3-D contour-aware U-Net for efficient rectal tumor segmentation in magnetic resonance imaging.

Journal: Medical engineering & physics
Published Date:

Abstract

Magnetic resonance imaging (MRI), as a non-invasive detection method, is crucial for the clinical diagnosis and treatment plan of rectal cancer. However, due to the low contrast of rectal tumor signal in MRI, segmentation is often inaccurate. In this paper, we propose a new three-dimensional rectal tumor segmentation method CAU-Net based on T2-weighted MRI images. The method adopts a convolutional neural network to extract multi-scale features from MRI images and uses a Contour-Aware decoder and attention fusion block (AFB) for contour enhancement. We also introduce adversarial constraint to improve augmentation performance. Furthermore, we construct a dataset of 108 MRI-T2 volumes for the segmentation of locally advanced rectal cancer. Finally, CAU-Net achieved a DSC of 0.7112 and an ASD of 2.4707, which outperforms other state-of-the-art methods. Various experiments on this dataset show that CAU-Net has high accuracy and efficiency in rectal tumor segmentation. In summary, proposed method has important clinical application value and can provide important support for medical image analysis and clinical treatment of rectal cancer. With further development and application, this method has the potential to improve the accuracy of rectal cancer diagnosis and treatment.

Authors

  • Yi Lu
    Department of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-Sen University, 26th Yuancun the Second Road, Guangzhou, 510655, Guangdong Province, China.
  • Jun Dang
    Department of Oncology, The First Affiliate Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
  • Junzhang Chen
    Faculty of Innovation and Design, City University of Macau, Taipa, Macau, China.
  • Yuanyuan Wang
    Department of Biotechnology, College of Life Science and Technology, Jinan University Guangzhou, 510632, China.
  • Tao Zhang
    Department of Traumatology, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing, 40044, People's Republic of China.
  • Xiangzhi Bai