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Abdominal Radiology
Article . 2024 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Other literature type . 2024
License: CC BY
Data sources: PubMed Central
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Automated abdominal organ segmentation algorithms for non-enhanced CT for volumetry and 3D radiomics analysis

Authors: Park, Junghoan; Joo, Ijin; Jeon, Sun Kyung; Kim, Jong-Min; Park, Sang Joon; Yoon, Soon Ho;

Automated abdominal organ segmentation algorithms for non-enhanced CT for volumetry and 3D radiomics analysis

Abstract

Abstract Purpose To develop fully-automated abdominal organ segmentation algorithms from non-enhanced abdominal CT and low-dose chest CT and assess their feasibility for automated CT volumetry and 3D radiomics analysis of abdominal solid organs. Methods Fully-automated nnU-Net-based models were developed to segment the liver, spleen, and both kidneys in non-enhanced abdominal CT, and the liver and spleen in low-dose chest CT. 105 abdominal CTs and 60 low-dose chest CTs were used for model development, and 55 abdominal CTs and 10 low-dose chest CTs for external testing. The segmentation performance for each organ was assessed using the Dice similarity coefficients, with manual segmentation results serving as the ground truth. Agreements between ground-truth measurements and model estimates of organ volume and 3D radiomics features were assessed using the Bland–Altman analysis and intraclass correlation coefficients (ICC). Results The models accurately segmented the liver, spleen, right kidney, and left kidney in abdominal CT and the liver and spleen in low-dose chest CT, showing mean Dice similarity coefficients in the external dataset of 0.968, 0.960, 0.952, and 0.958, respectively, in abdominal CT, and 0.969 and 0.960, respectively, in low-dose chest CT. The model-estimated and ground truth volumes of these organs exhibited mean differences between − 0.7% and 2.2%, with excellent agreements. The automatically extracted mean and median Hounsfield units (ICCs, 0.970–0.999 and 0.994–0.999, respectively), uniformity (ICCs, 0.985–0.998), entropy (ICCs, 0.931–0.993), elongation (ICCs, 0.978–0.992), and flatness (ICCs, 0.973–0.997) showed excellent agreement with ground truth measurements for each organ; however, skewness (ICCs, 0.210–0.831), kurtosis (ICCs, 0.053–0.933), and sphericity (ICCs, 0.368–0.819) displayed relatively low and inconsistent agreement. Conclusion Our nnU-Net-based models accurately segmented abdominal solid organs in non-enhanced abdominal and low-dose chest CT, enabling reliable automated measurements of organ volume and specific 3D radiomics features.

Keywords

Radiography, Abdominal, Male, Adult, Radiomics, Research, Middle Aged, Kidney, Imaging, Three-Dimensional, Liver, Humans, Radiographic Image Interpretation, Computer-Assisted, Feasibility Studies, Female, Radiography, Thoracic, Tomography, X-Ray Computed, Algorithms, Spleen, Aged

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Top 10%
Average
Top 10%
Green
hybrid