A SR-NET 3D-to-2D Architecture For Paraseptal Emphysema Segmentation

Paraseptal emphysema (PSE) is a relatively unexplored emphysema subtype that is usually asymptomatic, but recently associated with interstitial lung abnormalities which are related with clinical outcomes, including mortality. Previous local-based methods for emphysema subtype quantification do not p...

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Published in:2019 IEEE 16th International Symposium on Biomedical Imaging (ISBI 2019) Vol. 2019; pp. 303 - 306
Main Authors: Bermejo-Pelaez, D., Okajima, Y., Washko, G. R., Ledesma-Carbayo, M. J., Estepar, R. San Jose
Format: Conference Proceeding Journal Article
Language:English
Published: United States IEEE 01-04-2019
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Summary:Paraseptal emphysema (PSE) is a relatively unexplored emphysema subtype that is usually asymptomatic, but recently associated with interstitial lung abnormalities which are related with clinical outcomes, including mortality. Previous local-based methods for emphysema subtype quantification do not properly characterize PSE. This is in part for their inability to properly capture the global aspect of the disease, as some the PSE lesions can involved large regions along the chest wall. It is our assumption, that path-based approaches are not well-suited to identify this subtype and segmentation is a better paradigm. In this work we propose and introduce the Slice-Recovery network (SR-Net) that leverages 3D contextual information for 2D segmentation of PSE lesions in CT images. For that purpose, a novel convolutional network architecture is presented, which follows an encoding-decoding path that processes a 3D volume to generate a 2D segmentation map. The dataset used for training and testing the method comprised 664 images, coming from 111 CT scans. The results demonstrate the benefit of the proposed approach which incorporate 3D context information to the network and the ability of the proposed method to identify and segment PSE lesions with different sizes even in the presence of other emphysema subtypes in an advanced stage.
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RSJE and MJLC (ORCID: 0000000168463923) contributed equally to this work.
ISSN:1945-7928
1945-8452
DOI:10.1109/ISBI.2019.8759184