Label-Free Liver Tumor Segmentation
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Abstract (arXiv)
We demonstrate that AI models can accurately segment liver tumors without the need for manual annotation by using synthetic tumors in CT scans. Our synthetic tumors have two intriguing advantages: (I) realistic in shape and texture, which even medical professionals can confuse with real tumors; (II) effective for training AI models, which can perform liver tumor segmentation similarly to the model trained on real tumors -- this result is exciting because no existing work, using synthetic tumors only, has thus far reached a similar or even close performance to real tumors. This result also implies that manual efforts for annotating tumors voxel by voxel (which took years to create) can be significantly reduced in the future. Moreover, our synthetic tumors can automatically generate many examples of small (or even tiny) synthetic tumors and have the potential to improve the success rate of detecting small liver tumors, which is critical for detecting the early stages of cancer. In addition to enriching the training data, our synthesizing strategy also enables us to rigorously assess the AI robustness.
Key facts. Cited by 56 papers in the map (data through 7 Oct 2026). Builds on 40 of its 77 references that are in the map. First posted on arXiv 27 Mar 2023.
Builds on
40 of 77 references.
References · 40
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- 2022Self-Supervised Masking for Unsupervised Anomaly Detection and Localizationcited by 43
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- 2020Automated Synthetic-to-Real Generalizationcited by 35
- 2021Contrastive Syn-to-Real Generalizationcited by 32
- 2019Synthesizing Diverse Lung Nodules Wherever Massively: 3D Multi-Conditional GAN-based CT Image Augmentation for Object Detectioncited by 29
- 2018Deep Nets: What have they ever done for Vision?cited by 23
- 2021Anomaly Detection via Self-organizing Mapcited by 18
- 2021Free-form tumor synthesis in computed tomography images via richer generative adversarial networkcited by 16
- 2022Synthetic Tumors Make AI Segment Tumors Bettercited by 14
- 2021METGAN: Generative Tumour Inpainting and Modality Synthesis in Light Sheet Microscopycited by 9
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Citing papers per year: 2023: 9; 2024: 24; 2025: 17; 2026: 6.
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- 2025Lung-DDPM+: Efficient Thoracic CT Image Synthesis using Diffusion Probabilistic Model12 Aug 2025
- 2025TumorGen: Boundary-Aware Tumor-Mask Synthesis with Rectified Flow Matching30 May 2025
- 2025Advancing Generalizable Tumor Segmentation with Anomaly-Aware Open-Vocabulary Attention Maps and Frozen Foundation Diffusion Models5 May 2025
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