arXiv:2509.26061eess.IVcs.CV2025-09

用多模态MRI实现肝纤维化无创精准分段与分期,提升早期诊断效率。

Multi-modal Liver Segmentation and Fibrosis Staging Using Real-world MRI Images

  • 融合多模态影像的伪标注与深度学习分段,自动识别肝脏区域。
  • 基于形状、纹理、外观和方向特征,实现高精度肝纤维化分期。
  • 仅用有限标注数据,通用性强,适合临床快速评估肝病进展。

肝纤维化是由持续肝损伤导致的细胞外基质过度累积,破坏正常肝小叶结构与功能,增加肝硬化和肝衰竭风险。现有纤维化分期多依赖有创检测,存在风险。本研究针对真实世界多中心、多模态、多期相MRI数据,提出一种全自动肝分割(LiSeg)与纤维化分期(LiFS)流程。该流程结合多模态配准生成伪标签,利用深度神经网络进行肝脏分割,并基于分割掩膜与MRI图像提取形状、纹理、外观和方向(STAD)特征进行分期。仅使用有限标注数据,模型在所有任务中均表现优异,展现出卓越泛化能力。该方法为定量MRI评估肝纤维化提供快速、可复现的框架,支持早期诊断与临床决策。代码开源:https://github.com/YangForever/care2025_liver_biodreamer。

原文摘要 · Abstract (English)

Liver fibrosis represents the accumulation of excessive extracellular matrix caused by sustained hepatic injury. It disrupts normal lobular architecture and function, increasing the chances of cirrhosis and liver failure. Precise staging of fibrosis for early diagnosis and intervention is often invasive, which carries risks and complications. To address this challenge, recent advances in artificial intelligence-based liver segmentation and fibrosis staging offer a non-invasive alternative. As a result, the CARE 2025 Challenge aimed for automated methods to quantify and analyse liver fibrosis in real-world scenarios, using multi-centre, multi-modal, and multi-phase MRI data. This challenge included tasks of precise liver segmentation (LiSeg) and fibrosis staging (LiFS). In this study, we developed an automated pipeline for both tasks across all the provided MRI modalities. This pipeline integrates pseudo-labelling based on multi-modal co-registration, liver segmentation using deep neural networks, and liver fibrosis staging based on shape, textural, appearance, and directional (STAD) features derived from segmentation masks and MRI images. By solely using the released data with limited annotations, our proposed pipeline demonstrated excellent generalisability for all MRI modalities, achieving top-tier performance across all competition subtasks. This approach provides a rapid and reproducible framework for quantitative MRI-based liver fibrosis assessment, supporting early diagnosis and clinical decision-making. Code is available at https://github.com/YangForever/care2025_liver_biodreamer.

肝纤维化多模态MRI分析分割

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