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NLSTseg: A Pixel-level Lung Cancer Dataset Based on NLST LDCT Images.
Kun-Hui Chen1,2,3, Yi-Hui Lin4, Shawn Wu5
1Department of Orthopedic Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Scientific Data
|August 23, 2025
Summary
A new dataset of lung lesions from low-dose computed tomography (LDCT) scans aids early lung cancer detection. This resource supports artificial intelligence development for computer-aided diagnosis (CAD) systems.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Oncology
Background:
- Low-dose computed tomography (LDCT) is crucial for early lung cancer detection.
- Computer-Aided Diagnosis (CAD) systems assist radiologists but require extensive annotated datasets.
- Existing public datasets with pixel-level segmentation annotations for LDCT images are limited.
Purpose of the Study:
- To develop a novel, publicly available dataset with pixel-level annotations of lung lesions from LDCT images.
- To address the scarcity of annotated data for training AI-driven CAD systems in lung cancer diagnosis.
Main Methods:
- Utilized National Lung Screening Trial (NLST) LDCT images.
- Annotated 715 lung lesions (662 tumors, 53 nodules) across 605 patient scans.
- Included detailed lesion volume and location information.
Main Results:
- The dataset comprises LDCT scans from 605 patients with 715 annotated lung lesions.
- Lesion volumes varied significantly, with a majority (500) smaller than 5 cm³.
- A 2D U-Net model trained on this dataset achieved a 0.95 Intersection over Union (IoU) on the training set.
Conclusions:
- The developed dataset significantly enhances the diversity and usability of lung cancer annotation resources.
- This resource is expected to accelerate the development and clinical adoption of AI-based CAD systems for lung cancer screening.
- Facilitates improved accuracy and efficiency in interpreting LDCT scans for early lung cancer detection.

