# A Coarse-to-fine Morphological Approach With Knowledge-based Rules and Self-adapting Correction for Lung Nodules Segmentation

arXiv: https://arxiv.org/abs/2202.03433 · HTML: https://mlsanity.com/paper/2202.03433/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 6 of its 24 references that are in the map.
- First posted on arXiv 7 Feb 2022.

## Builds on (most cited first, 6 of 6)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [nnU-Net: Self-adapting Framework for U-Net-Based Medical Image Segmentation](https://mlsanity.com/paper/1809.10486/) (2018)
- [Transferable Visual Words: Exploiting the Semantics of Anatomical Patterns for Self-supervised Learning](https://mlsanity.com/paper/2102.10680/) (2021)
- [Learning Semantics-enriched Representation via Self-discovery, Self-classification, and Self-restoration](https://mlsanity.com/paper/2007.06959/) (2020)
- [Explainable Deep Learning in Healthcare: A Methodological Survey from an Attribution View](https://mlsanity.com/paper/2112.02625/) (2021)
- [Towards radiologist-level cancer risk assessment in CT lung screening using deep learning](https://mlsanity.com/paper/1804.01901/) (2018)

## Abstract (arXiv)

The segmentation module which precisely outlines the nodules is a crucial step in a computer-aided diagnosis(CAD) system. The most challenging part of such a module is how to achieve high accuracy of the segmentation, especially for the juxtapleural, non-solid and small nodules. In this research, we present a coarse-to-fine methodology that greatly improves the thresholding method performance with a novel self-adapting correction algorithm and effectively removes noisy pixels with well-defined knowledge-based principles. Compared with recent strong morphological baselines, our algorithm, by combining dataset features, achieves state-of-the-art performance on both the public LIDC-IDRI dataset (DSC 0.699) and our private LC015 dataset (DSC 0.760) which closely approaches the SOTA deep learning-based models' performances. Furthermore, unlike most available morphological methods that can only segment the isolated and well-circumscribed nodules accurately, the precision of our method is totally independent of the nodule type or diameter, proving its applicability and generality.