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Abstract #1954

Cerebral Artery Segmentation with Limited Data: Using Hierarchical Transformers

Song Tian1, Sicong Huang1, Zhixuan Song1, Jingyu Xie1, Shanshan Jiang1, Tianwei Zhang2, Wenjing Zhang2, and Su Lui2
1CTS, Philips Healthcare, Beijing, China, 2Department of Radiology, and Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China

Synopsis

Keywords: Analysis/Processing, Machine Learning/Artificial Intelligence

Motivation: Transformer networks have demonstrated their effectiveness in both large-scale natural language processing and 2D image analysis tasks. However, their potential in 3D medical image analysis, particularly on small training datasets, remains unexplored.

Goal(s): Leveraging transformer-based models to attain highly accurate cerebral artery segmentation in 3D TOF-MRA images.

Approach: SwinUNETR with a hard example mining loss function to perform cerebral artery segmentation on the public dataset CAS2023.

Results: We obtained an average Dice score of 0.844 and 0.889 for the stenosis area, a normalized Hausdorff distance of 0.888 and 0.8444 for the stenosis area, along with a weighted Dice and Hausdorff score of 0.867.

Impact: We used fewer than 100 cases to train a transformer model for artery segmentation, indicating that transformers have the potential to replace CNNs in the processing of 3D TOF-MRA medical images, even with a small training dataset.

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