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18F-FDG PET-based liver segmentation using deep-learning.

Yuta Kaneko1,2, Kenta Miwa3,4, Tensho Yamao2,5

  • 1Department of Radiology, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Fukushima, 960-1247, Japan.

Physical and Engineering Sciences in Medicine
|July 15, 2025
PubMed
Summary

This study developed a deep learning method for liver segmentation using only 18F-FDG PET scans. This approach achieves high accuracy, enabling efficient liver uptake evaluation without CT or MRI.

Keywords:
18F-FDGDeep-LearningPETSegmentation

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Oncology

Background:

  • Liver segmentation traditionally relies on CT/MRI, facing alignment and artifact issues.
  • Deep learning (DL) segmentation using 18F-FDG PET alone is underexplored.
  • Accurate liver segmentation is crucial for assessing metabolic activity and treatment response.

Purpose of the Study:

  • To develop and validate a DL model for segmenting the entire liver exclusively from 18F-FDG PET images.
  • To overcome limitations of multi-modal imaging in liver segmentation.
  • To enable rapid and stable evaluation of liver uptake from PET data.

Main Methods:

  • Utilized a 3D U-Net architecture from nnUNet for segmentation.
  • Trained and validated the model on 120 patient 18F-FDG PET datasets using 5-fold cross-validation.
  • Evaluated segmentation accuracy with Intersection over Union (IoU) and Dice coefficient, and image quality with SUVmean, SUVmax, and SNR.

Main Results:

  • Achieved high segmentation accuracy with an average IoU of 0.89 and Dice coefficient of 0.94 on the test set.
  • Demonstrated no significant discrepancies in image quality metrics compared to ground truth.
  • Successfully extracted liver regions from 18F-FDG PET images, enabling accurate uptake assessment.

Conclusions:

  • A DL model can accurately segment the liver using only 18F-FDG PET images.
  • This method offers a viable alternative to CT/MRI-based segmentation, reducing artifacts and alignment issues.
  • The approach facilitates efficient and reliable evaluation of liver metabolic activity in clinical settings.