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Leveraging Anatomical Priors for Automated Pancreas Segmentation on Abdominal CT

9 April 2025
Anisa V. Prasad
T. Mathai
P. Mukherjee
Jianfei Liu
Ronald M. Summers
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Abstract

An accurate segmentation of the pancreas on CT is crucial to identify pancreatic pathologies and extract imaging-based biomarkers. However, prior research on pancreas segmentation has primarily focused on modifying the segmentation model architecture or utilizing pre- and post-processing techniques. In this article, we investigate the utility of anatomical priors to enhance the segmentation performance of the pancreas. Two 3D full-resolution nnU-Net models were trained, one with 8 refined labels from the public PANORAMA dataset, and another that combined them with labels derived from the public TotalSegmentator (TS) tool. The addition of anatomical priors resulted in a 6\% increase in Dice score (p<.001p < .001p<.001) and a 36.5 mm decrease in Hausdorff distance for pancreas segmentation (p<.001p < .001p<.001). Moreover, the pancreas was always detected when anatomy priors were used, whereas there were 8 instances of failed detections without their use. The use of anatomy priors shows promise for pancreas segmentation and subsequent derivation of imaging biomarkers.

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@article{prasad2025_2504.06921,
  title={ Leveraging Anatomical Priors for Automated Pancreas Segmentation on Abdominal CT },
  author={ Anisa V. Prasad and Tejas Sudharshan Mathai and Pritam Mukherjee and Jianfei Liu and Ronald M. Summers },
  journal={arXiv preprint arXiv:2504.06921},
  year={ 2025 }
}
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