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Published in: International Journal of Computer Assisted Radiology and Surgery 8/2019

30-04-2019 | Original Article

Liver tissue segmentation in multiphase CT scans using cascaded convolutional neural networks

Authors: Farid Ouhmich, Vincent Agnus, Vincent Noblet, Fabrice Heitz, Patrick Pessaux

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 8/2019

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Abstract

Purpose

We address the automatic segmentation of healthy and cancerous liver tissues (parenchyma, active and necrotic parts of hepatocellular carcinoma (HCC) tumor) on multiphase CT images using a deep learning approach.

Methods

We devise a cascaded convolutional neural network based on the U-Net architecture. Two strategies for dealing with multiphase information are compared: Single-phase images are concatenated in a multi-dimensional features map on the input layer, or output maps are computed independently for each phase before being merged to produce the final segmentation. Each network of the cascade is specialized in the segmentation of a specific tissue. The performances of these networks taken separately and of the cascaded architecture are assessed on both single-phase and on multiphase images.

Results

In terms of Dice coefficients, the proposed method is on par with a state-of-the-art method designed for automatic MR image segmentation and outperforms previously used technique for interactive CT image segmentation. We validate the hypothesis that several cascaded specialized networks have a higher prediction accuracy than a single network addressing all tasks simultaneously. Although the portal venous phase alone seems to provide sufficient contrast for discriminating tumors from healthy parenchyma, the multiphase information brings significant improvement for the segmentation of cancerous tissues (active versus necrotic part).

Conclusion

The proposed cascaded multiphase architecture showed promising performances for the automatic segmentation of liver tissues, allowing to reliably estimate the necrosis rate, a valuable imaging biomarker of the clinical outcome.

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Metadata
Title
Liver tissue segmentation in multiphase CT scans using cascaded convolutional neural networks
Authors
Farid Ouhmich
Vincent Agnus
Vincent Noblet
Fabrice Heitz
Patrick Pessaux
Publication date
30-04-2019
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 8/2019
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-019-01989-z

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