The development of neural networks with intra- and inter-block dense connections for improved liver tumor segmentation
Yizhuo Xu , Shen Huang , Shanshan Zhao , Yiyang Zhang , Ziyang Huang
Artificial Intelligence in Health ›› 2025, Vol. 2 ›› Issue (2) : 60 -72.
The development of neural networks with intra- and inter-block dense connections for improved liver tumor segmentation
Automatic liver tumor segmentation is an essential part of computer-aided diagnosis systems. Despite the significant progress made by fully convolutional neural networks (FCNs) in recent years, existing methods fail to effectively segment multiscale tumors and accurately delineate tumor boundaries. This indicates that the single-connection network structure overly relies on the high-level semantic information of the image but fails to fully utilize the spatial information of the target across different levels. To solve these problems, we introduce a novel end-to-end segmentation network, named intra- and inter-block densely connected FCN (I2-DenseFCN). This network comprising intra-block and inter-block dense connections in the encoder and decoder, respectively, is developed to effectively handle the segmentation of multiscale tumors. We also designed a hybrid loss function to achieve more accurate tumor boundary delineation by adaptively adjusting the optimization of the cross-entropy and Lovász Softmax loss. In addition, we are the first to propose an intensity-adaptive image pre-processing method that effectively mitigates the differences between real-world medical scenarios and model inference for liver tumor segmentation tasks. Our training data, derived from the Liver Tumor Segmentation Challenge (LiTS) public dataset, have been expanded to 25,755 samples of liver and their tumors through data augmentation techniques. Experimental evaluations on the LiTS and 3DIRCADb databases demonstrated the superiority of the proposed I2-DenseFCN over classical methods. We believe this research will contribute to the field of tumor segmentation using AI-based medical image processing methods, which is a promising application in computer-aided diagnosis systems.
Liver tumor segmentation / Deep learning / Multiscale tumors / Computed tomography imaging / Artificial intelligence / AI diagnostics
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