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Proceedings Paper

Exploiting clinically available delineations for CNN-based segmentation in radiotherapy treatment planning
Author(s): Louis D. van Harten; Jelmer M. Wolterink; Joost J. C. Verhoeff; Ivana Išgum
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Paper Abstract

Convolutional neural networks (CNNs) have been widely and successfully used for medical image segmentation. However, CNNs are typically considered to require large numbers of dedicated expert-segmented training volumes, which may be limiting in practice. This work investigates whether clinically obtained segmentations which are readily available in picture archiving and communication systems (PACS) could provide a possible source of data to train a CNN for segmentation of organs-at-risk (OARs) in radiotherapy treatment planning. In such data, delineations of structures deemed irrelevant to the target clinical use may be lacking. To overcome this issue, we use multi-label instead of multi-class segmentation. We empirically assess how many clinical delineations would be sufficient to train a CNN for the segmentation of OARs and find that increasing the training set size beyond a limited number of images leads to sharply diminishing returns. Moreover, we find that by using multi-label segmentation, missing structures in the reference standard do not have a negative effect on overall segmentation accuracy. These results indicate that segmentations obtained in a clinical workflow can be used to train an accurate OAR segmentation model.

Paper Details

Date Published: 10 March 2020
PDF: 7 pages
Proc. SPIE 11313, Medical Imaging 2020: Image Processing, 113131F (10 March 2020); doi: 10.1117/12.2549653
Show Author Affiliations
Louis D. van Harten, Amsterdam Univ. Medical Ctr., Univ. of Amsterdam (Netherlands)
Jelmer M. Wolterink, Amsterdam Univ. Medical Ctr., Univ. of Amsterdam (Netherlands)
Image Sciences Institute, Univ. Medical Ctr. Utrecht (Netherlands)
Joost J. C. Verhoeff, Univ. Medical Ctr. Utrecht (Netherlands)
Ivana Išgum, Amsterdam Univ. Medical Ctr., Univ. of Amsterdam (Netherlands)

Published in SPIE Proceedings Vol. 11313:
Medical Imaging 2020: Image Processing
Ivana Išgum; Bennett A. Landman, Editor(s)

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