Automated Identification of Failure Cases in Organ at Risk Segmentation Using Distance Metrics: A Study on CT Data

Automated organ at risk (OAR) segmentation is crucial for radiation therapy planning in CT scans, but the generated contours by automated models can be inaccurate, potentially leading to treatment planning issues. The reasons for these inaccuracies could be varied, such as unclear organ boundaries or inaccurate ground truth due to annotation errors. To improve the model's performance, it is necessary to identify these failure cases during the training process and to correct them with some potential post-processing techniques. However, this process can be time-consuming, as traditionally it requires manual inspection of the predicted output. This paper proposes a method to automatically identify failure cases by setting a threshold for the combination of Dice and Hausdorff distances. This approach reduces the time-consuming task of visually inspecting predicted outputs, allowing for faster identification of failure case candidates. The method was evaluated on 20 cases of six different organs in CT images from clinical expert curated datasets. By setting the thresholds for the Dice and Hausdorff distances, the study was able to differentiate between various states of failure cases and evaluate over 12 cases visually. This thresholding approach could be extended to other organs, leading to faster identification of failure cases and thereby improving the quality of radiation therapy planning.

FastEstimator: A Deep Learning Library for Fast Prototyping and Productization

As the complexity of state-of-the-art deep learning models increases by the month, implementation, interpretation, and traceability become ever-more-burdensome challenges for AI practitioners around the world. Several AI frameworks have risen in an effort to stem this tide, but the steady advance of the field has begun to test the bounds of their flexibility, expressiveness, and ease of use. To address these concerns, we introduce a radically flexible high-level open source deep learning framework for both research and industry. We introduce FastEstimator.