Institute of Computing Technology, Chinese Academy of Sciences, Chinese Academy of Sciences, Beijing, China.
George Mason University, Virginia, USA.
Int J Comput Assist Radiol Surg. 2021 May;16(5):749-756. doi: 10.1007/s11548-021-02363-8. Epub 2021 Apr 16.
Pelvic bone segmentation in CT has always been an essential step in clinical diagnosis and surgery planning of pelvic bone diseases. Existing methods for pelvic bone segmentation are either hand-crafted or semi-automatic and achieve limited accuracy when dealing with image appearance variations due to the multi-site domain shift, the presence of contrasted vessels, coprolith and chyme, bone fractures, low dose, metal artifacts, etc. Due to the lack of a large-scale pelvic CT dataset with annotations, deep learning methods are not fully explored.
In this paper, we aim to bridge the data gap by curating a large pelvic CT dataset pooled from multiple sources, including 1184 CT volumes with a variety of appearance variations. Then, we propose for the first time, to the best of our knowledge, to learn a deep multi-class network for segmenting lumbar spine, sacrum, left hip, and right hip, from multiple-domain images simultaneously to obtain more effective and robust feature representations. Finally, we introduce a post-processor based on the signed distance function (SDF).
Extensive experiments on our dataset demonstrate the effectiveness of our automatic method, achieving an average Dice of 0.987 for a metal-free volume. SDF post-processor yields a decrease of 15.1% in Hausdorff distance compared with traditional post-processor.
We believe this large-scale dataset will promote the development of the whole community and open source the images, annotations, codes, and trained baseline models at https://github.com/ICT-MIRACLE-lab/CTPelvic1K .
骨盆 CT 图像分割一直是骨盆疾病临床诊断和手术规划的重要步骤。现有的骨盆分割方法要么是手工制作的,要么是半自动的,当处理由于多站点域偏移、对比血管、粪石和食糜、骨折、低剂量、金属伪影等导致的图像外观变化时,其精度有限。由于缺乏带注释的大规模骨盆 CT 数据集,深度学习方法尚未得到充分探索。
在本文中,我们旨在通过整理一个来自多个来源的大型骨盆 CT 数据集来弥合数据差距,该数据集包括 1184 个具有各种外观变化的 CT 容积。然后,我们首次提出,据我们所知,从多个域的图像中同时学习一个用于分割腰椎、骶骨、左髋和右髋的深度多类网络,以获得更有效和稳健的特征表示。最后,我们引入了一种基于 signed distance function (SDF) 的后处理器。
在我们的数据集上进行的广泛实验证明了我们的自动方法的有效性,在无金属的情况下,平均 Dice 系数为 0.987。与传统的后处理器相比,SDF 后处理器使 Hausdorff 距离减少了 15.1%。
我们相信这个大规模数据集将促进整个社区的发展,并在 https://github.com/ICT-MIRACLE-lab/CTPelvic1K 上开源图像、注释、代码和训练的基线模型。