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ClawGUI: A Unified Framework for Training, Evaluating, and Deploying GUI Agents On the Robustness of Watermarking for Autoregressive Image Generation Revisiting Compositionality in Dual-Encoder Vision-Language Models: The Role of Inference Anthropogenic Regional Adaptation in Multimodal Vision-Language Model From Redaction to Restoration: Deep Learning for Medical Image Anonymization and Reconstruction The Salami Slicing Threat: Exploiting Cumulative Risks in LLM Systems BoxTuning: Directly Injecting the Object Box for Multimodal Model Fine-Tuning Semantic-Geometric Dual Compression: Training-Free Visual Token Reduction for Ultra-High-Resolution Remote Sensing Understanding Lightweight Low-Light Image Enhancement via Distribution-Normalizing Preprocessing and Depthwise U-Net Back to the Barn with LLAMAs: Evolving Pretrained LLM Backbones in Finetuning Vision Language Models Pseudo-Unification: Entropy Probing Reveals Divergent Information Patterns in Unified Multimodal Models QShield: Securing Neural Networks Against Adversarial Attacks using Quantum Circuits Evaluating the Impact of Medical Image Reconstruction on Downstream AI Fairness and Performance Retinal Cyst Detection from Optical Coherence Tomography Images LoViF 2026 The First Challenge on Weather Removal in Videos STORM: End-to-End Referring Multi-Object Tracking in Videos Data-Efficient Surgical Phase Segmentation in Small-Incision Cataract Surgery: A Controlled Study of Vision Foundation Models Rethinking the Diffusion Model from a Langevin Perspective Zero-shot World Models Are Developmentally Efficient Learners Edu-MMBias: A Three-Tier Multimodal Benchmark for Auditing Social Bias in Vision-Language Models under Educational Contexts VGA-Bench: A Unified Benchmark and Multi-Model Framework for Video Aesthetics and Generation Quality Evaluation Degradation-Consistent Paired Training for Robust AI-Generated Image Detection FREE-Switch: Frequency-based Dynamic LoRA Switch for Style Transfer Demographic and Linguistic Bias Evaluation in Omnimodal Language Models FlowPalm: Optical Flow Driven Non-Rigid Deformation for Geometrically Diverse Palmprint Generation Cross-Cultural Value Awareness in Large Vision-Language Models I Walk the Line: Examining the Role of Gestalt Continuity in Object Binding for Vision Transformers GLEaN: A Text-to-image Bias Detection Approach for Public Comprehension From UAV Imagery to Agronomic Reasoning: A Multimodal LLM Benchmark for Plant Phenotyping Not Your Stereo-Typical Estimator: Combining Vision and Language for Volume Perception
Automated surgical planning with nnU-Net: delineation of ...
Karin A. Olthof, Matteo Fusagli, Bianca Güttner, Tiziano Natali, · 2025-08-19 · via cs.CV updates on arXiv.org

Background: The aim of this study was to develop and evaluate a deep learning-based automated segmentation method for hepatic anatomy (i.e., parenchyma, tumors, portal vein, hepatic vein and biliary tree) from the hepatobiliary phase of gadoxetic acid-enhanced MRI. This method should ease the clinical workflow of preoperative planning. Methods: Manual segmentation was performed on hepatobiliary phase MRI scans from 90 consecutive patients who underwent liver surgery between January 2020 and October 2023. A deep learning network (nnU-Net v1) was trained on 72 patients with an extra focus on thin structures and topography preservation. Performance was evaluated on an 18-patient test set by comparing automated and manual segmentations using Dice similarity coefficient (DSC). Following clinical integration, 10 segmentations (assessment dataset) were generated using the network and manually refined for clinical use to quantify required adjustments using DSC. Results: In the test set, DSCs were 0.97+/-0.01 for liver parenchyma, 0.80+/-0.04 for hepatic vein, 0.79+/-0.07 for biliary tree, 0.77+/-0.17 for tumors, and 0.74+/-0.06 for portal vein. Average tumor detection rate was 76.6+/-24.1%, with a median of one false-positive per patient. The assessment dataset showed minor adjustments were required for clinical use of the 3D models, with high DSCs for parenchyma (1.00+/-0.00), portal vein (0.98+/-0.01) and hepatic vein (0.95+/-0.07). Tumor segmentation exhibited greater variability (DSC 0.80+/-0.27). During prospective clinical use, the model detected three additional tumors initially missed by radiologists. Conclusions: The proposed nnU-Net-based segmentation method enables accurate and automated delineation of hepatic anatomy. This enables 3D planning to be applied efficiently as a standard-of-care for every patient undergoing liver surgery.