# Automatic Segmentation of Gross Target Volume of Nasopharynx Cancer using Ensemble of Multiscale Deep Neural Networks with Spatial Attention

arXiv: https://arxiv.org/abs/2101.11254 · HTML: https://mlsanity.com/paper/2101.11254/

## Key facts

- Cited by 5 papers in the map (data through 14 Oct 2026).
- Builds on 26 of its 43 references that are in the map.
- First posted on arXiv 27 Jan 2021.

## Builds on (most cited first, 26 of 26)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Simple and Scalable Predictive Uncertainty Estimation using Deep Ensembles](https://mlsanity.com/paper/1612.01474/) (2016)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [What Uncertainties Do We Need in Bayesian Deep Learning for Computer Vision?](https://mlsanity.com/paper/1703.04977/) (2017)
- [Non-local Neural Networks](https://mlsanity.com/paper/1711.07971/) (2017)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [Dual Attention Network for Scene Segmentation](https://mlsanity.com/paper/1809.02983/) (2018)
- [CCNet: Criss-Cross Attention for Semantic Segmentation](https://mlsanity.com/paper/1811.11721/) (2018)
- [Identifying the Best Machine Learning Algorithms for Brain Tumor Segmentation, Progression Assessment, and Overall Survival Prediction in the BRATS Challenge](https://mlsanity.com/paper/1811.02629/) (2018)
- [Aleatoric uncertainty estimation with test-time augmentation for medical image segmentation with convolutional neural networks](https://mlsanity.com/paper/1807.07356/) (2018)
- [Efficient Multi-Scale 3D CNN with Fully Connected CRF for Accurate Brain Lesion Segmentation](https://mlsanity.com/paper/1603.05959/) (2016)
- [Bayesian Deep Convolutional Encoder-Decoder Networks for Surrogate Modeling and Uncertainty Quantification](https://mlsanity.com/paper/1801.06879/) (2018)
- [Attention to Scale: Scale-aware Semantic Image Segmentation](https://mlsanity.com/paper/1511.03339/) (2015)
- [Tell Me Where to Look: Guided Attention Inference Network](https://mlsanity.com/paper/1802.10171/) (2018)
- [Pyramid Attention Network for Semantic Segmentation](https://mlsanity.com/paper/1805.10180/) (2018)
- [Concurrent Spatial and Channel Squeeze & Excitation in Fully Convolutional Networks](https://mlsanity.com/paper/1803.02579/) (2018)
- [AnatomyNet: Deep Learning for Fast and Fully Automated Whole-volume Segmentation of Head and Neck Anatomy](https://mlsanity.com/paper/1808.05238/) (2018)
- [On the Effect of Inter-observer Variability for a Reliable Estimation of Uncertainty of Medical Image Segmentation](https://mlsanity.com/paper/1806.02562/) (2018)
- [3D Segmentation with Exponential Logarithmic Loss for Highly Unbalanced Object Sizes](https://mlsanity.com/paper/1809.00076/) (2018)
- [On the Compactness, Efficiency, and Representation of 3D Convolutional Networks: Brain Parcellation as a Pretext Task](https://mlsanity.com/paper/1707.01992/) (2017)
- [MMFNet: A Multi-modality MRI Fusion Network for Segmentation of Nasopharyngeal Carcinoma](https://mlsanity.com/paper/1812.10033/) (2018)
- [`Project & Excite' Modules for Segmentation of Volumetric Medical Scans](https://mlsanity.com/paper/1906.04649/) (2019)
- [Evaluation of Multi-Slice Inputs to Convolutional Neural Networks for Medical Image Segmentation](https://mlsanity.com/paper/1912.09287/) (2019)

## Built on by (most cited first, 5 of 5)

- [Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysis](https://mlsanity.com/paper/2210.03736/) (2022)
- [SegRap2023: A Benchmark of Organs-at-Risk and Gross Tumor Volume Segmentation for Radiotherapy Planning of Nasopharyngeal Carcinoma](https://mlsanity.com/paper/2312.09576/) (2023)
- [AWSnet: An Auto-weighted Supervision Attention Network for Myocardial Scar and Edema Segmentation in Multi-sequence Cardiac Magnetic Resonance Images](https://mlsanity.com/paper/2201.05344/) (2022)
- [DiverGAN: An Efficient and Effective Single-Stage Framework for Diverse Text-to-Image Generation](https://mlsanity.com/paper/2111.09267/) (2021)
- [Leveraging Semantic Asymmetry for Precise Gross Tumor Volume Segmentation of Nasopharyngeal Carcinoma in Planning CT](https://mlsanity.com/paper/2411.18290/) (2024)

## Abstract (arXiv)

Radiotherapy is the main treatment modality for nasopharynx cancer. Delineation of Gross Target Volume (GTV) from medical images such as CT and MRI images is a prerequisite for radiotherapy. As manual delineation is time-consuming and laborious, automatic segmentation of GTV has a potential to improve this process. Currently, most of the deep learning-based automatic delineation methods of GTV are mainly performed on medical images like CT images. However, it is challenged by the low contrast between the pathology regions and surrounding soft tissues, small target region, and anisotropic resolution of clinical CT images. To deal with these problems, we propose a 2.5D Convolutional Neural Network (CNN) to handle the difference of inplane and through-plane resolution. Furthermore, we propose a spatial attention module to enable the network to focus on small target, and use channel attention to further improve the segmentation performance. Moreover, we use multi-scale sampling method for training so that the networks can learn features at different scales, which are combined with a multi-model ensemble method to improve the robustness of segmentation results. We also estimate the uncertainty of segmentation results based on our model ensemble, which is of great importance for indicating the reliability of automatic segmentation results for radiotherapy planning.