ESR Essentials: a step-by-step guide of segmentation for radiologists—practice recommendations by the European Society of Medical Imaging Informatics

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A segmentation protocol must be planned in advance to ensure consistency and address clinical questions using established standards.
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Adherence to the DICOM standard, particularly the DICOM SEG object, is essential for effective radiological segmentations.
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AI-assisted segmentation requires a quality control framework to monitor both segmentation performance and clinical workflow efficiency.
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Standardized segmentation protocols enhance accuracy and reduce variability, necessitating input from both medical and technical experts.
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High-quality images are crucial for accurate segmentations, with specific metrics available to evaluate and ensure image quality.

European Radiology

by Kalina Chupetlovska, Tugba Akinci D’Antonoli, Zuhir Bodalal, Mohamed A. Abdelatty, Hendrik Erenstein, João Santinha, Merel Huisman, Jacob J. Visser, Stefano Trebeschi, Kevin B. W. Groot Lipman
May 22, 2025

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