With a typical slice-by-slice labeling fashion, the manual contouring process is subject to large intra-observer variation, especially for small-sized intracranial arteries. We propose an iterative refinement approach for ground truth contours with the help of deep neural networks for intracranial lumen and vessel wall segmentations. We demonstrate that the approach improved the smoothness of the predicted contours and feature quantification, which can potentially boost the robustness of a neural network as a consequence of the reduced uncertainty in expert labels.
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