Full convolutional network based multiple side-output fusion architecture for the segmentation of rectal tumors in

Mengmeng Wang1,2, Peiyi Xie3, Zhao Ran1,2

  • 1University of Science and Technology of China, Hefei, Anhui, 230026, China.

Medical Physics
|April 12, 2019
PubMed
Abstract

Insights

An automated model using ResNet50 was developed for accurate rectal tumor segmentation, improving diagnosis and treatment planning for rectal cancer. This AI-driven approach offers superior performance compared to existing methods.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Oncology

Background:

  • Accurate segmentation of rectal tumors is critical for effective rectal cancer diagnosis and treatment.
  • Manual delineation is time-consuming and prone to variability.
  • Automated segmentation models aim to improve efficiency and consistency.

Purpose of the Study:

  • To propose an automatic rectal tumor segmentation model to overcome the limitations of manual delineation.
  • To evaluate the performance of the proposed model against existing methods.
  • To investigate the impact of region of interest (ROI) size, loss functions, and side-output fusion on segmentation accuracy.

Main Methods:

  • A ResNet50 model was utilized for feature extraction, with layers after the 13th residual block removed.
  • Three side-output modules were integrated into the hidden layer to guide multiscale feature learning.
  • Tumor boundaries were determined by fusing predictions from these side-output modules.
  • The model was trained and validated on T2-weighted MRI data from 461 patients across four clinical centers.

Main Results:

  • The proposed model outperformed two other models, achieving a Dice similarity coefficient of 82.39%, sensitivity of 86.32%, and specificity of 92.25%.
  • Smaller ROI sizes correlated with higher segmentation accuracy when tumors were included.
  • The model with fused side-output modules demonstrated superior performance compared to single-module models.

Conclusions:

  • The developed automatic rectal tumor segmentation model shows significant potential for clinical applications in rectal cancer.
  • It can aid in therapeutic response evaluation and preoperative planning.
  • The model offers a more efficient and accurate alternative to manual segmentation.

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