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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Enhanced Pelvic CT Segmentation via Deep Learning: A Study on Loss Function Effects.

Elnaz Ghaedi1, Ali Asadi1, Seyed Abolfazl Hosseini2

  • 1Department of Energy Engineering, Sharif University of Technology, Tehran, 8639-11365, Iran.

Journal of Imaging Informatics in Medicine
|May 28, 2025
PubMed
Summary
This summary is machine-generated.

Convolutional neural networks (CNNs) automate organ at risk (OAR) segmentation in pelvic CT scans, improving radiotherapy planning. SegResNet models achieved high accuracy, offering an efficient alternative to manual delineation.

Keywords:
CTDeep learningOrgan at riskProstateSegmentation

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence in Healthcare
  • Radiotherapy Planning

Background:

  • Manual segmentation of organs at risk (OARs) in pelvic CT images for radiotherapy planning is time-consuming and prone to inter-observer variability.
  • Accurate OAR delineation is critical for effective radiotherapy planning, minimizing dose to healthy tissues while maximizing tumor coverage.

Purpose of the Study:

  • To evaluate the efficacy of various convolutional neural network (CNN) architectures for automated OAR segmentation in pelvic CT images.
  • To compare the performance of U-Net, ResU-Net, SegResNet, and Attention U-Net models against expert manual segmentations.
  • To investigate the impact of different loss functions on segmentation accuracy for OARs including the bladder, prostate, rectum, and femoral heads.

Main Methods:

  • Implementation and comparison of U-Net, ResU-Net, SegResNet, and Attention U-Net models using the MONAI framework.
  • Training and validation on pelvic CT datasets comprising 240 patients for prostate segmentation and 220 patients for other OARs.
  • Performance evaluation using Dice Similarity Coefficient (DSC), Jaccard Index (JI), and 95th percentile Hausdorff Distance (95thHD).

Main Results:

  • SegResNet demonstrated superior performance across all OARs, achieving high DSC values (e.g., 0.951 for bladder, 0.829 for prostate, 0.979 for left FH).
  • Attention U-Net also showed strong results, particularly for bladder and rectum segmentation.
  • Dice loss function provided optimal or equivalent performance for SegResNet across OARs, with DiceCE slightly improving prostate segmentation (DSC=0.845).

Conclusions:

  • Advanced CNNs, particularly SegResNet, offer a reliable and efficient automated solution for OAR segmentation in pelvic CT.
  • Optimized CNN models and loss functions can significantly enhance the precision and efficiency of radiotherapy planning.
  • Automated segmentation holds promise for reducing manual workload and improving consistency in clinical radiotherapy workflows.