# propnet: Propagating 2D Annotation to 3D Segmentation for Gastric Tumors on CT Scans

arXiv: https://arxiv.org/abs/2305.17871 · HTML: https://mlsanity.com/paper/2305.17871/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 22 of its 61 references that are in the map.
- First posted on arXiv 29 May 2023.

## Builds on (most cited first, 22 of 22)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [SGDR: Stochastic Gradient Descent with Warm Restarts](https://mlsanity.com/paper/1608.03983/) (2016)
- [Model-Agnostic Meta-Learning for Fast Adaptation of Deep Networks](https://mlsanity.com/paper/1703.03400/) (2017)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [Prototypical Networks for Few-shot Learning](https://mlsanity.com/paper/1703.05175/) (2017)
- [Pyramid Scene Parsing Network](https://mlsanity.com/paper/1612.01105/) (2016)
- [Rethinking Atrous Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1706.05587/) (2017)
- [Learning to Compare: Relation Network for Few-Shot Learning](https://mlsanity.com/paper/1711.06025/) (2017)
- [On First-Order Meta-Learning Algorithms](https://mlsanity.com/paper/1803.02999/) (2018)
- [Training Region-based Object Detectors with Online Hard Example Mining](https://mlsanity.com/paper/1604.03540/) (2016)
- [One-Shot Learning for Semantic Segmentation](https://mlsanity.com/paper/1709.03410/) (2017)
- [CANet: Class-Agnostic Segmentation Networks with Iterative Refinement and Attentive Few-Shot Learning](https://mlsanity.com/paper/1903.02351/) (2019)
- [SG-One: Similarity Guidance Network for One-Shot Semantic Segmentation](https://mlsanity.com/paper/1810.09091/) (2018)
- [FSS-1000: A 1000-Class Dataset for Few-Shot Segmentation](https://mlsanity.com/paper/1907.12347/) (2019)
- [Towards a Neural Statistician](https://mlsanity.com/paper/1606.02185/) (2016)
- [Learning feed-forward one-shot learners](https://mlsanity.com/paper/1606.05233/) (2016)
- [Neural Optimizer Search with Reinforcement Learning](https://mlsanity.com/paper/1709.07417/) (2017)
- ['Squeeze & Excite' Guided Few-Shot Segmentation of Volumetric Images](https://mlsanity.com/paper/1902.01314/) (2019)
- [Few-shot Medical Image Segmentation using a Global Correlation Network with Discriminative Embedding](https://mlsanity.com/paper/2012.05440/) (2020)

## Abstract (arXiv)

**Background:** Accurate 3D CT scan segmentation of gastric tumors is pivotal for diagnosis and treatment. The challenges lie in the irregular shapes, blurred boundaries of tumors, and the inefficiency of existing methods. **Purpose:** We conducted a study to introduce a model, utilizing human-guided knowledge and unique modules, to address the challenges of 3D tumor segmentation. **Methods:** We developed the PropNet framework, propagating radiologists' knowledge from 2D annotations to the entire 3D space. This model consists of a proposing stage for coarse segmentation and a refining stage for improved segmentation, using two-way branches for enhanced performance and an up-down strategy for efficiency. **Results:** With 98 patient scans for training and 30 for validation, our method achieves a significant agreement with manual annotation (Dice of 0.803) and improves efficiency. The performance is comparable in different scenarios and with various radiologists' annotations (Dice between 0.785 and 0.803). Moreover, the model shows improved prognostic prediction performance (C-index of 0.620 vs. 0.576) on an independent validation set of 42 patients with advanced gastric cancer. **Conclusions:** Our model generates accurate tumor segmentation efficiently and stably, improving prognostic performance and reducing high-throughput image reading workload. This model can accelerate the quantitative analysis of gastric tumors and enhance downstream task performance.