Lisanne Petra Janine Venix

Ms. Lisanne Petra Janine Venix

Nanobiophysics group, University of Twente, Enschede, The Netherlands
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CDClaudia Delprete
Claudia Delprete
Domenico BuongiornoDomenico Buongiorno
Domenico Buongiorno
LVLisanne Petra Janine Venix
Lisanne Petra Janine Venix
MFMatteo Fusaglia
Matteo Fusaglia
Vitoantonio BevilacquaVitoantonio Bevilacqua
Vitoantonio Bevilacqua
Real-time segmentation of the liver parenchyma is a key requirement for computer-assisted guidance in minimally invasive liver surgery. However, existing methods are developed mainly on public cholecystectomy datasets and are therefore poorly representative of institution-specific acquisition conditions and of the appearance changes introduced by active liver resection. This study investigates public-to-private domain shift in real-time liver segmentation and proposes a SegFormer-B0-based boundary-guided framework that leverages anatomical liver contours and resection-induced boundaries to refine parenchyma segmentation. A surgery-specific augmentation strategy complements the framework by simulating intraoperative perturbations and generating synthetic resection-margin supervision when corresponding annotations are unavailable in the public training data. The method was evaluated on public laparoscopic data and private robot-assisted liver surgery data including both normal anatomy and active resection scenes. The proposed framework consistently outperformed the plain SegFormer-B0 baseline under both Public Training and combined Public + Private Training configurations. In the Public Training setting, the largest improvement was observed on NKI-Resection, where Dice increased from 0.71 to 0.87, while maintaining real-time inference at 75.50 FPS. A fixed library of ten manually annotated private resection images, drawn exclusively from the private training procedures, was used as a source of augmentation patches. Ablation results indicated complementary contributions from surgery-specific augmentation and resection-margin boundary modeling. These findings support boundary-guided refinement and targeted surgical augmentation as promising strategies for improving real-time liver segmentation under domain shift.

25 October 2026 in International Journal of Computer Assisted Radiology and Surgery
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LVLisanne Petra Janine Venix
Lisanne Petra Janine Venix
WHWouter J. Heerink
Wouter J. Heerink
MHMarijn A. J. Hiep
Marijn A. J. Hiep
LSLaura Aguilera Saiz
Laura Aguilera Saiz
EKEnzo Kerkhof
Enzo Kerkhof
MFMatteo Fusaglia
Matteo Fusaglia