ArticleJapanese journal of radiology2026
Evaluation of 2D and 3D nnU-Net models with two-label and three-label strategies for automatic segmentation and total metabolic tumor volume estimation of metastatic differentiated thyroid carcinoma on FDG-PET/CT.
Article in Japanese journal of radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo evaluate the segmentation performance and total metabolic tumor volume (TMTV) prediction accuracy of 2D and 3D nnU-Net models under two-label and three-label strategies for metastatic differentiated thyroid carcinoma (DTC) on FDG PET/CT images. MATERIALS AND
methodsA total of 194 patients with FDG-avid metastatic DTC who underwent PET/CT prior to iodine-131 treatment (2009-2022) were retrospectively analyzed. The dataset was divided into Cohort 1 (n = 160) for five-fold cross-validation and Cohort 2 (n = 34) for independent testing. Both 2D and 3D nnU-Net architectures were trained under two-label and three-label schemes. Segmentation performance was assessed using the Dice similarity coefficient (DSC). TMTV prediction was evaluated using the coefficient of determination (R
resultsUnder the two-label scheme, mean DSC values in Cohort 1 were 0.63 ± 0.28 (2D) and 0.60 ± 0.34 (3D), and in Cohort 2 were 0.60 ± 0.31 and 0.50 ± 0.32, respectively. Under the three-label scheme, mean DSC values in Cohort 1 were 0.66 ± 0.28 (2D) and 0.70 ± 0.30 (3D), and in Cohort 2 were 0.61 ± 0.33 and 0.61 ± 0.35, respectively. For TMTV prediction, R
conclusionThe 2D and 3D nnU-Net models demonstrated comparable performance for segmentation and TMTV prediction under both two-label and three-label strategies. While labeling strategy influenced segmentation metrics, systematic underestimation of TMTV was observed across architectures.
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