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Updated: Jun 11, 2025

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UNet-based multi-organ segmentation in photon counting CT using virtual monoenergetic images.

Sumin Baek1, Dong Hye Ye2, Okkyun Lee1

  • 1Department of Robotics and Mechatronics Engineering, Daegu Gyeongbuk Institute of Science and Technology, Daegu, Republic of Korea.

Medical Physics
|October 7, 2024
PubMed
Summary

Photon counting detector CT (PCCT) multi-organ segmentation is improved using virtual monoenergetic images (VMIs). This method enhances training stability and segmentation accuracy, especially with fewer energy bins, aiding clinical diagnosis.

Keywords:
deep learningmaterial decompositionmulti‐organ segmentationphoton counting CT

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Area of Science:

  • Medical Imaging
  • Radiology
  • Artificial Intelligence in Medicine

Background:

  • Multi-organ segmentation is crucial for disease diagnosis, treatment planning, and radiotherapy.
  • Photon counting detector-based CT (PCCT) offers spectral information that can potentially enhance segmentation performance.

Purpose of the Study:

  • To propose and evaluate a UNet-based multi-organ segmentation method for PCCT utilizing virtual monoenergetic images (VMIs).
  • To effectively leverage spectral information from PCCT for improved segmentation accuracy.

Main Methods:

  • A multi-step process involving noise reduction, material decomposition, VMI generation, and deep learning-based segmentation (3D UNet, Swin UNETR).
  • VMIs were synthesized across various x-ray energies using basis images.
  • Segmentation performance was evaluated using Dice Similarity Coefficients (DSC) and 3D visualization on abdominal phantoms.

Main Results:

  • The proposed VMI-based method demonstrated improved training stability compared to conventional bin-wise image segmentation.
  • Average DSC for liver, pancreas, and spleen segmentation slightly increased from 0.933 to 0.95, with a reduced standard deviation from 0.066 to 0.047.
  • Improvements were noted particularly in low-dose scenarios and with fewer energy bins.

Conclusions:

  • Virtual monoenergetic images (VMIs) enhance training stability for multi-organ segmentation in PCCT.
  • The VMI approach is particularly beneficial when working with a limited number of energy bins, offering a more robust segmentation solution.