HEad and neCK TumOR (HECKTOR) 2025: Benchmark of Segmentation, Diagnosis, and Prognosis in Multimodal PET/CT

Head and neck cancers (HNC) represent a significant global health burden, with accurate tumor delineation being essential for effective radiotherapy planning. The complexity of the oropharyngeal anatomy, combined with the heterogeneous appearance of tumors on imaging, makes manual segmentation time-intensive and subject to inter-observer variability. Beyond segmentation, predicting long-term clinical outcomes, such as recurrence-free survival (RFS), and determining human papillomavirus (HPV) status from noninvasive imaging, remain challenging yet clinically valuable goals. The HECKTOR 2025 challenge addresses these needs by establishing a comprehensive benchmark for automated HNC analysis using multimodal PET/CT imaging and electronic health records. Building on previous editions (2020-2022), this challenge features an expanded multi-institutional dataset comprising over 1,100 patients from 10 centers worldwide. Participants were tasked with three complementary objectives: (1) segmenting primary gross tumor volumes (GTVp) and metastatic lymph nodes (GTVn), (2) predicting recurrence-free survival, and (3) classifying HPV status. The challenge attracted 35 registered teams, with 15 final submissions evaluated on a held-out test set. Top-performing algorithms achieved a mean Dice similarity coefficient of 0.75 for segmentation, a concordance index of 0.66 for survival prediction, and a balanced accuracy of 0.56 for HPV classification. This paper presents a comprehensive analysis of the submitted methodologies, evaluates their performance across different lesion characteristics, and discusses their implications for clinical translation in automated oncology workflows and decision support systems.

Highly accelerated MR parametric mapping by undersampling the k-space and reducing the contrast number simultaneously with deep learning

Purpose: To propose a novel deep learning-based method called RG-Net (reconstruction and generation network) for highly accelerated MR parametric mapping by undersampling k-space and reducing the acquired contrast number simultaneously. Methods: The proposed framework consists of a reconstruction module and a generative module. The reconstruction module reconstructs MR images from the acquired few undersampled k-space data with the help of a data prior. The generative module then synthesizes the remaining multi-contrast images from the reconstructed images, where the exponential model is implicitly incorporated into the image generation through the supervision of fully sampled labels. The RG-Net was evaluated on the T1\r{ho} mapping data of knee and brain at different acceleration rates. Regional T1\r{ho} analysis for cartilage and the brain was performed to access the performance of RG-Net. Results: RG-Net yields a high-quality T1\r{ho} map at a high acceleration rate of 17. Compared with the competing methods that only undersample k-space, our framework achieves better performance in T1\r{ho} value analysis. Our method also improves quality of T1\r{ho} maps on patient with glioma. Conclusion: The proposed RG-Net that adopted a new strategy by undersampling k-space and reducing the contrast number simultaneously for fast MR parametric mapping, can achieve a high acceleration rate while maintaining good reconstruction quality. The generative module of our framework can also be used as an insert module in other fast MR parametric mapping methods. Keywords: Deep learning, convolutional neural network, fast MR parametric mapping