Abstract

BackgroundConvolutional neural networks (CNNs) have been extensively applied to two-dimensional (2D) medical image segmentation, yielding excellent performance. However, their application to three-dimensional (3D) nodule segmentation remains a challenge.MethodsIn this study, we propose a multi-view secondary input residual (MV-SIR) convolutional neural network model for 3D lung nodule segmentation using the Lung Image Database Consortium and Image Database Resource Initiative (LIDC-IDRI) dataset of chest computed tomography (CT) images. Lung nodule cubes are prepared from the sample CT images. Further, from the axial, coronal, and sagittal perspectives, multi-view patches are generated with randomly selected voxels in the lung nodule cubes as centers. Our model consists of six submodels, which enable learning of 3D lung nodules sliced into three views of features; each submodel extracts voxel heterogeneity and shape heterogeneity features. We convert the segmentation of 3D lung nodules into voxel classification by inputting the multi-view patches into the model and determine whether the voxel points belong to the nodule. The structure of the secondary input residual submodel comprises a residual block followed by a secondary input module. We integrate the six submodels to classify whether voxel points belong to nodules, and then reconstruct the segmentation image.ResultsThe results of tests conducted using our model and comparison with other existing CNN models indicate that the MV-SIR model achieves excellent results in the 3D segmentation of pulmonary nodules, with a Dice coefficient of 0.926 and an average surface distance of 0.072.Conclusionour MV-SIR model can accurately perform 3D segmentation of lung nodules with the same segmentation accuracy as the U-net model.

Highlights

  • The American Cancer Society estimated that, in 2018, lung cancer remains the leading cancer type in 1.73 million new cancer patients, and hundreds of thousands of patients die of lung cancer every year [1]

  • We propose a multi-view secondary input residual (MV-SIR) model for 3D segmentation of pulmonary nodules in chest computed tomography (CT) images

  • We proposed the MV-SIR model to improve the performance of medical image 3D segmentation

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Summary

Introduction

The American Cancer Society estimated that, in 2018, lung cancer remains the leading cancer type in 1.73 million new cancer patients, and hundreds of thousands of patients die of lung cancer every year [1]. Recent research has shown that convolutional neural networks (CNNs) can automatically learn the characteristics of medical images, and can be applied in segmenting medical images with high accuracy [3,4,5]. The combination of artificial intelligence deep learning and medical image 3D segmentation can more accurately perform 3D segmentation of lung nodules, which is helpful for doctors to find and follow up lung nodules. CNNs have currently made great progress in 2D segmentation of medical images, but their application in 3D segmentation is still a challenging task The reasons for this difficulty are as follows. Convolutional neural networks (CNNs) have been extensively applied to two-dimensional (2D) medical image segmentation, yielding excellent performance. Their application to three-dimensional (3D) nodule segmentation remains a challenge

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