arXiv Computer Vision

Evaluating the Effects of Inter-Observer and Model Variability on Radiological Peritoneal Cancer Index Assessment

arXiv AI
Sep 10

Deep Learning-Based Segmentation of Peritoneal Cancer Index Regions from CT Imaging

arXiv:2604.27697v2 Announce Type: replace-cross Abstract: Peritoneal metastases (PM) are staged using the surgically determined Peritoneal Cancer Index (sPCI), which requires invasive laparoscopic as...

By Pieter C. Gort, Lotte J. S. Fleurkens-Ewals, Lenah D. Kampmeijer, Anna F. van Herwijnen, Marion W. Tops-Welten, Cris H. B. Claessens, Joost Nederend, Ignace H. J. T. De Hingh, Max J. Lahaye, Misha D. P. Luyer, Fons van der Sommen
arXiv Computer Vision
Sep 4

Improving Clinical Target Volume Segmentation Accuracy using Anatomical Priors and Active Learning for the AGITG TOPGEAR Clinical Trial

The study explores how adding anatomical priors and active learning can improve the accuracy of deep learning models for segmenting the Clinical Target Volume (CTV) in gastric cancer radiotherapy. Using 100 retrospective CT scans, an nnU‑Net model trained on 10 expert‑contoured cases was enhanced with voxel‑wise anatomical prior maps and iterative active learning over four rounds. The combined approach raised the mean Dice Similarity Coefficient from 0.84 to 0.87, demonstrating that both techniques individually and together improve segmentation performance and generalizability.

By Phillip Chlap, Mark Lee, Trevor Leong, Matthew Field, Jason Dowling, Hang Min, Julie Chu, Jennifer Tan, Phillip K. Tran, Tomas Kron, Annette Haworth, Martin A. Ebert, Shalini K. Vinod, Lois Holloway
arXiv Machine Learning
Jul 2

Foundation Models vs. Radiomics for Lung Computed Tomography: A Benchmark of Feature Extractors, Classification Heads, and Segmentation Choices

arXiv:2607. 01001v1 Announce Type: cross Abstract: Radiomics is the established approach for CT-based lung cancer phenotyping, yet comparisons with foundation models rarely isolate contributions of feature extractor, classification head, and segmentation choice, or test cross-cohort robustness.

By Nils Neukirch, Martin Maurer, Nils Strodthoff
arXiv Computer Vision
Sep 11

Spectral Adapters for Segment Anything Model-based Segmentation of Colorectal Liver Metastases in Computed Tomography

The paper introduces two lightweight spectral adapters—Directional Spectral Adapter (DiSECT) and Spectral Instance-Guided Adapter (SiGA)—to adapt the Segment Anything Model (SAM) for accurate segmentation of colorectal liver metastases in contrast‑enhanced CT scans. SiGA achieves the highest single‑point Dice score of 0.77 and performs comparably to a 3D nnU‑Net baseline under no‑prompt inference, while DiSECT requires only 0.14 million trainable parameters. The study evaluates the adapters on 446 CT volumes across various prompting regimes, demonstrating that spectral adapters can efficiently adapt SAM with limited trainable parameters while maintaining strong segmentation accuracy.

By Ramtin Mojtahedi, Mohammad Hamghalam, Jacob J. Peoples, Natalie Gangai, Mithat Gonen, Yun Shin Chun, HyunSeon Christine Kang, Richard K. G. Do, Amber L. Simpson
arXiv Machine Learning
Jul 28

Trustworthy Medical Segmentation: Uncertainty-Aware U-Net Evaluation Under Clinical Image Degradation

arXiv:2607. 22727v1 Announce Type: cross Abstract: Medical image segmentation models often report high benchmark accuracy under ideal imaging conditions, yet their failures under clinical degradation can be quiet: sensor noise, patient motion, low- resolution acquisition, and contrast variability may all alter model behavior without producing an obvious warning.

By Pranav Kaliaperumal, Manisha Kaliaperumal
arXiv Computer Vision
Oct 16

A Decision-Aware Evaluation Protocol for Uncertainty in Medical Image Segmentation

The paper introduces a decision‑aware evaluation protocol for medical image segmentation uncertainty that separates uncertainty estimation from deferral policy and assesses their joint performance under fixed review budgets. It reports metrics such as fixed‑budget error reduction, risk‑coverage behavior, region‑level review proxies, structural failure modes, and sensitivity to review assumptions. Experiments on retinal vessel, skin lesion, and polyp segmentation with various backbones and uncertainty estimators show that estimator rankings vary with review unit, uncertainty target, and cost model, and that boundary and thin‑structure failures are partly due to annotation ambiguity.

By Saket Maganti, Shreyank N Gowda
arXiv Computer Vision
4d ago

Reading the Mask: Descriptor-Grounded BI-RADS Rationale Generation for Breast MRI Segmentation

The paper presents a method that derives BI‑RADS descriptors from breast MRI segmentation masks and uses a large language model to generate natural‑language rationales grounded in those descriptors. A BI‑RADS decision tree with eight quantitative radiomic measurements, lesion size, and component count informs the descriptors, which are then verbalised by the model. Applying this framework to 1,506 cases in the MAMA‑MIA dataset produced 3,012 reproducible BI‑RADS rationales with high faithfulness (99.98%) and counterfactual accuracy (99.3%).

By Hrishikesh Singh, Aarti Sharma, Divyanshu Kumar, Millie Pant