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Deep neural network-based segmentation of normal and abnormal pancreas on abdominal CT: evaluation of global and local accuracies

PurposeDelay in diagnosis can contribute to poor outcomes in pancreatic ductal adenocarcinoma (PDAC), and new tools for early detection are required. Recent application of artificial intelligence to cancer imaging has demonstrated great potential in detecting subtle early lesions. The aim of the stu...

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Main Authors: Kawamoto, Satomi (Author) , Zhu, Zhuotun (Author) , Chu, Linda C. (Author) , Javed, Ammar A. (Author) , Kinny-Köster, Benedict (Author) , Wolfgang, Christopher L. (Author) , Hruban, Ralph H. (Author) , Kinzler, Kenneth W. (Author) , Fouladi, Daniel Fadaei (Author) , Blanco, Alejandra (Author) , Shayesteh, Shahab (Author) , Fishman, Elliot K. (Author)
Format: Article (Journal)
Language:English
Published: February 2024
In: Abdominal radiology
Year: 2024, Volume: 49, Issue: 2, Pages: 501-511
ISSN:2366-0058
DOI:10.1007/s00261-023-04122-6
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00261-023-04122-6
Verlag, lizenzpflichtig, Volltext: https://link.springer.com/article/10.1007/s00261-023-04122-6
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Author Notes:Satomi Kawamoto, Zhuotun Zhu, Linda C. Chu, Ammar A. Javed, Benedict Kinny-Köster, Christopher L. Wolfgang, Ralph H. Hruban, Kenneth W. Kinzler, Daniel Fadaei Fouladi, Alejandra Blanco, Shahab Shayesteh, Elliot K. Fishman
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Summary:PurposeDelay in diagnosis can contribute to poor outcomes in pancreatic ductal adenocarcinoma (PDAC), and new tools for early detection are required. Recent application of artificial intelligence to cancer imaging has demonstrated great potential in detecting subtle early lesions. The aim of the study was to evaluate global and local accuracies of deep neural network (DNN) segmentation of normal and abnormal pancreas with pancreatic mass.MethodsOur previously developed and reported residual deep supervision network for segmentation of PDAC was applied to segment pancreas using CT images of potential renal donors (normal pancreas) and patients with suspected PDAC (abnormal pancreas). Accuracy of DNN pancreas segmentation was assessed using DICE simulation coefficient (DSC), average symmetric surface distance (ASSD), and Hausdorff distance 95% percentile (HD95) as compared to manual segmentation. Furthermore, two radiologists semi-quantitatively assessed local accuracies and estimated volume of correctly segmented pancreas.ResultsForty-two normal and 49 abnormal CTs were assessed. Average DSC was 87.4 +/- 3.1% and 85.5 +/- 3.2%, ASSD 0.97 +/- 0.30 and 1.34 +/- 0.65, HD95 4.28 +/- 2.36 and 6.31 +/- 6.31 for normal and abnormal pancreas, respectively. Semi-quantitatively, >= 95% of pancreas volume was correctly segmented in 95.2% and 53.1% of normal and abnormal pancreas by both radiologists, and 97.6% and 75.5% by at least one radiologist. Most common segmentation errors were made on pancreatic and duodenal borders in both groups, and related to pancreatic tumor including duct dilatation, atrophy, tumor infiltration and collateral vessels.ConclusionPancreas DNN segmentation is accurate in a majority of cases, however, minor manual editing may be necessary; particularly in abnormal pancreas.
Item Description:Gesehen am 15.10.2024
Online veröffentlicht: 15. Dezember 2023
Physical Description:Online Resource
ISSN:2366-0058
DOI:10.1007/s00261-023-04122-6

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