# A novel shape-based loss function for machine learning-based seminal organ segmentation in medical imaging

arXiv: https://arxiv.org/abs/2203.03336 · HTML: https://mlsanity.com/paper/2203.03336/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 11 of its 49 references that are in the map.
- First posted on arXiv 7 Mar 2022.

## Builds on (most cited first, 11 of 11)

- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [A large annotated medical image dataset for the development and evaluation of segmentation algorithms](https://mlsanity.com/paper/1902.09063/) (2019)
- [CNN-based Segmentation of Medical Imaging Data](https://mlsanity.com/paper/1701.03056/) (2017)
- [3D Deeply Supervised Network for Automatic Liver Segmentation from CT Volumes](https://mlsanity.com/paper/1607.00582/) (2016)
- [Automatic Liver and Lesion Segmentation in CT Using Cascaded Fully Convolutional Neural Networks and 3D Conditional Random Fields](https://mlsanity.com/paper/1610.02177/) (2016)
- [On the Compactness, Efficiency, and Representation of 3D Convolutional Networks: Brain Parcellation as a Pretext Task](https://mlsanity.com/paper/1707.01992/) (2017)
- [A survey on shape-constraint deep learning for medical image segmentation](https://mlsanity.com/paper/2101.07721/) (2021)
- [Deep Active Contours](https://mlsanity.com/paper/1607.05074/) (2016)
- [Organ at Risk Segmentation in Head and Neck CT Images by Using a Two-Stage Segmentation Framework Based on 3D U-Net](https://mlsanity.com/paper/1809.00960/) (2018)
- [Generalized Wasserstein Dice Score, Distributionally Robust Deep Learning, and Ranger for brain tumor segmentation: BraTS 2020 challenge](https://mlsanity.com/paper/2011.01614/) (2020)
- [Automated lung segmentation from CT images of normal and COVID-19 pneumonia patients](https://mlsanity.com/paper/2104.02042/) (2021)

## Abstract (arXiv)

Automated medical image segmentation is an essential task to aid/speed up diagnosis and treatment procedures in clinical practices. Deep convolutional neural networks have exhibited promising performance in accurate and automatic seminal segmentation. For segmentation tasks, these methods normally rely on minimizing a cost/loss function that is designed to maximize the overlap between the estimated target and the ground-truth mask delineated by the experts. A simple loss function based on the degrees of overlap (i.e., Dice metric) would not take into account the underlying shape and morphology of the target subject, as well as its realistic/natural variations; therefore, suboptimal segmentation results would be observed in the form of islands of voxels, holes, and unrealistic shapes or deformations. In this light, many studies have been conducted to refine/post-process the segmentation outcome and consider an initial guess as prior knowledge to avoid outliers and/or unrealistic estimations. In this study, a novel shape-based cost function is proposed which encourages/constrains the network to learn/capture the underlying shape features in order to generate a valid/realistic estimation of the target structure. To this end, the Principal Component Analysis (PCA) was performed on a vectorized training dataset to extract eigenvalues and eigenvectors of the target subjects. The key idea was to use the reconstruction weights to discriminate valid outcomes from outliers/erroneous estimations.
