A CT examination captures multiple organs, but many biomedical questions concern abnormalities, prognosis, or longitudinal change in a specific organ. These questions require a separate representation for each organ within the same CT volume. Existing CT foundation models commonly produce a single volume-level representation, while recent anatomy-aware methods either encode pre-separated organ volumes or explicitly disentangle images into organ token groups. The former may remove clinically relevant surrounding context, while the latter does not condition a shared encoder on a selected organ before its features are formed. We introduce OrganLens for organ-specific representation learning through self-supervision. An organ identity conditions a shared CT encoder, while organ-specific distillation and anatomy-mask supervision shape features for anatomy-weighted pooling into organ-specific representations. At inference, the shared model produces 11 organ-specific representations without external segmentation masks. We evaluate OrganLens on CT-RATE, RAD-ChestCT, INSPECT, and NLST across diverse acquisitions and downstream evaluations. Relative to CT-pretrained DINOv2, heart representat
An organ shape atlas, which represents the shape and position of the organs and skeleton of a living body using a small number of parameters, is expected to have a wide range of clinical applications, including intraoperative guidance and radiotherapy. Because the shape and position of soft organs vary greatly among patients, it is difficult for linear models to reconstruct shapes that have large local variations. Because it is difficult for conventional nonlinear models to control and interpret the organ shapes obtained, deep learning has been attracting attention in three-dimensional shape representation. In this study, we propose an organ shape atlas based on a mesh variational autoencoder (MeshVAE) with hierarchical latent variables. To represent the complex shapes of biological organs and nonlinear shape differences between individuals, the proposed method maintains the performance of organ shape reconstruction by hierarchizing latent variables and enables shape representation using lower-dimensional latent variables. Additionally, templates that define vertex correspondence between different resolutions enable hierarchical representation in mesh data and control the global an
In radiation therapy planning, inaccurate segmentations of organs at risk can result in suboptimal treatment delivery, if left undetected by the clinician. To address this challenge, we developed a denoising autoencoder-based method to detect inaccurate organ segmentations. We applied noise to ground truth organ segmentations, and the autoencoders were tasked to denoise them. Through the application of our method to organ segmentations generated on both MR and CT scans, we demonstrated that the method is independent of imaging modality. By providing reconstructions, our method offers visual information about inaccurate regions of the organ segmentations, leading to more explainable detection of suboptimal segmentations. We compared our method to existing approaches in the literature and demonstrated that it achieved superior performance for the majority of organs.
Although data generation is often straightforward, extracting information from data is more difficult. Object-centric representation learning can extract information from images in an unsupervised manner. It does so by segmenting an image into its subcomponents: the objects. Each object is then represented in a low-dimensional latent space that can be used for downstream processing. Object-centric representation learning is dominated by autoencoder architectures (AEs). Here, we present ORGAN, a novel approach for object-centric representation learning, which is based on cycle-consistent Generative Adversarial Networks instead. We show that it performs similarly to other state-of-the-art approaches on synthetic datasets, while at the same time being the only approach tested here capable of handling more challenging real-world datasets with many objects and low visual contrast. Complementing these results, ORGAN creates expressive latent space representations that allow for object manipulation. Finally, we show that ORGAN scales well both with respect to the number of objects and the size of the images, giving it a unique edge over current state-of-the-art approaches.
