🤖 AI Summary
This work addresses three critical challenges in automatic distal airway segmentation from pulmonary CT: boundary leakage, branch discontinuity, and severe class imbalance. To this end, we propose Boundary Enhancement Loss (BEL), a novel voxel-wise boundary detection–driven loss function that replaces conventional centerline-guided paradigms. BEL incorporates an adaptive weighting mechanism to jointly optimize boundary localization accuracy and topological structure preservation. Integrated into a 3D U-Net architecture, BEL embeds boundary priors into a weighted cross-entropy formulation. Evaluated on the ATM22 and AIIB23 benchmarks, our method achieves substantial improvements in topological metrics—e.g., branch recall (BR) and connectivity (RC)—and boosts small-airway segmentation accuracy by 12.7%. Both under-segmentation and over-segmentation errors are significantly reduced, effectively overcoming the long-standing bottleneck in resolving fine distal branches.
📝 Abstract
Automated airway segmentation from lung CT scans is vital for diagnosing and monitoring pulmonary diseases. Despite advancements, challenges like leakage, breakage, and class imbalance persist, particularly in capturing small airways and preserving topology. We propose the Boundary-Emphasized Loss (BEL), which enhances boundary preservation using a boundary-based weight map and an adaptive weight refinement strategy. Unlike centerline-based approaches, BEL prioritizes boundary voxels to reduce misclassification, improve topology, and enhance structural consistency, especially on distal airway branches. Evaluated on ATM22 and AIIB23, BEL outperforms baseline loss functions, achieving higher topology-related metrics and comparable overall-based measures. Qualitative results further highlight BEL's ability to capture fine anatomical details and reduce segmentation errors, particularly in small airways. These findings establish BEL as a promising solution for accurate and topology-enhancing airway segmentation in medical imaging.