Implementation of Automatic Segmentation Framework as Preprocessing Step for Radiomics Analysis of Lung Anatomical Districts

Background: The advent of artificial intelligence has significantly impacted radiology, with radiomics emerging as a transformative approach that extracts quantitative data from medical images to improve diagnostic and therapeutic accuracy. This study aimed to enhance the radiomic workflow by applying deep learning, through transfer learning, for the automatic segmentation of lung regions in computed tomography scans as a preprocessing step. Methods: Leveraging a pipeline articulated in (i) patient-based data splitting, (ii) intensity normalization, (iii) voxel resampling, (iv) bed removal, (v) contrast enhancement and (vi) model training, a DeepLabV3+ convolutional neural network (CNN) was fine tuned to perform whole-lung-region segmentation. Results: The trained model achieved high accuracy, Dice coefficient (0.97) and BF (93.06%) scores, and it effectively preserved lung region areas and removed confounding anatomical regions such as the heart and the spine. Conclusions: This study introduces a deep learning framework for the automatic segmentation of lung regions in CT images, leveraging an articulated pipeline and demonstrating excellent performance of the model, effectively isolating lung regions while excluding confounding anatomical structures. Ultimately, this work paves the way for more efficient, automated preprocessing tools in lung cancer detection, with potential to significantly improve clinical decision making and patient outcomes.