Pancreas segmentation using a dual-input v-mesh network

Accurate segmentation of the pancreas from abdomen scans is crucial for the diagnosis and treatment of pancreatic diseases. However, the pancreas is a small, soft and elastic abdominal organ with high anatomical variability and has a low tissue contrast in computed tomography (CT) scans, which makes segmentation tasks challenging. To address this challenge, we propose a dual-input v-mesh fully convolutional network (FCN) to segment the pancreas in abdominal CT images. Specifically, dual inputs, i.e., original CT scans and images processed by a contrast-specific graph-based visual saliency (GBVS) algorithm, are simultaneously sent to the network to improve the contrast of the pancreas and other soft tissues. To further enhance the ability to learn context information and extract distinct features, a v-mesh FCN with an attention mechanism is initially utilized. In addition, we propose a spatial transformation and fusion (SF) module to better capture the geometric information of the pancreas and facilitate feature map fusion. We compare the performance of our method with several baseline and state-of-the-art methods on the publicly available NIH dataset. The comparison results show that our proposed dual-input v-mesh FCN model outperforms previous methods in terms of the Dice similarity coefficient (DSC), positive predictive value (PPV), sensitivity (SEN), average surface distance (ASD) and Hausdorff distance (HD). Moreover, ablation studies show that our proposed modules/structures are critical for effective pancreas segmentation. (C) 2021 Elsevier B.V. All rights reserved.