PMID- 36179380 OWN - NLM STAT- MEDLINE DCOM- 20221024 LR - 20221122 IS - 1361-8423 (Electronic) IS - 1361-8415 (Linking) VI - 82 DP - 2022 Nov TI - Fast and Low-GPU-memory abdomen CT organ segmentation: The FLARE challenge. PG - 102616 LID - S1361-8415(22)00244-4 [pii] LID - 10.1016/j.media.2022.102616 [doi] AB - Automatic segmentation of abdominal organs in CT scans plays an important role in clinical practice. However, most existing benchmarks and datasets only focus on segmentation accuracy, while the model efficiency and its accuracy on the testing cases from different medical centers have not been evaluated. To comprehensively benchmark abdominal organ segmentation methods, we organized the first Fast and Low GPU memory Abdominal oRgan sEgmentation (FLARE) challenge, where the segmentation methods were encouraged to achieve high accuracy on the testing cases from different medical centers, fast inference speed, and low GPU memory consumption, simultaneously. The winning method surpassed the existing state-of-the-art method, achieving a 19x faster inference speed and reducing the GPU memory consumption by 60% with comparable accuracy. We provide a summary of the top methods, make their code and Docker containers publicly available, and give practical suggestions on building accurate and efficient abdominal organ segmentation models. The FLARE challenge remains open for future submissions through a live platform for benchmarking further methodology developments at https://flare.grand-challenge.org/. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Ma, Jun AU - Ma J AD - Department of Mathematics, Nanjing University of Science and Technology, 210094, Nanjing, China. FAU - Zhang, Yao AU - Zhang Y AD - Institute of Computing Technology, Chinese Academy of Sciences and the University of Chinese Academy of Sciences, 100019, Beijing, China. FAU - Gu, Song AU - Gu S AD - Department of Image Reconstruction, Nanjing Anke Medical Technology Co., Ltd., 211113, Nanjing, China. FAU - An, Xingle AU - An X AD - Infervision Technology Co. Ltd., 100020, Beijing, China. FAU - Wang, Zhihe AU - Wang Z AD - Shenzhen Haichuang Medical Co., Ltd., 518049, Shenzhen, China. FAU - Ge, Cheng AU - Ge C AD - Institute of Bioinformatics and Medical Engineering, Jiangsu University of Technology, 213001, Changzhou, China. FAU - Wang, Congcong AU - Wang C AD - School of Computer Science and Engineering, Tianjin University of Technology, 300384, Tianjin, China; Engineering Research Center of Learning-Based Intelligent System, Ministry of Education, 300384, Tianjin, China. FAU - Zhang, Fan AU - Zhang F AD - Radiological Algorithm, Fosun Aitrox Information Technology Co., Ltd., 200033, Shanghai, China. FAU - Wang, Yu AU - Wang Y AD - Radiological Algorithm, Fosun Aitrox Information Technology Co., Ltd., 200033, Shanghai, China. FAU - Xu, Yinan AU - Xu Y AD - Key Lab of Intelligent Perception and Image Understanding of Ministry of Education, Xidian University, 710071, Shaanxi, China. FAU - Gou, Shuiping AU - Gou S AD - Key Lab of Intelligent Perception and Image Understanding of Ministry of Education, Xidian University, 710071, Shaanxi, China. FAU - Thaler, Franz AU - Thaler F AD - Gottfried Schatz Research Center: Biophysics, Medical University of Graz, 8010, Graz, Austria; Institute of Computer Graphics and Vision, Graz University of Technology, 8010, Graz, Austria. FAU - Payer, Christian AU - Payer C AD - Institute of Computer Graphics and Vision, Graz University of Technology, 8010, Graz, Austria. FAU - Stern, Darko AU - Stern D AD - Gottfried