Junya Sato

Junya Sato, Yuki Suzuki, Tomohiro Wataya et al.

Large numbers of labeled medical images are essential for the accurate detection of anomalies, but manual annotation is labor-intensive and time-consuming. Self-supervised learning (SSL) is a training method to learn data-specific features without manual annotation. Several SSL-based models have been employed in medical image anomaly detection. These SSL methods effectively learn representations in several field-specific images, such as natural and industrial product images. However, owing to the requirement of medical expertise, typical SSL-based models are inefficient in medical image anomaly detection. We present an SSL-based model that enables anatomical structure-based unsupervised anomaly detection (UAD). The model employs the anatomy-aware pasting (AnatPaste) augmentation tool. AnatPaste employs a threshold-based lung segmentation pretext task to create anomalies in normal chest radiographs, which are used for model pretraining. These anomalies are similar to real anomalies and help the model recognize them. We evaluate our model on three opensource chest radiograph datasets. Our model exhibit area under curves (AUC) of 92.1%, 78.7%, and 81.9%, which are the highest among existing UAD models. This is the first SSL model to employ anatomical information as a pretext task. AnatPaste can be applied in various deep learning models and downstream tasks. It can be employed for other modalities by fixing appropriate segmentation. Our code is publicly available at: https://github.com/jun-sato/AnatPaste.

Junya Sato, Shoji Kido

Multi-organ segmentation enables organ evaluation, accounts the relationship between multiple organs, and facilitates accurate diagnosis and treatment decisions. However, only few models can perform segmentation accurately because of the lack of datasets and computational resources. On AMOS2022 challenge, which is a large-scale, clinical, and diverse abdominal multiorgan segmentation benchmark, we trained a 3D-UNet model with large batch and patch sizes using multi-GPU distributed training. Segmentation performance tended to increase for models with large batch and patch sizes compared with the baseline settings. The accuracy was further improved by using ensemble models that were trained with different settings. These results provide a reference for parameter selection in organ segmentation.

M. A. D. Buser, D. C. Simons, M. Fitski et al.

Surgery plays an important role within the treatment for neuroblastoma, a common pediatric cancer. This requires careful planning, often via magnetic resonance imaging (MRI)-based anatomical 3D models. However, creating these models is often time-consuming and user dependent. We organized the Surgical Planning in Pediatric Neuroblastoma (SPPIN) challenge, to stimulate developments on this topic, and set a benchmark for fully automatic segmentation of neuroblastoma on multi-model MRI. The challenge started with a training phase, where teams received 78 sets of MRI scans from 34 patients, consisting of both diagnostic and post-chemotherapy MRI scans. The final test phase, consisting of 18 MRI sets from 9 patients, determined the ranking of the teams. Ranking was based on the Dice similarity coefficient (Dice score), the 95th percentile of the Hausdorff distance (HD95) and the volumetric similarity (VS). The SPPIN challenge was hosted at MICCAI 2023. The final leaderboard consisted of 9 teams. The highest-ranking team achieved a median Dice score 0.82, a median HD95 of 7.69 mm and a VS of 0.91, utilizing a large, pretrained network called STU-Net. A significant difference for the segmentation results between diagnostic and post-chemotherapy MRI scans was observed (Dice = 0.89 vs Dice = 0.59, P = 0.01) for the highest-ranking team. SPPIN is the first medical segmentation challenge in extracranial pediatric oncology. The highest-ranking team used a large pre-trained network, suggesting that pretraining can be of use in small, heterogenous datasets. Although the results of the highest-ranking team were high for most patients, segmentation especially in small, pre-treated tumors were insufficient. Therefore, more reliable segmentation methods are needed to create clinically applicable models to aid surgical planning in pediatric neuroblastoma.