Objective and Impact Statement: Accurate organ segmentation is critical for many clinical applications at different clinical sites, which may have their specific application requirements that concern different organs. Introduction: However, learning high-quality, site-specific organ segmentation models is challenging as it often needs on-site curation of a large number of annotated images. Security concerns further complicate the matter. Methods: The paper aims to tackle these challenges via a two-phase aggregation-then-adaptation approach. The first phase of federated aggregation learns a single multi-organ segmentation model by leveraging the strength of 'bigger data', which are formed by (i) aggregating together datasets from multiple sites that with different organ labels to provide partial supervision, and (ii) conducting partially supervised learning without data breach. The second phase of site adaptation is to transfer the federated multi-organ segmentation model to site-specific organ segmentation models, one model per site, in order to further improve the performance of each site's organ segmentation task. Furthermore, improved marginal loss and exclusion loss functions a
Augmented Reality (AR) holds the potential to revolutionize surgical procedures by allowing surgeons to visualize critical structures within the patient's body. This is achieved through superimposing preoperative organ models onto the actual anatomy. Challenges arise from dynamic deformations of organs during surgery, making preoperative models inadequate for faithfully representing intraoperative anatomy. To enable reliable navigation in augmented surgery, modeling of intraoperative deformation to obtain an accurate alignment of the preoperative organ model with the intraoperative anatomy is indispensable. Despite the existence of various methods proposed to model intraoperative organ deformation, there are still few literature reviews that systematically categorize and summarize these approaches. This review aims to fill this gap by providing a comprehensive and technical-oriented overview of modeling methods for intraoperative organ deformation in augmented reality in surgery. Through a systematic search and screening process, 112 closely relevant papers were included in this review. By presenting the current status of organ deformation modeling methods and their clinical applic
The wide range of research in deep learning-based medical image segmentation pushed the boundaries in a multitude of applications. A clinically relevant problem that received less attention is the handling of scans with irregular anatomy, e.g., after organ resection. State-of-the-art segmentation models often lead to organ hallucinations, i.e., false-positive predictions of organs, which cannot be alleviated by oversampling or post-processing. Motivated by the increasing need to develop robust deep learning models, we propose HALOS for abdominal organ segmentation in MR images that handles cases after organ resection surgery. To this end, we combine missing organ classification and multi-organ segmentation tasks into a multi-task model, yielding a classification-assisted segmentation pipeline. The segmentation network learns to incorporate knowledge about organ existence via feature fusion modules. Extensive experiments on a small labeled test set and large-scale UK Biobank data demonstrate the effectiveness of our approach in terms of higher segmentation Dice scores and near-to-zero false positive prediction rate.
Automatic lung organ segmentation on CT images is crucial for lung disease diagnosis. However, the unlimited voxel values and class imbalance of lung organs can lead to false-negative/positive and leakage issues in advanced methods. Additionally, some slender lung organs are easily lost during the recycled down/up-sample procedure, e.g., bronchioles & arterioles, causing severe discontinuity issue. Inspired by these, this paper introduces an effective lung organ segmentation method called Fuzzy Attention-based Border Rendering (FABR) network. Since fuzzy logic can handle the uncertainty in feature extraction, hence the fusion of deep networks and fuzzy sets should be a viable solution for better performance. Meanwhile, unlike prior top-tier methods that operate on all regular dense points, our FABR depicts lung organ regions as cube-trees, focusing only on recycle-sampled border vulnerable points, rendering the severely discontinuous, false-negative/positive organ regions with a novel Global-Local Cube-tree Fusion (GLCF) module. All experimental results, on four challenging datasets of airway & artery, demonstrate that our method can achieve the favorable performance signif
Automated patient positioning is a crucial step in streamlining MRI workflows and enhancing patient throughput. RGB-D camera-based systems offer a promising approach to automate this process by leveraging depth information to estimate internal organ positions. This paper investigates the feasibility of a learning-based framework to infer approximate internal organ positions from the body surface. Our approach utilizes a large-scale dataset of MRI scans to train a deep learning model capable of accurately predicting organ positions and shapes from depth images alone. We demonstrate the effectiveness of our method in localization of multiple internal organs, including bones and soft tissues. Our findings suggest that RGB-D camera-based systems integrated into MRI workflows have the potential to streamline scanning procedures and improve patient experience by enabling accurate and automated patient positioning.