Schatz Research Center: Biophysics, Medical University of Graz, 8010, Graz, Austria. FAU - Henderson, Edward G A AU - Henderson EGA AD - Division of Cancer Sciences, The University of Manchester, M139PL, Manchester, UK; Radiotherapy Related Research, The Christie NHS Foundation Trust, M139PL, Manchester, UK. FAU - McSweeney, Donal M AU - McSweeney DM AD - Division of Cancer Sciences, The University of Manchester, M139PL, Manchester, UK; Radiotherapy Related Research, The Christie NHS Foundation Trust, M139PL, Manchester, UK. FAU - Green, Andrew AU - Green A AD - Division of Cancer Sciences, The University of Manchester, M139PL, Manchester, UK; Radiotherapy Related Research, The Christie NHS Foundation Trust, M139PL, Manchester, UK. FAU - Jackson, Price AU - Jackson P AD - Peter MacCallum Cancer Centre, 3000, Melbourne, Australia. FAU - McIntosh, Lachlan AU - McIntosh L AD - Peter MacCallum Cancer Centre, 3000, Melbourne, Australia. FAU - Nguyen, Quoc-Cuong AU - Nguyen QC AD - University of Information Technology, VNU-HCM, 700000, Ho Chi Minh City, Viet Nam. FAU - Qayyum, Abdul AU - Qayyum A AD - Brest National School of Engineering, UMR CNRS 6285 LabSTICC, 29280, Brest, France. FAU - Conze, Pierre-Henri AU - Conze PH AD - IMT Atlantique, LaTIM UMR 1101, Inserm, 29238, Brest, France. FAU - Huang, Ziyan AU - Huang Z AD - Institute of Medical Robotics, Shanghai Jiao Tong University, 200240, Shanghai, China. FAU - Zhou, Ziqi AU - Zhou Z AD - Guangdong Key Laboratory of Intelligent Information Processing, Shenzhen University, 518000, Shenzhen, China. FAU - Fan, Deng-Ping AU - Fan DP AD - College of Computer Science, Nankai University, 300071, Tianjin, China; Inception Institute of Artificial Intelligence, Abu Dhabi, United Arab Emirates. FAU - Xiong, Huan AU - Xiong H AD - Mohamed bin Zayed University of Artificial Intelligence, Abu Dhabi, United Arab Emirates; Harbin Institute of Technology, 150001, Harbin, China. FAU - Dong, Guoqiang AU - Dong G AD - Department of Nuclear Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, 210008, Nanjing, China; Department of Interventional Radiology, The Second Affiliated Hospital of Bengbu Medical College, 233017, Bengbu, China. FAU - Zhu, Qiongjie AU - Zhu Q AD - Department of Nuclear Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, 210008, Nanjing, China; Department of Radiology, Shidong Hospital, 200438, Shanghai, China. FAU - He, Jian AU - He J AD - Department of Nuclear Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, 210008, Nanjing, China. FAU - Yang, Xiaoping AU - Yang X AD - Department of Mathematics, Nanjing University, 210093, Nanjing, China. Electronic address: xpyang@nju.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220913 PL - Netherlands TA - Med Image Anal JT - Medical image analysis JID - 9713490 SB - IM MH - Humans MH - *Algorithms MH - *Tomography, X-Ray Computed/methods MH - Abdomen/diagnostic imaging MH - Benchmarking MH - Image Processing, Computer-Assisted/methods OTO - NOTNLM OT - Abdominal organ OT - Efficiency OT - Multi-center OT - Segmentation COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/10/01 06:00 MHDA- 2022/10/25 06:00 CRDT- 2022/09/30 18:13 PHST- 2022/01/13 00:00 [received] PHST- 2022/06/26 00:00 [revised] PHST- 2022/09/02 00:00 [accepted] PHST- 2022/10/01 06:00 [pubmed] PHST- 2022/10/25 06:00 [medline] PHST- 2022/09/30 18:13 [entrez] AID - S1361-8415(22)00244-4 [pii] AID - 10.1016/j.media.2022.102616 [doi] PST - ppublish SO - Med Image Anal. 2022 Nov;82:102616. doi: 10.1016/j.media.2022.102616. Epub 2022 Sep 13.