Evidence map›Paper›PMID 30891655›Full record

ArticleInternational journal of computer assisted radiology and surgery2019

Semantic segmentation and detection of mediastinal lymph nodes and anatomical structures in CT data for lung cancer staging.

David Bouget, Arve Jørgensen, Gabriel Kiss, Haakon Olav Leira, Thomas Langø

Abstract read
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In one paragraph

Article in International journal of computer assisted radiology and surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Article
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  4. Annotation-efficient deep learning detection and measurement of mediastinal lymph nodes in CT.International journal of computer assisted radiology and surgery · 2026
    Article
  5. Article
  6. Review
  7. Segmentation of mediastinal lymph nodes in CT with anatomical priors.International journal of computer assisted radiology and surgery · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Lymph node detection in CT scans using modified U-Net with residual learning and 3D deep network.International journal of computer assisted radiology and surgery · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Article
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  18. Article
  19. A review of deep learning based methods for medical image multi-organ segmentation.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2021
    Review
  20. [Application of semantic segmentation based on convolutional neural network in medical images].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

David BougetDepartment of Circulation and Medical Imaging, NTNU, Trondheim, Norway. david.bouget@ntnu.no.
Arve JørgensenDepartment of Circulation and Medical Imaging, NTNU, Trondheim, Norway.
Gabriel KissDepartment of Circulation and Medical Imaging, NTNU, Trondheim, Norway.
Haakon Olav LeiraDepartment of Circulation and Medical Imaging, NTNU, Trondheim, Norway.
Thomas LangøMedical Technology Department, SINTEF, Trondheim, Norway.

Funding

Center for Innovative Ultrasound Solutions 237887
6 · The paper itself

Abstract

purposeAccurate lung cancer diagnosis is crucial to select the best course of action for treating the patient. From a simple chest CT volume, it is necessary to identify whether the cancer has spread to nearby lymph nodes or not. It is equally important to know precisely where each malignant lymph node is with respect to the surrounding anatomical structures and the airways. In this paper, we introduce a new data-set containing annotations of fifteen different anatomical structures in the mediastinal area, including lymph nodes of varying sizes. We present a 2D pipeline for semantic segmentation and instance detection of anatomical structures and potentially malignant lymph nodes in the mediastinal area.

methodsWe propose a 2D pipeline combining the strengths of U-Net for pixel-wise segmentation using a loss function dealing with data imbalance and Mask R-CNN providing instance detection and improved pixel-wise segmentation within bounding boxes. A final stage performs pixel-wise labels refinement and 3D instance detection using a tracking approach along the slicing dimension. Detected instances are represented by a 3D pixel-wise mask, bounding volume, and centroid position.

resultsWe validated our approach following a fivefold cross-validation over our new data-set of fifteen lung cancer patients. For the semantic segmentation task, we reach an average Dice score of 76% over all fifteen anatomical structures. For the lymph node instance detection task, we reach 75% recall for 9 false positives per patient, with an average centroid position estimation error of 3 mm in each dimension.

conclusionFusing 2D networks' results increases pixel-wise segmentation results while enabling good instance detection. Better leveraging of the 3D information and station mapping for the detected lymph nodes are the next steps.

Indexed as

HumansLungLung NeoplasmsLymph NodesMediastinumNeoplasm StagingTomography, X-Ray ComputedCTInstance detectionLung cancerMediastinal lymph nodesSemantic segmentation

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.