We introduce Neural Organ Transplantation (NOT), a modular adaptation framework that enables trained transformer layers to function as reusable transferable checkpoints for domain adaptation. Unlike conventional fine-tuning approaches that tightly couple trained parameters to specific model instances and training data, NOT extracts contiguous layer subsets ("donor organs") from pre-trained models, trains them independently on domain-specific data, and saves them as standalone checkpoint files that can be transplanted into compatible recipient models without access to the original training data. Through experiments on three decoder-only transformer architectures spanning 124M to 20B parameters (GPT-2, TinyLlama, and GPT-OSS), we demonstrate that donor transplantation substantially outperforms existing adaptation methods, achieving an order-of-magnitude improvement in perplexity over LoRA while training significantly faster. The method exhibits position dependence, with early insertion positions yielding optimal results. Cross-domain transfer at billion-parameter scale reveals unexpected regularization benefits. These findings demonstrate that transformer middle layers can support ef
We review the literature on individual patient organ acceptance decision making by presenting a Markov Decision Process (MDP) model to formulate the organ acceptance decision process as a stochastic control problem. Under the umbrella of the MDP framework, we classify and summarize the major research streams and contributions. In particular, we focus on control limit-type policies, which are shown to be optimal under certain conditions and easy to implement in practice. Finally, we briefly discuss open problems and directions for future research.
There exists a large number of datasets for organ segmentation, which are partially annotated and sequentially constructed. A typical dataset is constructed at a certain time by curating medical images and annotating the organs of interest. In other words, new datasets with annotations of new organ categories are built over time. To unleash the potential behind these partially labeled, sequentially-constructed datasets, we propose to incrementally learn a multi-organ segmentation model. In each incremental learning (IL) stage, we lose the access to previous data and annotations, whose knowledge is assumingly captured by the current model, and gain the access to a new dataset with annotations of new organ categories, from which we learn to update the organ segmentation model to include the new organs. While IL is notorious for its `catastrophic forgetting' weakness in the context of natural image analysis, we experimentally discover that such a weakness mostly disappears for CT multi-organ segmentation. To further stabilize the model performance across the IL stages, we introduce a light memory module and some loss functions to restrain the representation of different categories in
Automated abdominal multi-organ segmentation is a crucial yet challenging task in the computer-aided diagnosis of abdominal organ-related diseases. Although numerous deep learning models have achieved remarkable success in many medical image segmentation tasks, accurate segmentation of abdominal organs remains challenging, due to the varying sizes of abdominal organs and the ambiguous boundaries among them. In this paper, we propose a boundary-aware network (BA-Net) to segment abdominal organs on CT scans and MRI scans. This model contains a shared encoder, a boundary decoder, and a segmentation decoder. The multi-scale deep supervision strategy is adopted on both decoders, which can alleviate the issues caused by variable organ sizes. The boundary probability maps produced by the boundary decoder at each scale are used as attention to enhance the segmentation feature maps. We evaluated the BA-Net on the Abdominal Multi-Organ Segmentation (AMOS) Challenge dataset and achieved an average Dice score of 89.29$\%$ for multi-organ segmentation on CT scans and an average Dice score of 71.92$\%$ on MRI scans. The results demonstrate that BA-Net is superior to nnUNet on both segmentation t
Due to the shortage of available kidney organs for transplants, handling every donor kidney with utmost care is crucial to preserve the organ's health, especially during the organ supply chain where kidneys are prone to deterioration during transportation. Therefore, this research proposes a blockchain platform to aid in managing kidneys in the supply chain. This framework establishes a secure system that meticulously tracks the organ's location and handling, safeguarding the health from donor to recipient. Additionally, a machine-learning algorithm is embedded to monitor organ health in real-time against various metrics for prompt detection of possible kidney damage.
We aim at incorporating explicit shape information into current 3D organ segmentation models. Different from previous works, we formulate shape learning as an in-painting task, which is named Masked Label Mask Modeling (MLM). Through MLM, learnable mask tokens are fed into transformer blocks to complete the label mask of organ. To transfer MLM shape knowledge to target, we further propose a novel shape-aware self-distillation with both in-painting reconstruction loss and pseudo loss. Extensive experiments on five public organ segmentation datasets show consistent improvements over prior arts with at least 1.2 points gain in the Dice score, demonstrating the effectiveness of our method in challenging unsupervised domain adaptation scenarios including: (1) In-domain organ segmentation; (2) Unseen domain segmentation and (3) Unseen organ segmentation. We hope this work will advance shape analysis and geometric learning in medical imaging.
