Performance of a Deep Learning-Based Segmentation Model for Pancreatic Tumors on Public Endoscopic Ultrasound Datasets

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Main Authors: Gupta, Pankaj, Mudgil, Priya, Dutta, Niharika, Bose, Kartik, Kumar, Nitish, Kumar, Anupam, Shah, Jimil, Jearth, Vaneet, Samanta, Jayanta, Sharma, Vishal, Mandavdhare, Harshal, Rana, Surinder, Sinha, Saroj K, Dutta, Usha
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Published: 2026
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author Gupta, Pankaj
Mudgil, Priya
Dutta, Niharika
Bose, Kartik
Kumar, Nitish
Kumar, Anupam
Shah, Jimil
Jearth, Vaneet
Samanta, Jayanta
Sharma, Vishal
Mandavdhare, Harshal
Rana, Surinder
Sinha, Saroj K
Dutta, Usha
author_facet Gupta, Pankaj
Mudgil, Priya
Dutta, Niharika
Bose, Kartik
Kumar, Nitish
Kumar, Anupam
Shah, Jimil
Jearth, Vaneet
Samanta, Jayanta
Sharma, Vishal
Mandavdhare, Harshal
Rana, Surinder
Sinha, Saroj K
Dutta, Usha
contents Background: Pancreatic cancer is one of the most aggressive cancers, with poor survival rates. Endoscopic ultrasound (EUS) is a key diagnostic modality, but its effectiveness is constrained by operator subjectivity. This study evaluates a Vision Transformer-based deep learning segmentation model for pancreatic tumors. Methods: A segmentation model using the USFM framework with a Vision Transformer backbone was trained and validated with 17,367 EUS images (from two public datasets) in 5-fold cross-validation. The model was tested on an independent dataset of 350 EUS images from another public dataset, manually segmented by radiologists. Preprocessing included grayscale conversion, cropping, and resizing to 512x512 pixels. Metrics included Dice similarity coefficient (DSC), intersection over union (IoU), sensitivity, specificity, and accuracy. Results: In 5-fold cross-validation, the model achieved a mean DSC of 0.651 +/- 0.738, IoU of 0.579 +/- 0.658, sensitivity of 69.8%, specificity of 98.8%, and accuracy of 97.5%. For the external validation set, the model achieved a DSC of 0.657 (95% CI: 0.634-0.769), IoU of 0.614 (95% CI: 0.590-0.689), sensitivity of 71.8%, and specificity of 97.7%. Results were consistent, but 9.7% of cases exhibited erroneous multiple predictions. Conclusions: The Vision Transformer-based model demonstrated strong performance for pancreatic tumor segmentation in EUS images. However, dataset heterogeneity and limited external validation highlight the need for further refinement, standardization, and prospective studies.
format Preprint
id arxiv_https___arxiv_org_abs_2601_05937
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Performance of a Deep Learning-Based Segmentation Model for Pancreatic Tumors on Public Endoscopic Ultrasound Datasets
Gupta, Pankaj
Mudgil, Priya
Dutta, Niharika
Bose, Kartik
Kumar, Nitish
Kumar, Anupam
Shah, Jimil
Jearth, Vaneet
Samanta, Jayanta
Sharma, Vishal
Mandavdhare, Harshal
Rana, Surinder
Sinha, Saroj K
Dutta, Usha
Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
Background: Pancreatic cancer is one of the most aggressive cancers, with poor survival rates. Endoscopic ultrasound (EUS) is a key diagnostic modality, but its effectiveness is constrained by operator subjectivity. This study evaluates a Vision Transformer-based deep learning segmentation model for pancreatic tumors. Methods: A segmentation model using the USFM framework with a Vision Transformer backbone was trained and validated with 17,367 EUS images (from two public datasets) in 5-fold cross-validation. The model was tested on an independent dataset of 350 EUS images from another public dataset, manually segmented by radiologists. Preprocessing included grayscale conversion, cropping, and resizing to 512x512 pixels. Metrics included Dice similarity coefficient (DSC), intersection over union (IoU), sensitivity, specificity, and accuracy. Results: In 5-fold cross-validation, the model achieved a mean DSC of 0.651 +/- 0.738, IoU of 0.579 +/- 0.658, sensitivity of 69.8%, specificity of 98.8%, and accuracy of 97.5%. For the external validation set, the model achieved a DSC of 0.657 (95% CI: 0.634-0.769), IoU of 0.614 (95% CI: 0.590-0.689), sensitivity of 71.8%, and specificity of 97.7%. Results were consistent, but 9.7% of cases exhibited erroneous multiple predictions. Conclusions: The Vision Transformer-based model demonstrated strong performance for pancreatic tumor segmentation in EUS images. However, dataset heterogeneity and limited external validation highlight the need for further refinement, standardization, and prospective studies.
title Performance of a Deep Learning-Based Segmentation Model for Pancreatic Tumors on Public Endoscopic Ultrasound Datasets
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2601.05937