Whole-Body Lesion Segmentation in 18F-FDG PET/CT

There has been growing research interest in using deep learning based method to achieve fully automated segmentation of lesion in Positron emission tomography computed tomography(PET CT) scans for the prognosis of various cancers. Recent advances in the medical image segmentation shows the nnUNET is feasible for diverse tasks. However, lesion segmentation in the PET images is not straightforward, because lesion and physiological uptake has similar distribution patterns. The Distinction of them requires extra structural information in the CT images. The present paper introduces a nnUNet based method for the lesion segmentation task. The proposed model is designed on the basis of the joint 2D and 3D nnUNET architecture to predict lesions across the whole body. It allows for automated segmentation of potential lesions. We evaluate the proposed method in the context of AutoPet Challenge, which measures the lesion segmentation performance in the metrics of dice score, false-positive volume and false-negative volume.