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

📅 2026-08-28
📈 Citations: 0
Influential: 0
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🤖 AI Summary
提出一种解剖感知、可提示的模型,用于全身病变分割,通过两阶段训练减少假阳性,并利用在线交互式学习和器官监督提高分割精度。
📝 Abstract
We present an anatomy-aware, promptable model for whole-body lesion segmentation in FDG and PSMA PET/CT, developed for the AUTOPET V challenge. The proposed method is built as family of nnU-Net-based models and trained in two stages: i) a pre-training stage that produces a strong initial segmentation, and ii) an online interactive stage that learns to exploit scribble prompts, refining the prediction over successive interactions. Anatomical context is incorporated through organ supervision using a single shared head that predicts lesions and organs from the same features, which reduces false positives arising from physiological uptake. Also as the tracer (i.e., FDG/PSMA) is not provided at inference, we add a tracer classifier based on image processing and a random forest over coronal MIP features, routing each study to a combined FDG+PSMA model or to a PSMA-specific model. Across four-fold cross-validation the organ-supervised model achieves the best and most stable performance, the interactive stage improves the Dice score monotonically with each prompt, and PSMA-specific training yields the strongest tracer-wise results.
Problem

Research questions and friction points this paper is trying to address.

lesion segmentation
anatomical context
physiological uptake
Innovation

Methods, ideas, or system contributions that make the work stand out.

anatomy-aware
promptable model
online interactive training
organ supervision
tracer classifier
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