arXiv Computer Vision
4d ago

Anatomy-Aware Promptable Segmentation with Online Interactive Training for AUTOPET V

The paper introduces an anatomy-aware, promptable segmentation model for whole-body lesion detection in FDG and PSMA PET/CT scans, tailored for the AUTOPET V challenge. The approach builds on nnU-Net, employing a two-stage training process: an initial pre-training phase for strong baseline segmentation and an online interactive phase that refines predictions using scribble prompts. Anatomical context is integrated via organ supervision with a shared head predicting both lesions and organs, reducing false positives, while a tracer classifier directs studies to either a combined FDG+PSMA model or a PSMA-specific model. Cross-validation results show that organ-supervised training yields the most stable performance, the interactive stage consistently improves Dice scores, and PSMA-specific training delivers the best tracer-wise results.

By Pablo Lozano-Jimenez, Sergio Romero-Tapiador, Ruben Tolosana
arXiv Computer Vision
4d ago

Prompt-Guided Interactive Segmentation of Interstitial Lung Disease in Thoracic CT

The paper introduces the first adaptation of the MedSAM2 foundation model for interactive 3D segmentation of interstitial lung disease (ILD) on thoracic CT scans. It evaluates three fine‑tuning strategies and four prompt types—bounding‑boxes, points, lassos, and scribbles—finding that full model fine‑tuning yields the best performance, improving Dice scores by 4.7 percentage points over the baseline. A proof‑of‑concept workflow is presented where MedSAM2 is first initialized with an automatic prior and then refined by radiologist prompts, with all resources released on GitHub.

By Vasilis Dedousis, Lubnaa Abdur Rahman, Lorenzo Brigat{\omicron}, Ethan Dack, Andreas Christe, Christoph Frank, Manuela Funke-Chambour, Justus Roos, Adrian Huber, Lukas Ebner, Stavroula Mougiakakou