Graph confidence intercalibration network for intracranial aneurysm lesion instance segmentation in DSA

Intracranial aneurysm (IA) lesion segmentation is significant for its treatment and prognosis. Although exiting deep network-based instance methods have good IA lesion segmentation results based on digital subtraction angiography (DSA) images, they still face great challenges with instance confidence bias and imprecise boundary segmentation, which may negatively affect IA diagnosis. To tackle these problems, this paper proposes a novel graph confidence intercalibration network (GCINet) to automatically segment IA lesions from DSA images. To be specific, we design a graph confidence intercalibration (GCI) module to mitigate instance confidence bias by dynamically adjusting their confidence distributions. At the same time, we propose an edge space perception (ESP) module to correct ambiguous segmentation boundaries. Extensive experiments on a clinical IA-DSA and a publicly available LiTS dataset demonstrate that our GCINet outperforms state-of-the-art methods. Additionally, visual analysis and ablation studies are provided to verify the effectiveness of each module in GCINet.