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Related Experiment Video

Updated: Jun 12, 2026

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
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Clinical application of AI for lung lobe segmentation and functional quantification with SPECT/CT: open-source versus

Elaheh Amini1,2,3, Maria Goemans4, Daniel Kyrollos5

  • 1Department of Nuclear Medicine and Molecular Imaging, The Ottawa Hospital, Ottawa, ON, Canada. eamini@ohri.ca.

Scientific Reports
|June 10, 2026
PubMed
Summary

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This study shows that an in-house AI model significantly improves lung lobe quantification accuracy on SPECT/CT scans, especially in complex cases. Open-source models struggled with difficult scans, highlighting the need for robust AI in nuclear medicine.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Nuclear Medicine

Background:

  • Accurate lung lobe quantification using SPECT/CT is crucial for treatment planning but limited by current tools.
  • AI shows promise for improving SPECT/CT lobar quantification, but clinical validation is needed.

Purpose of the Study:

  • To compare the clinical accuracy of SPECT/CT-based lobar quantification using open-source and in-house developed AI segmentation models.
  • To evaluate the impact of an anatomy-aware modification on AI model performance, particularly in cases with missing lobes.

Main Methods:

  • A dataset of 200 diverse CT and SPECT scans with expert lobar annotations was curated and graded by difficulty.
  • An in-house AI model was trained and enhanced with an anatomy-aware softmax modification.
Keywords:
AI clinical integrationAI-based image segmentationLung lobe quantificationSPECT/CT quantification

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  • Lobar function error was computed after automated SPECT/CT coregistration and compared across local, open-source, and commercial models.
  • Main Results:

    • Open-source models showed significantly increased error standard-deviation with case complexity, especially in missing-lobe cases (0.57% to 5.79%).
    • The in-house local model and a commercial tool maintained high accuracy across all difficulties (0.51% to 1.4%).
    • The anatomy-aware modification eliminated false-positive lobe predictions, improving quantification accuracy.

    Conclusions:

    • AI-based tools can streamline routine lobar quantification with minimal physician oversight.
    • SPECT/CT lobar quantification benefits from robustness achieved through representative data training and anatomy-awareness.
    • While open-source models struggled with complex cases, they offered clinically acceptable results for typical anatomy and mild diseases.