Liver segmentation from CT images using a sparse priori statistical shape model (SP-SSM)

Abdomen tissues segmentation from computed tomography images using deep learning and level set methods

Accurate abdomen tissues segmentation is one of the crucial tasks in radiation therapy planning of related diseases. However, abdomen tissues segmentation (liver, kidney) is difficult because the low contrast between abdomen tissues and their surrounding organs. In this paper, an attention-based deep learning method for automated abdomen tissues segmentation is proposed. In our method, image cropping is first applied to the original images. U-net model with attention mechanism is then constructed to obtain the initial abdomen tissues. Finally, level set evolution which consists of three energy terms is used for optimize the initial abdomen segmentation. The proposed model is evaluated across 470 subsets. For liver segmentation, the mean dice are 96.2 and 95.1% for the FLARE21 datasets and the LiTS datasets, respectively. For kidney segmentation, the mean dice are 96.6 and 95.7% for the FLARE21 datasets and the LiTS datasets, respectively. Experimental evaluation exhibits that the proposed method can obtain better segmentation results than other methods.

Gabor Dictionary of Sparse Image Patches Selected in Prior Boundaries for 3D Liver Segmentation in CT Images

The gray contrast between the liver and other soft tissues is low, and the boundary is not obvious. As a result, it is still a challenging task to accurately segment the liver from CT images. In recent years, methods of machine learning have become a research hotspot in the field of medical image segmentation because they can effectively use the "gold standard" personalized features of the liver from different data. However, machine learning usually requires a large number of data samples to train the model and improve the accuracy of medical image segmentation. This paper proposed a method for liver segmentation based on the Gabor dictionary of sparse image blocks with prior boundaries. This method reduced the number of samples by selecting the test sample set within the initial boundary area of the liver. The Gabor feature was extracted and the query dictionary was created, and the sparse coefficient was calculated to obtain the boundary information of the liver. By optimizing the reconstruction error and filling holes, a smooth liver boundary was obtained. The proposed method was tested on the MICCAI 2007 dataset and ISBI2017 dataset, and five measures were used to evaluate the results. The proposed method was compared with methods for liver segmentation proposed in recent years. The experimental results show that this method can improve the accuracy of liver segmentation and effectively repair the discontinuity and local overlap of segmentation results.

Artificial intelligence in assessment of hepatocellular carcinoma treatment response

Artificial Intelligence (AI) continues to shape the practice of radiology, with imaging of hepatocellular carcinoma (HCC) being of no exception. This article prepared by members of the LI-RADS Treatment Response (TR LI-RADS) work group and associates, presents recent trends in the utility of AI applications for the volumetric evaluation and assessment of HCC treatment response. Various topics including radiomics, prognostic imaging findings, and locoregional therapy (LRT) specific issues will be discussed in the framework of HCC treatment response classification systems with focus on the Liver Reporting and Data System treatment response algorithm (LI-RADS TRA).

Segmentation and Registration of the Liver in Dynamic Contrast-Enhanced Computed Tomography Images

Dynamic contrast-enhanced computed tomography (DCE-CT) is the main auxiliary diagnostic tool for liver diseases. Liver segmentation and registration in all stages of DCE-CT images are the key technology for big data analysis of liver disease diagnosis. The change of imaging conditions in different stages of DCE-CT brings enormous challenges to the segmentation of liver CT images. This study proposes an automatic model for liver segmentation from abdominal CT images in different stages of DCE on the basis of U-Net. The skip connection in U-Net can improve the ability of complex feature recognition. A total of 4863 CT slices from 16 patients with hepatocellular carcinoma (HCC) were selected as the training set, and 1754 CT slices from 6 patients with HCC were selected as the test set. The training and test sets included plain scan, hepatic arterial-dominant phase, and portal venous-dominant phase CT scans. Results showed that the Dice value of the proposed method was significantly higher than those of the full convolutional network and region-growing method. Then, 3D reconstruction and registration were performed on the segmentation results of the liver region of DCE-CT images. The proposed method obtained the best performance, which can provide technical support for the big data analysis of liver diseases.

Fully Automatic Segmentation and Three-Dimensional Reconstruction of the Liver in CT Images

Automatic segmentation and three-dimensional reconstruction of the liver is important for liver disease diagnosis and surgical treatment. However, the shape of the imaged 2D liver in each CT image changes dramatically across the slices. In all slices, the imaged 2D liver is connected with other organs, and the connected organs also vary across the slices. In many slices, the intensities of the connected organs are the same with that of the liver. All these facts make automatic segmentation of the liver in the CT image an extremely difficult task. In this paper, we propose a heuristic approach to segment the liver automatically based on multiple thresholds. The thresholds are computed based on the slope difference distribution that has been proposed and verified in the previous research. Different organs in the CT image are segmented with the automatically computed thresholds, respectively. Then, different segmentation results are combined to delineate the boundary of the liver robustly. After the boundaries of the 2D liver in all the slices are identified, they are combined to form the 3D shape of the liver with a global energy minimization function. Experimental results verified the effectiveness of all the proposed image processing algorithms in automatic and robust segmentation of the liver in CT images.

H-DenseUNet: Hybrid Densely Connected UNet for Liver and Tumor Segmentation From CT Volumes

Liver cancer is one of the leading causes of cancer death. To assist doctors in hepatocellular carcinoma diagnosis and treatment planning, an accurate and automatic liver and tumor segmentation method is highly demanded in the clinical practice. Recently, fully convolutional neural networks (FCNs), including 2-D and 3-D FCNs, serve as the backbone in many volumetric image segmentation. However, 2-D convolutions cannot fully leverage the spatial information along the third dimension while 3-D convolutions suffer from high computational cost and GPU memory consumption. To address these issues, we propose a novel hybrid densely connected UNet (H-DenseUNet), which consists of a 2-D DenseUNet for efficiently extracting intra-slice features and a 3-D counterpart for hierarchically aggregating volumetric contexts under the spirit of the auto-context algorithm for liver and tumor segmentation. We formulate the learning process of the H-DenseUNet in an end-to-end manner, where the intra-slice representations and inter-slice features can be jointly optimized through a hybrid feature fusion layer. We extensively evaluated our method on the data set of the MICCAI 2017 Liver Tumor Segmentation Challenge and 3DIRCADb data set. Our method outperformed other state-of-the-arts on the segmentation results of tumors and achieved very competitive performance for liver segmentation even with a single model.