Multi-Scale Coarse-to-Fine Segmentation for Screening Pancreatic Ductal Adenocarcinoma

This paper proposes an intuitive approach to finding pancreatic ductal adenocarcinoma (PDAC), the most common type of pancreatic cancer, by checking abdominal CT scans. Our idea is named segmentation-for-classification (S4C), which classifies a volume by checking if at least a sufficient number of voxels is segmented as the tumor. In order to deal with tumors with different scales, we train volumetric segmentation networks with multi-scale inputs, and test them in a coarse-to-fine flowchart. A post-processing module is used to filter out outliers and reduce false alarms. We perform a case study on our dataset containing 439 CT scans, in which 136 cases were diagnosed with PDAC and 303 cases are normal. Our approach reports a sensitivity of 94.1% at a specificity of 98.5%, with an average tumor segmentation accuracy of 56.46% over all PDAC cases.