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Automatic segmentation of gross target volume of nasopharynx cancer using ensemble of multiscale deep neural networks with spatial attention

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收录情况: ◇ SCIE ◇ EI

机构: [a]School of Mechanical and Electrical Engineering, University of Electronic Science and Technology of China, Chengdu, China [b]Department of Radiation Oncology, Sichuan Cancer Hospital and Institute, University of Electronic Science and Technology of China, Chengdu, China
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关键词: Attention Nasopharynx cancer Segmentation Uncertainty

摘要:
Radiotherapy is the main treatment method for nasopharynx cancer. Delineation of Gross Target Volume (GTV) from medical images is a prerequisite for radiotherapy. As manual delineation is time-consuming and laborious, automatic segmentation of GTV has a potential to improve the efficiency of this process. This work aims to automatically segment GTV of nasopharynx cancer from Computed Tomography (CT) images. However, it is challenged by the small target region, anisotropic resolution of clinical CT images, and the low contrast between the target region and surrounding soft tissues. To deal with these problems, we propose a 2.5D Convolutional Neural Network (CNN) to handle the different in-plane and through-plane resolutions. We also propose a spatial attention module to enable the network to focus on the small target, and use channel attention to further improve the segmentation performance. Moreover, we use a multi-scale sampling method for training so that the networks can learn features at different scales, which are combined with a multi-model ensemble method to improve the robustness of segmentation results. We also estimate the uncertainty of segmentation results based on our model ensemble, which is of great importance for indicating the reliability of automatic segmentation results for radiotherapy planning. Experiments with 2019 MICCAI StructSeg dataset showed that (1) Our proposed 2.5D network has a better performance on images with anisotropic resolution than the commonly used 3D networks. (2) Our attention mechanism can make the network pay more attention to the small GTV region and improve the segmentation accuracy. (3) The proposed multi-scale model ensemble achieves more robust results, and it can simultaneously obtain uncertainty information that can indicate potential mis-segmentations for better clinical decisions. © 2021 Elsevier B.V.

基金:

基金编号: 81771921

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出版当年[2021]版:
大类 | 2 区 计算机科学
小类 | 2 区 计算机:人工智能
最新[2023]版:
大类 | 2 区 计算机科学
小类 | 2 区 计算机:人工智能
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出版当年[2021]版:
Q2 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE
最新[2023]版:
Q1 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [a]School of Mechanical and Electrical Engineering, University of Electronic Science and Technology of China, Chengdu, China
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