_sort Niranjan J. Sathianathen
collection DOAJ
description Purpose: Clinicians rely on imaging features to calculate complexity of renal masses based on validated scoring systems. These scoring methods are labor-intensive and are subjected to interobserver variability. Artificial intelligence has been increasingly utilized by the medical community to solve such issues. However, developing reliable algorithms is usually time-consuming and costly. We created an international community-driven competition (KiTS19) to develop and identify the best system for automatic segmentation of kidneys and kidney tumors in contrast CT and report the results.Methods: A training and test set of CT scans that was manually annotated by trained individuals were generated from consecutive patients undergoing renal surgery for whom demographic, clinical and outcome data were available. The KiTS19 Challenge was a machine learning competition hosted on grand-challenge.org in conjunction with an international conference. Teams were given 3 months to develop their algorithm using a full-annotated training set of images and an unannotated test set was released for 2 weeks from which average Sørensen-Dice coefficient between kidney and tumor regions were calculated across all 90 test cases.Results: There were 100 valid submissions that were based on deep neural networks but there were differences in pre-processing strategies, architectural details, and training procedures. The winning team scored a 0.974 kidney Dice and a 0.851 tumor Dice resulting in 0.912 composite score. Automatic segmentation of the kidney by the participating teams performed comparably to expert manual segmentation but was less reliable when segmenting the tumor.Conclusion: Rapid advancement in automated semantic segmentation of kidney lesions is possible with relatively high accuracy when the data is released publicly, and participation is incentivized. We hope that our findings will encourage further research that would enable the potential of adopting AI into the medical field.
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spelling doaj.art-a5f01bacc11b4638ba993e895eb423f92022-12-22T04:17:23ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2022-01-01310.3389/fdgth.2021.797607797607Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International ChallengeNiranjan J. Sathianathen0Nicholas Heller1Resha Tejpaul2Bethany Stai3Arveen Kalapara4Jack Rickman5Joshua Dean6Makinna Oestreich7Paul Blake8Heather Kaluzniak9Shaneabbas Raza10Joel Rosenberg11Keenan Moore12Edward Walczak13Zachary Rengel14Zach Edgerton15Ranveer Vasdev16Matthew Peterson17Sean McSweeney18Sarah Peterson19Nikolaos Papanikolopoulos20Christopher Weight21Department of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of North Dakota, Grand Forks, ND, United StatesDepartment of Urology, University of North Dakota, Grand Forks, ND, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Undergraduate Studies, Carleton College, Northfield, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesDepartment of Undergraduate Studies, Brigham Young University, Provo, UT, United StatesDepartment of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Urology, University of Minnesota, Minneapolis, MN, United StatesPurpose: Clinicians rely on imaging features to calculate complexity of renal masses based on validated scoring systems. These scoring methods are labor-intensive and are subjected to interobserver variability. Artificial intelligence has been increasingly utilized by the medical community to solve such issues. However, developing reliable algorithms is usually time-consuming and costly. We created an international community-driven competition (KiTS19) to develop and identify the best system for automatic segmentation of kidneys and kidney tumors in contrast CT and report the results.Methods: A training and test set of CT scans that was manually annotated by trained individuals were generated from consecutive patients undergoing renal surgery for whom demographic, clinical and outcome data were available. The KiTS19 Challenge was a machine learning competition hosted on grand-challenge.org in conjunction with an international conference. Teams were given 3 months to develop their algorithm using a full-annotated training set of images and an unannotated test set was released for 2 weeks from which average Sørensen-Dice coefficient between kidney and tumor regions were calculated across all 90 test cases.Results: There were 100 valid submissions that were based on deep neural networks but there were differences in pre-processing strategies, architectural details, and training procedures. The winning team scored a 0.974 kidney Dice and a 0.851 tumor Dice resulting in 0.912 composite score. Automatic segmentation of the kidney by the participating teams performed comparably to expert manual segmentation but was less reliable when segmenting the tumor.Conclusion: Rapid advancement in automated semantic segmentation of kidney lesions is possible with relatively high accuracy when the data is released publicly, and participation is incentivized. We hope that our findings will encourage further research that would enable the potential of adopting AI into the medical field.https://www.frontiersin.org/articles/10.3389/fdgth.2021.797607/fullkidney tumorssemantic segmentationmedical imagesrenal massct scans
spellingShingle Niranjan J. Sathianathen
Nicholas Heller
Resha Tejpaul
Bethany Stai
Arveen Kalapara
Jack Rickman
Joshua Dean
Makinna Oestreich
Paul Blake
Heather Kaluzniak
Shaneabbas Raza
Joel Rosenberg
Keenan Moore
Edward Walczak
Zachary Rengel
Zach Edgerton
Ranveer Vasdev
Matthew Peterson
Sean McSweeney
Sarah Peterson
Nikolaos Papanikolopoulos
Christopher Weight
Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International Challenge
Frontiers in Digital Health
kidney tumors
semantic segmentation
medical images
renal mass
ct scans
title Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International Challenge
title_full Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International Challenge
title_fullStr Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International Challenge
title_full_unstemmed Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International Challenge
title_short Automatic Segmentation of Kidneys and Kidney Tumors: The KiTS19 International Challenge
title_sort automatic segmentation of kidneys and kidney tumors the kits19 international challenge
topic kidney tumors
semantic segmentation
medical images
renal mass
ct scans
url https://www.frontiersin.org/articles/10.3389/fdgth.2021.797607/full
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