Multi-phase features interaction transformer network for liver tumor segmentation and microvascular invasion assessment in contrast-enhanced CT
Precise segmentation of liver tumors from computed tomography (CT) scans is a prerequisite step in various clinical applications. Multi-phase CT imaging enhances tumor characterization, thereby assisting radiologists in accurate identification. However, existing automatic liver tumor segmentation mo...
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| Vydané v: | Mathematical biosciences and engineering : MBE Ročník 21; číslo 4; s. 5735 - 5761 |
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| Hlavní autori: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
AIMS Press
24.04.2024
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| ISSN: | 1551-0018, 1551-0018 |
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| Abstract | Precise segmentation of liver tumors from computed tomography (CT) scans is a prerequisite step in various clinical applications. Multi-phase CT imaging enhances tumor characterization, thereby assisting radiologists in accurate identification. However, existing automatic liver tumor segmentation models did not fully exploit multi-phase information and lacked the capability to capture global information. In this study, we developed a pioneering multi-phase feature interaction Transformer network (MI-TransSeg) for accurate liver tumor segmentation and a subsequent microvascular invasion (MVI) assessment in contrast-enhanced CT images. In the proposed network, an efficient multi-phase features interaction module was introduced to enable bi-directional feature interaction among multiple phases, thus maximally exploiting the available multi-phase information. To enhance the model's capability to extract global information, a hierarchical transformer-based encoder and decoder architecture was designed. Importantly, we devised a multi-resolution scales feature aggregation strategy (MSFA) to optimize the parameters and performance of the proposed model. Subsequent to segmentation, the liver tumor masks generated by MI-TransSeg were applied to extract radiomic features for the clinical applications of the MVI assessment. With Institutional Review Board (IRB) approval, a clinical multi-phase contrast-enhanced CT abdominal dataset was collected that included 164 patients with liver tumors. The experimental results demonstrated that the proposed MI-TransSeg was superior to various state-of-the-art methods. Additionally, we found that the tumor mask predicted by our method showed promising potential in the assessment of microvascular invasion. In conclusion, MI-TransSeg presents an innovative paradigm for the segmentation of complex liver tumors, thus underscoring the significance of multi-phase CT data exploitation. The proposed MI-TransSeg network has the potential to assist radiologists in diagnosing liver tumors and assessing microvascular invasion. |
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| AbstractList | Precise segmentation of liver tumors from computed tomography (CT) scans is a prerequisite step in various clinical applications. Multi-phase CT imaging enhances tumor characterization, thereby assisting radiologists in accurate identification. However, existing automatic liver tumor segmentation models did not fully exploit multi-phase information and lacked the capability to capture global information. In this study, we developed a pioneering multi-phase feature interaction Transformer network (MI-TransSeg) for accurate liver tumor segmentation and a subsequent microvascular invasion (MVI) assessment in contrast-enhanced CT images. In the proposed network, an efficient multi-phase features interaction module was introduced to enable bi-directional feature interaction among multiple phases, thus maximally exploiting the available multi-phase information. To enhance the model's capability to extract global information, a hierarchical transformer-based encoder and decoder architecture was designed. Importantly, we devised a multi-resolution scales feature aggregation strategy (MSFA) to optimize the parameters and performance of the proposed model. Subsequent to segmentation, the liver tumor masks generated by MI-TransSeg were applied to extract radiomic features for the clinical applications of the MVI assessment. With Institutional Review Board (IRB) approval, a clinical multi-phase contrast-enhanced CT abdominal dataset was collected that included 164 patients with liver tumors. The experimental results demonstrated that the proposed MI-TransSeg was superior to various state-of-the-art methods. Additionally, we found that the tumor mask predicted by our method showed promising potential in the assessment of microvascular invasion. In conclusion, MI-TransSeg presents an innovative paradigm for the segmentation of complex liver tumors, thus underscoring the significance of multi-phase CT data exploitation. The proposed MI-TransSeg network has the potential to assist radiologists in diagnosing liver tumors and assessing microvascular invasion.Precise segmentation of liver tumors from computed tomography (CT) scans is a prerequisite step in various clinical applications. Multi-phase CT imaging enhances tumor characterization, thereby assisting radiologists in accurate identification. However, existing automatic liver tumor segmentation models did not fully exploit multi-phase information and lacked the capability to capture global information. In this study, we developed a pioneering multi-phase feature interaction Transformer network (MI-TransSeg) for accurate liver tumor segmentation and a subsequent microvascular invasion (MVI) assessment in contrast-enhanced CT images. In the proposed network, an efficient multi-phase features interaction module was introduced to enable bi-directional feature interaction among multiple phases, thus maximally exploiting the available multi-phase information. To enhance the model's capability to extract global information, a hierarchical transformer-based encoder and decoder architecture was designed. Importantly, we devised a multi-resolution scales feature aggregation strategy (MSFA) to optimize the parameters and performance of the proposed model. Subsequent to segmentation, the liver tumor masks generated by MI-TransSeg were applied to extract radiomic features for the clinical applications of the MVI