Comparison of the automatic segmentation of multiple organs at risk in CT images of lung cancer between deep

Jinhan Zhu1, Jun Zhang1, Bo Qiu1

  • 1a State Key Laboratory of Oncology in South China , Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center , Guangzhou , China.

Abstract

Insights

Deep convolutional neural networks (CNNs) offer rapid and accurate automatic segmentation of organs at risk in lung cancer CT scans. This AI-driven approach shows promise for improving radiation treatment planning.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Radiotherapy

Background:

  • Automatic segmentation of organs at risk (OARs) is crucial for lung cancer radiation treatment planning.
  • Traditional atlas-based methods face challenges in accuracy and efficiency.

Purpose of the Study:

  • To evaluate a deep convolutional neural network (CNN)-based automatic segmentation technique for OARs in lung cancer CT images.
  • To compare the performance of the deep CNN method against atlas-based segmentation.

Main Methods:

  • An encoder-decoder U-Net deep CNN was developed and trained on CT images from 36 lung cancer patients.
  • Segmentation accuracy was assessed using Dice Similarity Coefficient (DSC), Mean Surface Distance (MSD), and 95% Hausdorff Distance (95% HD) compared to manual segmentation.

Main Results:

  • Deep CNN and atlas-based methods showed satisfactory results for the heart, lungs, and liver.
  • Statistically significant differences were observed for the spinal cord and esophagus, with the deep CNN outperforming the atlas-based method (higher DSC, lower MSD and 95% HD).

Conclusions:

  • Deep CNN-based automatic segmentation is a rapid and effective method for OAR segmentation in lung cancer patients.
  • This AI technique is well-suited for optimizing radiation treatment planning.

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