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Automated segmentation of lesions and organs at risk on [68Ga]Ga-PSMA-11 PET/CT images using self-supervised learning with Swin UNETR

2024-02-29Cancer Imaging 2024Code Available1· sign in to hype

Elmira Yazdani, Najme Karamzadeh-Ziarati, Seyyed Saeid Cheshmi, Mahdi Sadeghi, Parham Geramifar, Habibeh Vosoughi, Mahmood Kazemi Jahromi, Saeed Reza Kheradpisheh

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Abstract

Prostate-specific membrane antigen (PSMA) PET/CT imaging is widely used for quantitative image analysis, especially in radioligand therapy (RLT) for metastatic castration-resistant prostate cancer (mCRPC). Unknown features influencing PSMA biodistribution can be explored by analyzing segmented organs at risk (OAR) and lesions. Manual segmentation is time-consuming and labor-intensive, so automated segmentation methods are desirable. Training deep-learning segmentation models is challenging due to the scarcity of high-quality annotated images. Addressing this, we developed shifted windows UNEt TRansformers (Swin UNETR) for fully automated segmentation. Within a self-supervised framework, the model’s encoder was pre-trained on unlabeled data. The entire model was fine-tuned, including its decoder, using labeled data.

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