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Calcium scoring in low-dose chest CT (dilated CNN)

University Medical Center Utrecht (Lessmann et al.)

Non-contrast cardiac CT

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Cardiac CT

Coronary artery calcium (CAC) scoring

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Coronary & Ischemic Disease

Segmentation

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Segmentation & Detection

Multi-class classification

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Classification

CNN (2D)

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Convolutional (CNN)

code View code

Model weights not public. Contact creators for more information.

Two-stage convolutional neural network that automatically detects and anatomically labels coronary artery, thoracic aorta, and cardiac-valve calcifications in low-dose chest CT acquired for lung-cancer screening. A first CNN with a large receptive field (via dilated convolutions) identifies and anatomically labels candidate calcifications; a second CNN filters true positives from the candidates. Trained and evaluated on 1,744 CT scans from the National Lung Screening Trial (NLST), reaching an F1 of 0.89 (soft-filter reconstructions) / 0.84 (sharp-filter reconstructions) for coronary artery calcifications and a linearly-weighted kappa of 0.90-0.91 for per-subject cardiovascular risk categorization versus the manual reference standard.

memory Specifications

category

Architecture

CNN (2D)

Two consecutive 2D CNNs with dilated convolutions: a candidate-identification/anatomical-labeling network with an enlarged receptive field, followed by a true-positive classification network, applied per axial slice

code

Framework

Other

calendar_month

Added to catalog

2026-08-12

description Publication

Automatic Calcium Scoring in Low-Dose Chest CT Using Deep Neural Networks With Dilated Convolutions open_in_new

Nikolas Lessmann, Bram van Ginneken, Majd Zreik, Pim A. de Jong, Bob D. de Vos, Max A. Viergever, Ivana Isgum

IEEE Transactions on Medical Imaging · 2018 · original paper

DOI: 10.1109/TMI.2017.2769839

database Training & evaluation data

public 1,744 subjects · USA

Low-dose chest CT scans from heavy smokers in the NLST lung-cancer screening trial, reconstructed with both soft and medium/sharp filters, with per-scan coronary artery, thoracic aorta, and cardiac-valve calcification annotations.

science Capabilities & performance

Per-slice detection and anatomical labeling of coronary artery, thoracic aorta, and cardiac-valve calcifications in low-dose chest CT

Segmentation Coronary artery calcium (CAC) scoring
0.89 F1 NLST held-out test set · internal
0.84 F1 NLST held-out test set · internal

Per-subject cardiovascular risk categorization from total coronary artery calcium (Agatston-based risk categories)

Multi-class classification Coronary artery calcium (CAC) scoring