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Skeletal muscles continuously produce ATP to provide the energy that enables muscle contractions. Skeletal muscle fibers can be categorized into three types based on differences in their contraction speed and how they produce ATP, as well as physical differences related to these factors. Most human muscles contain all three muscle fiber types, albeit in varying proportions.
Slow-Twitch Muscle Fibers
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Non-invasive Skeletal Muscle Quantification in Small Animals Using Micro-computed Tomography
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Deep Learning-Based 3D and 2D Approaches for Skeletal Muscle Segmentation on Low-Dose CT Images.

Giuseppe Timpano1, Pierangelo Veltri2, Patrizia Vizza3

  • 1Department of Surgical and Medical Sciences, Magna Graecia University, Catanzaro, 88100, Italy. giuseppe.timpano@unicz.it.

Journal of Imaging Informatics in Medicine
|August 27, 2025
PubMed
Summary
This summary is machine-generated.

Deep learning models automate skeletal muscle segmentation in low-dose CT scans. The 2D DeepLabv3+ model achieved superior accuracy, while the 3D UNet3+ model offered efficiency for body composition analysis.

Keywords:
Deep learningDeepLabLDCT SegmentationSkeletal muscleUNet

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Radiology

Background:

  • Automated skeletal muscle segmentation from CT images is crucial for quantitative body composition analysis.
  • Manual segmentation is labor-intensive and not feasible for high-throughput studies.
  • Standardization at the third lumbar vertebra (L3) level is key for muscle quantification.

Purpose of the Study:

  • To systematically compare 2D and 3D deep learning architectures for skeletal muscle segmentation in LDCT scans.
  • To evaluate DeepLabv3+ (2D) and UNet3+ (3D) performance at the L3 vertebral level.
  • To provide insights for selecting optimal architectures in automated muscle segmentation workflows.

Main Methods:

  • Implementation and evaluation of DeepLabv3+ (2D) and UNet3+ (3D) architectures.
  • Utilized a dataset of 537 low-dose CT (LDCT) scans with preprocessing and L3 slice selection.
  • Assessed performance using Dice Similarity Coefficient (DSC) and 95th percentile Hausdorff Distance (HD95).

Main Results:

  • DeepLabv3+ (2D) demonstrated superior segmentation accuracy (DSC = 0.982 ± 0.010).
  • UNet3+ (3D) showed competitive results (DSC = 0.967 ± 0.013) with significantly fewer parameters and faster inference.
  • Both models met or surpassed existing literature benchmarks for CT-based muscle segmentation.

Conclusions:

  • Deep learning models effectively automate skeletal muscle segmentation in LDCT scans.
  • DeepLabv3+ offers high accuracy, while UNet3+ provides an efficient alternative for L3 muscle quantification.
  • This study guides the selection of deep learning architectures for robust body composition analysis.