assessment. With Institutional Review Board (IRB) approval, a clinical multi-phase contrast-enhanced CT abdominal dataset was collected that included 164 patients with liver tumors. The experimental results demonstrated that the proposed MI-TransSeg was superior to various state-of-the-art methods. Additionally, we found that the tumor mask predicted by our method showed promising potential in the assessment of microvascular invasion. In conclusion, MI-TransSeg presents an innovative paradigm for the segmentation of complex liver tumors, thus underscoring the significance of multi-phase CT data exploitation. The proposed MI-TransSeg network has the potential to assist radiologists in diagnosing liver tumors and assessing microvascular invasion. Precise segmentation of liver tumors from computed tomography (CT) scans is a prerequisite step in various clinical applications. Multi-phase CT imaging enhances tumor characterization, thereby assisting radiologists in accurate identification. However, existing automatic liver tumor segmentation models did not fully exploit multi-phase information and lacked the capability to capture global information. In this study, we developed a pioneering multi-phase feature interaction Transformer network (MI-TransSeg) for accurate liver tumor segmentation and a subsequent microvascular invasion (MVI) assessment in contrast-enhanced CT images. In the proposed network, an efficient multi-phase features interaction module was introduced to enable bi-directional feature interaction among multiple phases, thus maximally exploiting the available multi-phase information. To enhance the model's capability to extract global information, a hierarchical transformer-based encoder and decoder architecture was designed. Importantly, we devised a multi-resolution scales feature aggregation strategy (MSFA) to optimize the parameters and performance of the proposed model. Subsequent to segmentation, the liver tumor masks generated by MI-TransSeg were applied to extract radiomic features for the clinical applications of the MVI assessment. With Institutional Review Board (IRB) approval, a clinical multi-phase contrast-enhanced CT abdominal dataset was collected that included 164 patients with liver tumors. The experimental results demonstrated that the proposed MI-TransSeg was superior to various state-of-the-art methods. Additionally, we found that the tumor mask predicted by our method showed promising potential in the assessment of microvascular invasion. In conclusion, MI-TransSeg presents an innovative paradigm for the segmentation of complex liver tumors, thus underscoring the significance of multi-phase CT data exploitation. The proposed MI-TransSeg network has the potential to assist radiologists in diagnosing liver tumors and assessing microvascular invasion. |
| Author | Zhang, Wencong Huang, Zhanyao Ma, Xiangyuan Song, Tengfei Li, Yue Chen, Yingjia Zhang, Yaqin Tao, Yuxi |
| Author_xml | – sequence: 1 givenname: Wencong surname: Zhang fullname: Zhang, Wencong organization: Department of Biomedical Engineering, College of Engineering, Shantou University, Shantou, China, Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore – sequence: 2 givenname: Yuxi surname: Tao fullname: Tao, Yuxi organization: Department of Radiology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China – sequence: 3 givenname: Zhanyao surname: Huang fullname: Huang, Zhanyao organization: Department of Biomedical Engineering, College of Engineering, Shantou University, Shantou, China – sequence: 4 givenname: Yue surname: Li fullname: Li, Yue organization: School of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, China – sequence: 5 givenname: Yingjia surname: Chen fullname: Chen, Yingjia organization: Department of Biomedical Engineering, College of Engineering, Shantou University, Shantou, China – sequence: 6 givenname: Tengfei surname: Song fullname: Song, Tengfei organization: Department of Radiology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China – sequence: 7 givenname: Xiangyuan surname: Ma fullname: Ma, Xiangyuan organization: Department of Biomedical Engineering, College of Engineering, Shantou University, Shantou, China – sequence: 8 givenname: Yaqin surname: Zhang fullname: Zhang, Yaqin organization: Department of Radiology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China |
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| Cites_doi | 10.1053/j.gastro.2004.09.011 10.1109/IEMBS.2009.5333760 10.1016/j.simpat.2023.102769 10.1016/j.compbiomed.2017.01.009 10.1007/s00371-021-02328-7 10.1109/ICIP.2019.8802942 10.54294/1uhwld 10.3109/10929080109145999 10.1109/ICCV48922.2021.00468 10.54294/25etax 10.1016/j.compmedimag.2020.101811 10.4236/jcc.2015.311023 10.1002/mp.14922 10.1002/mp.13438 10.1016/j.imed.2022.07.002 10.1109/TMI.2019.2948320 10.1038/s41571-021-00560-7 10.1007/s00261-020-02485-8 10.1038/s41572-020-00240-3 10.1016/j.inffus.2022.10.022 10.1148/radiol.2513081740 10.1016/j.bspc.2023.104791 10.1109/TMI.2018.2878669 10.3390/cancers14122956 10.1109/TIP.2019.2905537 10.1016/j.compmedimag.2021.101885 10.3389/fnins.2022.1009581 10.1158/0008-5472.CAN-17-0339 10.1155/2016/8763205 10.1016/j.compbiomed.2022.105620 10.1007/s00261-022-03496-3 10.1016/j.artmed.2017.03.008 10.1038/s41598-018-33860-7 10.1007/s00268-005-0718-1 10.3389/fonc.2021.588010 10.1007/s00432-020-03366-9 10.1016/j.compeleceng.2013.02.008 10.1109/ACCESS.2021.3107473 10.1016/j.compmedimag.2021.102021 10.3322/caac.21660 10.21037/qims-22-1011 10.1016/j.cmpb.2017.04.008 10.1109/JBHI.2022.3220788 10.3748/wjg.v28.i26.3092 10.1007/s11548-019-01989-z 10.1148/radiol.2273011768 |
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| SubjectTerms | Algorithms Contrast Media contrast-enhanced ct Female Humans Image Processing, Computer-Assisted - methods Liver - blood supply Liver - diagnostic imaging Liver - pathology Liver Neoplasms - blood supply Liver Neoplasms - diagnostic imaging Liver Neoplasms - pathology liver tumor segmentation Male Microvessels - diagnostic imaging Microvessels - pathology multi-phase Neoplasm Invasiveness Radiographic Image Interpretation, Computer-Assisted - methods Tomography, X-Ray Computed transformer |
| Title | Multi-phase features interaction transformer network for liver tumor segmentation and microvascular invasion assessment in contrast-enhanced CT |
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