arXiv:2607.24210cs.CV2026-07中稿 · MIUA

用多平面轮廓提示提升癌症病灶分割精度,助力高效生成高质量肿瘤体积数据。

Effect of User-Prompted Priors on Semi-Automated Cancer Lesion Segmentation in Whole-Body Computed Tomography

论文配图:Effect of User-Prompted Priors on Semi-Automated Cancer Lesion Segmentation in Whole-Body Computed Tomography
图 1 · 摘自论文原文
  • 通过用户提供的多平面轮廓作为先验,引导半自动化分割模型
  • 外部测试中平均Dice达0.882,较基线提升0.211
  • 适合需要快速生成高精度肿瘤体积标注的临床研究团队

在临床肿瘤学研究中,转移性癌症常依据"实体瘤疗效评价标准"(RECIST)评估,仅测量最多五个病灶直径并追踪治疗过程。然而,RECIST与总生存期相关性有限。总体肿瘤体积(TTV)是更强的预测指标,但通常依赖人工逐个勾画所有病灶,耗时且需专家知识。借助用户提示先验(如边界框、单层轮廓)的半自动化方法可加速真值分割生成。本研究探究不同用户提示先验对全身影像中癌症病灶分割性能的影响。3折交叉验证及外部测试显示,更复杂的空间先验表现更优,三平面正交轮廓(轴向、冠状面、矢状面)效果最佳。在外部测试集(n=3865病灶)上,该方法平均Dice达到0.882,远超无空间先验基线模型的0.671。结果表明,多平面正交用户提示能显著提升半自动化肿瘤分割效果,支持高效生成高质量体积真值数据。

原文摘要 · Abstract (English)

In clinical oncology studies, metastatic cancer is commonly evaluated using "Response Evaluation Criteria in Solid Tumors" (RECIST), in which the diameter of up to five lesions is measured and followed over the course of treatment. However, RECIST shows limited correlation with overall survival. Total tumour volume (TTV) is a stronger predictor but typically relies on manual ground-truth segmentation of all lesions, which is time-consuming and requires expert domain knowledge. Semi-automated approaches leveraging user-prompted priors, such as bounding boxes and single-slice contours, as inputs to automated segmentation methods can facilitate the generation of ground-truth segmentations. This work investigates the impact of different user-prompted priors on semi-automated cancer lesion segmentation performance in whole-body computed tomography. Across 3-fold cross-validation and external testing, more complex spatial priors consistently improved performance, with contour priors from three orthogonal planes (axial, coronal and sagittal) achieving the best results. On the external test (n=3865 lesions), this approach achieved a mean Dice score of 0.882, compared to a mean Dice score of 0.671 for the baseline model with no spatial prior. These findings suggest that the use of multi-plane orthogonal user-prompted priors can improve semi-automated tumour lesion segmentation and support efficient generation of high-quality volumetric ground-truth data.

肿瘤分割医学影像半自动化

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