Abstract:Purpose To develop a deep learning model for multi-anatomy and many-class segmentation of diverse anatomic structures on MRI imaging. Materials and Methods In this retrospective study, two datasets were curated and annotated for model development and evaluation. An internal dataset of 1022 MRI sequences from various clinical sites within a health system and an external dataset of 264 MRI sequences from an independent imaging center were collected. In both datasets, 49 anatomic structures were annotated as the ground truth. The internal dataset was divided into training, validation, and test sets and used to train and evaluate an nnU-Net model. The external dataset was used to evaluate nnU-Net model generalizability and performance in all classes on independent imaging data. Dice scores were calculated to evaluate model segmentation performance. Results The model achieved an average Dice score of 0.801 on the internal test set, and an average score of 0.814 on the complete external dataset across 49 classes. Conclusion The developed model achieves robust and generalizable segmentation of 49 anatomic structures on MRI imaging. A future direction is focused on the incorporation of additional anatomic regions and structures into the datasets and model.