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Accurate image segmentation of the liver is a challenging problem owing to its large shape variability and unclear boundaries. Although the applications of fully convolutional neural networks (CNNs) have shown groundbreaking results, limited studies have focused on the performance of generalization. In this study, we introduce a CNN for liver segmentation on abdominal computed tomography (CT) images that shows high generalization performance and accuracy. To improve the generalization performance, we initially propose an auto-context algorithm in a single CNN. The proposed auto-context neural network exploits an effective high-level residual estimation to obtain the shape prior. Identical dual paths are effectively trained to represent mutual complementary features for an accurate posterior analysis of a liver. Further, we extend our network by employing a self-supervised contour scheme. We trained sparse contour features by penalizing the ground-truth contour to focus more contour attentions on the failures. The experimental results show that the proposed network results in better accuracy when compared to the state-of-the-art networks by reducing 10.31% of the Hausdorff distance. We used 180 abdominal CT images for training and validation. Two-fold cross-validation is presented for a comparison with the state-of-the-art neural networks. Novel multiple N-fold cross-validations are conducted to verify the performance of generalization. The proposed network showed the best generalization performance among the networks. Additionally, we present a series of ablation experiments that comprehensively support the importance of the underlying concepts., Comment: 10 pages, 8 figures

Individual tooth segmentation from cone beam computed tomography (CBCT) images is an essential prerequisite for an anatomical understanding of orthodontic structures in several applications, such as tooth reformation planning and implant guide simulations. However, the presence of severe metal artifacts in CBCT images hinders the accurate segmentation of each individual tooth. In this study, we propose a neural network for pixel-wise labeling to exploit an instance segmentation framework that is robust to metal artifacts. Our method comprises of three steps: 1) image cropping and realignment by pose regressions, 2) metal-robust individual tooth detection, and 3) segmentation. We first extract the alignment information of the patient by pose regression neural networks to attain a volume-of-interest (VOI) region and realign the input image, which reduces the inter-overlapping area between tooth bounding boxes. Then, individual tooth regions are localized within a VOI realigned image using a convolutional detector. We improved the accuracy of the detector by employing non-maximum suppression and multiclass classification metrics in the region proposal network. Finally, we apply a convolutional neural network (CNN) to perform individual tooth segmentation by converting the pixel-wise labeling task to a distance regression task. Metal-intensive image augmentation is also employed for a robust segmentation of metal artifacts. The result shows that our proposed method outperforms other state-of-the-art methods, especially for teeth with metal artifacts. The primary significance of the proposed method is two-fold: 1) an introduction of pose-aware VOI realignment followed by a robust tooth detection and 2) a metal-robust CNN framework for accurate tooth segmentation., Comment: 10 pages, 10 figures

Computerized registration between maxillofacial cone-beam computed tomography (CT) images and a scanned dental model is an essential prerequisite in surgical planning for dental implants or orthognathic surgery. We propose a novel method that performs fully automatic registration between a cone-beam CT image and an optically scanned model. To build a robust and automatic initial registration method, our method applies deep-pose regression neural networks in a reduced domain (i.e., 2-dimensional image). Subsequently, fine registration is performed via optimal clusters. Majority voting system achieves globally optimal transformations while each cluster attempts to optimize local transformation parameters. The coherency of clusters determines their candidacy for the optimal cluster set. The outlying regions in the iso-surface are effectively removed based on the consensus among the optimal clusters. The accuracy of registration was evaluated by the Euclidean distance of 10 landmarks on a scanned model which were annotated by the experts in the field. The experiments show that the proposed method's registration accuracy, measured in landmark distance, outperforms other existing methods by 30.77% to 70%. In addition to achieving high accuracy, our proposed method requires neither human-interactions nor priors (e.g., iso-surface extraction). The main significance of our study is twofold: 1) the employment of light-weighted neural networks which indicates the applicability of neural network in extracting pose cues that can be easily obtained and 2) the introduction of an optimal cluster-based registration method that can avoid metal artifacts during the matching procedures., Comment: 9 pages, 6 figures

Objective: Herein, a neural network-based liver segmentation algorithm is proposed, and its performance was evaluated using abdominal computed tomography (CT) images. Methods: A fully convolutional network was developed to overcome the volumetric image segmentation problem. To guide a neural network to accurately delineate a target liver object, the network was deeply supervised by applying the adaptive self-supervision scheme to derive the essential contour, which acted as a complement with the global shape. The discriminative contour, shape, and deep features were internally merged for the segmentation results. Results and Conclusion: 160 abdominal CT images were used for training and validation. The quantitative evaluation of the proposed network was performed through an eight-fold cross-validation. The result showed that the method, which uses the contour feature, segmented the liver more accurately than the state-of-the-art with a 2.13% improvement in the dice score. Significance: In this study, a new framework was introduced to guide a neural network and learn complementary contour features. The proposed neural network demonstrates that the guided contour features can significantly improve the performance of the segmentation task., Comment: 10 pages, 9 figures