_version_ 1866916874817634304
author Xu, Murong
Amiranashvili, Tamaz
Navarro, Fernando
Fritsak, Maksym
Hamamci, Ibrahim Ethem
Shit, Suprosanna
Wittmann, Bastian
Er, Sezgin
Christ, Sebastian M.
de la Rosa, Ezequiel
Deseoe, Julian
Graf, Robert
Möller, Hendrik
Sekuboyina, Anjany
Peeken, Jan C.
Becker, Sven
Baldini, Giulia
Haubold, Johannes
Nensa, Felix
Hosch, René
Mirajkar, Nikhil
Khalid, Saad
Zachow, Stefan
Weber, Marc-André
Langs, Georg
Wasserthal, Jakob
Ozdemir, Mehmet Kemal
Fedorov, Andrey
Kikinis, Ron
Tanadini-Lang, Stephanie
Kirschke, Jan S.
Combs, Stephanie E.
Menze, Bjoern
author_facet Xu, Murong
Amiranashvili, Tamaz
Navarro, Fernando
Fritsak, Maksym
Hamamci, Ibrahim Ethem
Shit, Suprosanna
Wittmann, Bastian
Er, Sezgin
Christ, Sebastian M.
de la Rosa, Ezequiel
Deseoe, Julian
Graf, Robert
Möller, Hendrik
Sekuboyina, Anjany
Peeken, Jan C.
Becker, Sven
Baldini, Giulia
Haubold, Johannes
Nensa, Felix
Hosch, René
Mirajkar, Nikhil
Khalid, Saad
Zachow, Stefan
Weber, Marc-André
Langs, Georg
Wasserthal, Jakob
Ozdemir, Mehmet Kemal
Fedorov, Andrey
Kikinis, Ron
Tanadini-Lang, Stephanie
Kirschke, Jan S.
Combs, Stephanie E.
Menze, Bjoern
contents Accurate delineation of anatomical structures in volumetric CT scans is crucial for diagnosis and treatment planning. While AI has advanced automated segmentation, current approaches typically target individual structures, creating a fragmented landscape of incompatible models with varying performance and disparate evaluation protocols. Foundational segmentation models address these limitations by providing a holistic anatomical view through a single model. Yet, robust clinical deployment demands comprehensive training data, which is lacking in existing whole-body approaches, both in terms of data heterogeneity and, more importantly, anatomical coverage. In this work, rather than pursuing incremental optimizations in model architecture, we present CADS, an open-source framework that prioritizes the systematic integration, standardization, and labeling of heterogeneous data sources for whole-body CT segmentation. At its core is a large-scale dataset of 22,022 CT volumes with complete annotations for 167 anatomical structures, representing a significant advancement in both scale and coverage, with 18 times more scans than existing collections and 60% more distinct anatomical targets. Building on this diverse dataset, we develop the CADS-model using established architectures for accessible and automated full-body CT segmentation. Through comprehensive evaluation across 18 public datasets and an independent real-world hospital cohort, we demonstrate advantages over SoTA approaches. Notably, thorough testing of the model's performance in segmentation tasks from radiation oncology validates its direct utility for clinical interventions. By making our large-scale dataset, our segmentation models, and our clinical software tool publicly available, we aim to advance robust AI solutions in radiology and make comprehensive anatomical analysis accessible to clinicians and researchers alike.
format Preprint
id arxiv_https___arxiv_org_abs_2507_22953
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle CADS: A Comprehensive Anatomical Dataset and Segmentation for Whole-Body Anatomy in Computed Tomography
Xu, Murong
Amiranashvili, Tamaz
Navarro, Fernando
Fritsak, Maksym
Hamamci, Ibrahim Ethem
Shit, Suprosanna
Wittmann, Bastian
Er, Sezgin
Christ, Sebastian M.
de la Rosa, Ezequiel
Deseoe, Julian
Graf, Robert
Möller, Hendrik
Sekuboyina, Anjany
Peeken, Jan C.
Becker, Sven
Baldini, Giulia
Haubold, Johannes
Nensa, Felix
Hosch, René
Mirajkar, Nikhil
Khalid, Saad
Zachow, Stefan
Weber, Marc-André
Langs, Georg
Wasserthal, Jakob
Ozdemir, Mehmet Kemal
Fedorov, Andrey
Kikinis, Ron
Tanadini-Lang, Stephanie
Kirschke, Jan S.
Combs, Stephanie E.
Menze, Bjoern
Image and Video Processing
Computer Vision and Pattern Recognition
Accurate delineation of anatomical structures in volumetric CT scans is crucial for diagnosis and treatment planning. While AI has advanced automated segmentation, current approaches typically target individual structures, creating a fragmented landscape of incompatible models with varying performance and disparate evaluation protocols. Foundational segmentation models address these limitations by providing a holistic anatomical view through a single model. Yet, robust clinical deployment demands comprehensive training data, which is lacking in existing whole-body approaches, both in terms of data heterogeneity and, more importantly, anatomical coverage. In this work, rather than pursuing incremental optimizations in model architecture, we present CADS, an open-source framework that prioritizes the systematic integration, standardization, and labeling of heterogeneous data sources for whole-body CT segmentation. At its core is a large-scale dataset of 22,022 CT volumes with complete annotations for 167 anatomical structures, representing a significant advancement in both scale and coverage, with 18 times more scans than existing collections and 60% more distinct anatomical targets. Building on this diverse dataset, we develop the CADS-model using established architectures for accessible and automated full-body CT segmentation. Through comprehensive evaluation across 18 public datasets and an independent real-world hospital cohort, we demonstrate advantages over SoTA approaches. Notably, thorough testing of the model's performance in segmentation tasks from radiation oncology validates its direct utility for clinical interventions. By making our large-scale dataset, our segmentation models, and our clinical software tool publicly available, we aim to advance robust AI solutions in radiology and make comprehensive anatomical analysis accessible to clinicians and researchers alike.
title CADS: A Comprehensive Anatomical Dataset and Segmentation for Whole-Body Anatomy in Computed Tomography
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2507.22953