Abstract

Purpose: To improve the liver auto-segmentation performance of three-dimensional (3D) U-net by replacing the conventional up-sampling convolution layers with the Pixel De-convolutional Network (PDN) that considers spatial features. Methods: The U-net was originally developed to segment neuronal structure with outstanding performance but suffered serious artifacts from indirectly unrelated adjacent pixels in its up-sampling layers. The hypothesis of this study was that the segmentation quality of the liver could be improved with PDN in which the up-sampling layer was replaced by a pixel de-convolution layer (PDL). Seventy-eight plans of abdominal cancer patients were anonymized and exported. Sixty-two were chosen for training two networks: 1) 3D U-Net, and 2) 3D PDN, by minimizing the Dice loss function. The other sixteen plans were used to test the performance. The similarity Dice and Average Hausdorff Distance (AHD) were calculated and compared between these two networks. Results: The computation time for 62 training cases and 200 training epochs was about 30 minutes for both networks. The segmentation performance was evaluated using the remaining 16 cases. For the Dice score, the mean ± standard deviation were 0.857 ± 0.011 and 0.858 ± 0.015 for the PDN and U-Net, respectively. For the AHD, the mean ± standard deviation were 1.575 ± 0.373 and 1.675 ± 0.769, respectively, corresponding to an improvement of 6.0% and 51.5% of mean and standard deviation for the PDN. Conclusion: The PDN has outperformed the U-Net on liver auto-segmentation. The predicted contours of PDN are more conformal and smoother when compared with the U-Net.

Highlights

  • Liver cancer is the fifth most common cancer in men and the ninth in women in the world

  • The hypothesis of this study was that the segmentation quality of the liver could be improved with PDN in which the up-sampling layer was replaced by a pixel de-convolution layer (PDL)

  • For the average Hausdorff distance (AHD), the mean ± standard deviation were 1.575 ± 0.373 and 1.675 ± 0.769, respectively, corresponding to an improvement of 6.0% and 51.5% of mean and standard deviation for the PDN

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Summary

Introduction

Liver cancer is the fifth most common cancer in men and the ninth in women in the world. It was estimated that 841,100 new liver cancer cases were diagnosed in 2018 [1], and men were twice more likely than women to develop liver cancer. Worldwide liver cancer was respectively the second- and sixth-leading causes of cancer death in men and women, with an estimate of 781,600 deaths in 2018. Accurate identification and delineation of the liver from computed tomography (CT) images is the key to the success of these procedures. Manual delineation of the liver boundaries by experienced radiologists gives accurate contours of the liver, it is very time-consuming (about 25 minutes) given the liver is the largest organ in the human body [3]. Semiautomatic or automatic liver segmentation is very desirable and meaningful in the clinical management of liver cancers

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