# UNet Architectures in Multiplanar Volumetric Segmentation -- Validated on Three Knee MRI Cohorts

arXiv: https://arxiv.org/abs/2203.08194 · HTML: https://mlsanity.com/paper/2203.08194/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 12 of its 41 references that are in the map.
- First posted on arXiv 15 Mar 2022.

## Builds on (most cited first, 12 of 12)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Batch Normalization: Accelerating Deep Network Training by Reducing Internal Covariate Shift](https://mlsanity.com/paper/1502.03167/) (2015)
- [DeepLab: Semantic Image Segmentation with Deep Convolutional Nets, Atrous Convolution, and Fully Connected CRFs](https://mlsanity.com/paper/1606.00915/) (2016)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [UNet 3+: A Full-Scale Connected UNet for Medical Image Segmentation](https://mlsanity.com/paper/2004.08790/) (2020)
- [The Importance of Skip Connections in Biomedical Image Segmentation](https://mlsanity.com/paper/1608.04117/) (2016)
- [Semi-Supervised Multi-Organ Segmentation via Deep Multi-Planar Co-Training](https://mlsanity.com/paper/1804.02586/) (2018)
- [LadderNet: Multi-path networks based on U-Net for medical image segmentation](https://mlsanity.com/paper/1810.07810/) (2018)
- [One Network to Segment Them All: A General, Lightweight System for Accurate 3D Medical Image Segmentation](https://mlsanity.com/paper/1911.01764/) (2019)
- [Multimodal Machine Learning-based Knee Osteoarthritis Progression Prediction from Plain Radiographs and Clinical Data](https://mlsanity.com/paper/1904.06236/) (2019)
- [Simple Methods for Scanner Drift Normalization Validated for Automatic Segmentation of Knee Magnetic Resonance Imaging - with data from the Osteoarthritis Initiative](https://mlsanity.com/paper/1712.08425/) (2017)

## Built on by (most cited first, 1 of 1)

- [A Simple and Robust Framework for Cross-Modality Medical Image Segmentation applied to Vision Transformers](https://mlsanity.com/paper/2310.05572/) (2023)

## Abstract (arXiv)

UNet has become the gold standard method for segmenting 2D medical images that any new method must be validated against. However, in recent years, several variations of the seminal UNet have been proposed with promising results. However, there is no clear consensus on the generalisability of these architectures, and UNet currently remains the methodological gold standard. The purpose of this study was to evaluate some of the most promising UNet-inspired architectures for 3D segmentation. For the segmentation of 3D scans, UNet-inspired methods are also dominant, but there is a larger variety across applications. By evaluating the architectures in a different dimensionality, embedded in a different method, and for a different task, we aimed to evaluate if any of these UNet-alternatives are promising as a new gold standard that generalizes even better than UNet. Specifically, we investigated the architectures as the central 2D segmentation core in the Multi-Planar Unet 3D segmentation method that previously demonstrated excellent generalization in the MICCAI Segmentation Decathlon. Generalisability can be demonstrated if a promising UNet-variant consistently outperforms UNet in this setting. For this purpose, we evaluated four architectures for cartilage segmentation from three different cohorts with knee MRIs.