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A Label-Efficient Framework for Automated Sinonasal CT Segmentation in Image-Guided Surgery.

Manish Sahu1, Yuliang Xiao1, Jose L Porras2

  • 1Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, Maryland, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|June 26, 2024
PubMed
Summary

Deep learning segmentation of sinonasal structures in CT scans is efficient. A few labeled scans enable accurate automated segmentation, improving surgical planning and navigation.

Keywords:
automated segmentation and registrationdeep learningimage‐guided surgerymedical image segmentationsemi‐supervised learningsinonasal computed tomography

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Area of Science:

  • Medical imaging and artificial intelligence
  • Radiology and otolaryngology

Background:

  • Manual segmentation of sinonasal structures in CT scans is time-consuming and resource-intensive.
  • Automated deep learning (DL) methods offer a potential solution to streamline this process.

Purpose of the Study:

  • To evaluate a label-efficient DL pipeline for semantic segmentation of sinonasal structures in CT scans.
  • To determine the minimum number of annotated scans required for accurate segmentation.

Main Methods:

  • A retrospective cohort study utilizing 40 CT scans.
  • A label-efficient DL framework trained on a mix of manually annotated and unlabeled scans.
  • Quantitative analysis to assess average surface distances (ASDs) based on the number of annotated scans.

Main Results:

  • Only four labeled scans were needed to achieve submillimeter ASDs for large sinonasal structures (nasal septum, inferior turbinate, maxillary sinus).
  • Eight labeled scans were required for accurate segmentation of smaller structures like the optic nerve.
  • The DL pipeline demonstrated high accuracy with minimal labeled data.

Conclusions:

  • A label-efficient DL pipeline can achieve submillimeter accuracy for sinonasal structure segmentation using a small number of labeled CT scans.
  • This automated approach has the potential to significantly enhance pre-operative planning, image-guided navigation, and computer-assisted diagnosis.