Increased organ at risk segmentation accuracy is required to reduce cost and complications for patients receiving radiotherapy treatment. Some deep learning methods for the segmentation of organs at risk use a two stage process where a localisation network first crops an image to the relevant region and then a locally specialised network segments the cropped organ of interest. We investigate the accuracy improvements brought about by such a localisation stage by comparing to a single-stage baseline network trained on full resolution images. We find that localisation approaches can improve both training time and stability and a two stage process involving both a localisation and organ segmentation network provides a significant increase in segmentation accuracy for the spleen, pancreas and heart from the Medical Segmentation Decathlon dataset. We also observe increased benefits of localisation for smaller organs. Source code that recreates the main results is available at \href{https://github.com/Abe404/localise_to_segment}{this https URL}.
Data plays the most prominent role in how language models acquire skills and knowledge. The lack of massive, well-organized pre-training datasets results in costly and inaccessible data pipelines. We present Essential-Web v1.0, a 24-trillion-token dataset in which every document is annotated with a twelve-category taxonomy covering topic, format, content complexity, and quality. Taxonomy labels are produced by EAI-Distill-0.5b, a fine-tuned 0.5b-parameter model that achieves an annotator agreement within 3% of Qwen2.5-32B-Instruct. With nothing more than SQL-style filters, we obtain competitive web-curated datasets in math (-8.0% relative to SOTA), web code (+14.3%), STEM (+24.5%) and medical (+8.6%). Essential-Web v1.0 is available on HuggingFace: https://huggingface.co/datasets/EssentialAI/essential-web-v1.0
Organ segmentation is a fundamental task in medical imaging since it is useful for many clinical automation pipelines. However, some tasks do not require full segmentation. Instead, a classifier can identify the selected organ without segmenting the entire volume. In this study, we demonstrate a classifier based method to obtain organ labels in real time by using a large context size with a sparse data sampling strategy. Although our method operates as an independent classifier at query locations, it can generate full segmentations by querying grid locations at any resolution, offering faster performance than segmentation algorithms. We compared our method with existing segmentation techniques, demonstrating its superior runtime potential for practical applications in medical imaging.
Medical image benchmarks for the segmentation of organs and tumors suffer from the partially labeling issue due to its intensive cost of labor and expertise. Current mainstream approaches follow the practice of one network solving one task. With this pipeline, not only the performance is limited by the typically small dataset of a single task, but also the computation cost linearly increases with the number of tasks. To address this, we propose a Transformer based dynamic on-demand network (TransDoDNet) that learns to segment organs and tumors on multiple partially labeled datasets. Specifically, TransDoDNet has a hybrid backbone that is composed of the convolutional neural network and Transformer. A dynamic head enables the network to accomplish multiple segmentation tasks flexibly. Unlike existing approaches that fix kernels after training, the kernels in the dynamic head are generated adaptively by the Transformer, which employs the self-attention mechanism to model long-range organ-wise dependencies and decodes the organ embedding that can represent each organ. We create a large-scale partially labeled Multi-Organ and Tumor Segmentation benchmark, termed MOTS, and demonstrate t
Automatic segmentation of abdomen organs using medical imaging has many potential applications in clinical workflows. Recently, the state-of-the-art performance for organ segmentation has been achieved by deep learning models, i.e., convolutional neural network (CNN). However, it is challenging to train the conventional CNN-based segmentation models that aware of the shape and topology of organs. In this work, we tackle this problem by introducing a novel end-to-end shape learning architecture -- organ point-network. It takes deep learning features as inputs and generates organ shape representations as points that located on organ surface. We later present a novel adversarial shape learning objective function to optimize the point-network to capture shape information better. We train the point-network together with a CNN-based segmentation model in a multi-task fashion so that the shared network parameters can benefit from both shape learning and segmentation tasks. We demonstrate our method with three challenging abdomen organs including liver, spleen, and pancreas. The point-network generates surface points with fine-grained details and it is found critical for improving organ se