ONCOPILOT: A Promptable CT Foundation Model For Solid Tumor Evaluation

Fuente: arXiv
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Main Authors: Machado, Léo, Philippe, Hélène, Ferreres, Élodie, Khlaut, Julien, Dupuis, Julie, Floch, Korentin Le, Gatenyo, Denis Habip, Roux, Pascal, Grégory, Jules, Ronot, Maxime, Dancette, Corentin, Boeken, Tom, Tordjman, Daniel, Manceron, Pierre, Hérent, Paul
Format: Preprint
Published: 2024
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author Machado, Léo
Philippe, Hélène
Ferreres, Élodie
Khlaut, Julien
Dupuis, Julie
Floch, Korentin Le
Gatenyo, Denis Habip
Roux, Pascal
Grégory, Jules
Ronot, Maxime
Dancette, Corentin
Boeken, Tom
Tordjman, Daniel
Manceron, Pierre
Hérent, Paul
author_facet Machado, Léo
Philippe, Hélène
Ferreres, Élodie
Khlaut, Julien
Dupuis, Julie
Floch, Korentin Le
Gatenyo, Denis Habip
Roux, Pascal
Grégory, Jules
Ronot, Maxime
Dancette, Corentin
Boeken, Tom
Tordjman, Daniel
Manceron, Pierre
Hérent, Paul
contents Carcinogenesis is a proteiform phenomenon, with tumors emerging in various locations and displaying complex, diverse shapes. At the crucial intersection of research and clinical practice, it demands precise and flexible assessment. However, current biomarkers, such as RECIST 1.1's long and short axis measurements, fall short of capturing this complexity, offering an approximate estimate of tumor burden and a simplistic representation of a more intricate process. Additionally, existing supervised AI models face challenges in addressing the variability in tumor presentations, limiting their clinical utility. These limitations arise from the scarcity of annotations and the models' focus on narrowly defined tasks. To address these challenges, we developed ONCOPILOT, an interactive radiological foundation model trained on approximately 7,500 CT scans covering the whole body, from both normal anatomy and a wide range of oncological cases. ONCOPILOT performs 3D tumor segmentation using visual prompts like point-click and bounding boxes, outperforming state-of-the-art models (e.g., nnUnet) and achieving radiologist-level accuracy in RECIST 1.1 measurements. The key advantage of this foundation model is its ability to surpass state-of-the-art performance while keeping the radiologist in the loop, a capability that previous models could not achieve. When radiologists interactively refine the segmentations, accuracy improves further. ONCOPILOT also accelerates measurement processes and reduces inter-reader variability, facilitating volumetric analysis and unlocking new biomarkers for deeper insights. This AI assistant is expected to enhance the precision of RECIST 1.1 measurements, unlock the potential of volumetric biomarkers, and improve patient stratification and clinical care, while seamlessly integrating into the radiological workflow.
format Preprint
id arxiv_https___arxiv_org_abs_2410_07908
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle ONCOPILOT: A Promptable CT Foundation Model For Solid Tumor Evaluation
Machado, Léo
Philippe, Hélène
Ferreres, Élodie
Khlaut, Julien
Dupuis, Julie
Floch, Korentin Le
Gatenyo, Denis Habip
Roux, Pascal
Grégory, Jules
Ronot, Maxime
Dancette, Corentin
Boeken, Tom
Tordjman, Daniel
Manceron, Pierre
Hérent, Paul
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Carcinogenesis is a proteiform phenomenon, with tumors emerging in various locations and displaying complex, diverse shapes. At the crucial intersection of research and clinical practice, it demands precise and flexible assessment. However, current biomarkers, such as RECIST 1.1's long and short axis measurements, fall short of capturing this complexity, offering an approximate estimate of tumor burden and a simplistic representation of a more intricate process. Additionally, existing supervised AI models face challenges in addressing the variability in tumor presentations, limiting their clinical utility. These limitations arise from the scarcity of annotations and the models' focus on narrowly defined tasks. To address these challenges, we developed ONCOPILOT, an interactive radiological foundation model trained on approximately 7,500 CT scans covering the whole body, from both normal anatomy and a wide range of oncological cases. ONCOPILOT performs 3D tumor segmentation using visual prompts like point-click and bounding boxes, outperforming state-of-the-art models (e.g., nnUnet) and achieving radiologist-level accuracy in RECIST 1.1 measurements. The key advantage of this foundation model is its ability to surpass state-of-the-art performance while keeping the radiologist in the loop, a capability that previous models could not achieve. When radiologists interactively refine the segmentations, accuracy improves further. ONCOPILOT also accelerates measurement processes and reduces inter-reader variability, facilitating volumetric analysis and unlocking new biomarkers for deeper insights. This AI assistant is expected to enhance the precision of RECIST 1.1 measurements, unlock the potential of volumetric biomarkers, and improve patient stratification and clinical care, while seamlessly integrating into the radiological workflow.
title ONCOPILOT: A Promptable CT Foundation Model For Solid Tumor Evaluation
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2410.07908