Exploiting Longitudinal Context in Clinician-Verified Interactive Lesion Tracking
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arXiv
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| Format: | Preprint |
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2026
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| author | Kirchhoff, Yannick Rokuss, Maximilian Mertens, Daniel Philipp Füller, David Hamm, Benjamin Schreyer, Andreas Ritter, Oliver Maier-Hein, Klaus |
| author_facet | Kirchhoff, Yannick Rokuss, Maximilian Mertens, Daniel Philipp Füller, David Hamm, Benjamin Schreyer, Andreas Ritter, Oliver Maier-Hein, Klaus |
| contents | Tracking tumor lesions across serial CT scans is essential for oncological response assessment. Existing automated methods face a fundamental trade-off: end-to-end trackers achieve high automation but offer no opportunity to correct silent tracking failures, while decoupled registration-segmentation pipelines permit user verification yet discard the lesion's prior appearance, limiting accuracy in ambiguous cases. In this work, we propose a Verified Tracking paradigm: a clinician verifies a registration-proposed prompt, which the model leverages alongside the baseline lesion appearance to resolve segmentation ambiguities. We present a unified framework combining early spatial prompt fusion with latent temporal difference weighting for longitudinally-informed segmentation. To address data scarcity, we leverage large-scale synthetic pretraining, proving essential for exploiting longitudinal context, improving performance by up to 4.5 Dice points over training from scratch. Our approach secured first place in the MICCAI autoPET IV challenge. We further curate and release PanTrack, a new longitudinal pancreatic cancer benchmark, to assess out-of-distribution generalization. Experiments show that our model outperforms prior work in both fully automatic and the proposed verified tracking setting offering a clinically safe middle ground between automation and control. Code, model and dataset will be released at https://github.com/MIC-DKFZ/LongiSeg |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2605_23118 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Exploiting Longitudinal Context in Clinician-Verified Interactive Lesion Tracking Kirchhoff, Yannick Rokuss, Maximilian Mertens, Daniel Philipp Füller, David Hamm, Benjamin Schreyer, Andreas Ritter, Oliver Maier-Hein, Klaus Computer Vision and Pattern Recognition Artificial Intelligence Machine Learning Tracking tumor lesions across serial CT scans is essential for oncological response assessment. Existing automated methods face a fundamental trade-off: end-to-end trackers achieve high automation but offer no opportunity to correct silent tracking failures, while decoupled registration-segmentation pipelines permit user verification yet discard the lesion's prior appearance, limiting accuracy in ambiguous cases. In this work, we propose a Verified Tracking paradigm: a clinician verifies a registration-proposed prompt, which the model leverages alongside the baseline lesion appearance to resolve segmentation ambiguities. We present a unified framework combining early spatial prompt fusion with latent temporal difference weighting for longitudinally-informed segmentation. To address data scarcity, we leverage large-scale synthetic pretraining, proving essential for exploiting longitudinal context, improving performance by up to 4.5 Dice points over training from scratch. Our approach secured first place in the MICCAI autoPET IV challenge. We further curate and release PanTrack, a new longitudinal pancreatic cancer benchmark, to assess out-of-distribution generalization. Experiments show that our model outperforms prior work in both fully automatic and the proposed verified tracking setting offering a clinically safe middle ground between automation and control. Code, model and dataset will be released at https://github.com/MIC-DKFZ/LongiSeg |
| title | Exploiting Longitudinal Context in Clinician-Verified Interactive Lesion Tracking |
| topic | Computer Vision and Pattern Recognition Artificial Intelligence Machine Learning |
| url | https://arxiv.org/abs/2605.23118 |