arXiv:2508.04552cs.CVcs.LG2025-08中稿 · the MICCAI Challen…被引 3

跨模态心脏分割新方法,提升模型泛化能力。

Augmentation-based Domain Generalization and Joint Training from Multiple Source Domains for Whole Heart Segmentation

  • 联合训练多源域数据,平衡CT与MR样本
  • 强增强策略提升数据多样性,缓解领域偏移
  • 在多模态数据上表现优异,适合临床应用

心血管疾病是全球主要死因,推动了从计算机断层扫描(CT)和磁共振(MR)等医学影像中分析心脏及其结构的更先进方法的发展。对整个心脏进行语义分割有助于评估患者特异性心脏形态与病理,还可用于生成心脏数字孪生模型,支持电生理模拟和个性化治疗规划。尽管深度学习在医学图像分割方面取得显著进展,但在领域偏移(训练与测试数据分布不同)下保持良好性能仍是挑战。为此,本文提出:(1)采用平衡联合训练策略,等量使用来自不同源域的CT与MR数据;(2)通过强强度与空间增强技术大幅扩充训练数据多样性,缓解测试时未知领域的偏移。所提出的五重集成方法在MR数据上达到最佳性能,在CT数据上表现接近仅用CT训练的最佳模型。其在CT上取得93.33% DSC与0.8388 mm ASSD,MR上为89.30% DSC与1.2411 mm ASSD,展现出高效生成高精度语义分割结果的潜力,为构建患者特异性心脏数字孪生模型奠定基础。

原文摘要 · Abstract (English)

As the leading cause of death worldwide, cardiovascular diseases motivate the development of more sophisticated methods to analyze the heart and its substructures from medical images like Computed Tomography (CT) and Magnetic Resonance (MR). Semantic segmentations of important cardiac structures that represent the whole heart are useful to assess patient-specific cardiac morphology and pathology. Furthermore, accurate semantic segmentations can be used to generate cardiac digital twin models which allows e.g. electrophysiological simulation and personalized therapy planning. Even though deep learning-based methods for medical image segmentation achieved great advancements over the last decade, retaining good performance under domain shift -- i.e. when training and test data are sampled from different data distributions -- remains challenging. In order to perform well on domains known at training-time, we employ a (1) balanced joint training approach that utilizes CT and MR data in equal amounts from different source domains. Further, aiming to alleviate domain shift towards domains only encountered at test-time, we rely on (2) strong intensity and spatial augmentation techniques to greatly diversify the available training data. Our proposed whole heart segmentation method, a 5-fold ensemble with our contributions, achieves the best performance for MR data overall and a performance similar to the best performance for CT data when compared to a model trained solely on CT. With 93.33% DSC and 0.8388 mm ASSD for CT and 89.30% DSC and 1.2411 mm ASSD for MR data, our method demonstrates great potential to efficiently obtain accurate semantic segmentations from which patient-specific cardiac twin models can be generated.

心臟分割域泛化多模态医学影像

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