Promptable segmentation of CT lung lesions based on improved U-Net and Segment Anything model (SAM)

BackgroundComputed tomography (CT) is widely used in clinical diagnosis of lung diseases. The automatic segmentation of lesions in CT images aids in the development of intelligent lung disease diagnosis.ObjectiveThis study aims to address the issue of imprecise segmentation in CT images due to the b...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of X-ray science and technology Jg. 33; H. 6; S. 1015
Hauptverfasser: Yan, Wensong, Xu, Yunhua, Yan, Shiju
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.11.2025
Schlagworte:
ISSN:1095-9114, 1095-9114
Online-Zugang:Weitere Angaben
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:BackgroundComputed tomography (CT) is widely used in clinical diagnosis of lung diseases. The automatic segmentation of lesions in CT images aids in the development of intelligent lung disease diagnosis.ObjectiveThis study aims to address the issue of imprecise segmentation in CT images due to the blurred detailed features of lesions, which can easily be confused with surrounding tissues.MethodsWe proposed a promptable segmentation method based on an improved U-Net and Segment Anything model (SAM) to improve segmentation accuracy of lung lesions in CT images. The improved U-Net incorporates a multi-scale attention module based on a channel attention mechanism ECA (Efficient Channel Attention) to improve recognition of detailed feature information at edge of lesions; and a promptable clipping module to incorporate physicians' prior knowledge into the model to reduce background interference. Segment Anything model (SAM) has a strong ability to recognize lesions and pulmonary atelectasis or organs. We combine the two to improve overall segmentation performances.ResultsOn the LUAN16 dataset and a lung CT dataset provided by the Shanghai Chest Hospital, the proposed method achieves Dice coefficients of 80.12% and 92.06%, and Positive Predictive Values of 81.25% and 91.91%, which are superior to most existing mainstream segmentation methods.ConclusionThe proposed method can be used to improve segmentation accuracy of lung lesions in CT images, enhance automation level of existing computer-aided diagnostic systems, and provide more effective assistance to radiologists in clinical practice.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1095-9114
1095-9114
DOI:10.1177/08953996251333364