Qahqaie M, Neumann D, Heimann T, Maier A, Zimmer VA (2026)
Publication Status: Submitted
Publication Type: Unpublished / Preprint
Future Publication Type: Journal article
Publication year: 2026
Original Authors: Melika Qahqaie, Dominik Neumann, Tobias Heimann, Andreas Maier, Veronika A. Zimmer
DOI: 10.48550/arXiv.2602.09933
Evaluating lesion evolution in longitudinal CT scans of can cer patients is essential for assessing treatment response, yet establishing reliable lesion correspondence across time remains challenging. Standard bipartite matchers, which rely on geometric proximity, struggle when lesions appear, disappear, merge, or split. We propose a registration-aware matcher based on unbalanced optimal transport (UOT) that accommodates unequal lesion mass and adapts priors to patient-level tumor-load changes. Our transport cost blends (i) size-normalized geometry, (ii) local registration trust from the deformation-field Jacobian, and (iii) optional patch-level appearance consistency. The resulting transport plan is sparsified by relative pruning, yielding one-to-one matches as well as new, disappearing, merging, and splitting lesions without retraining or heuristic rules. On longitudinal CT data, our approach achieves consistently higher edge-detection precision and recall, improved lesion-state recall, and superior lesion-graph component F1 scores versus distance-only baselines.
APA:
Qahqaie, M., Neumann, D., Heimann, T., Maier, A., & Zimmer, V.A. (2026). Unbalanced optimal transport for robust longitudinal lesion evolution with registration-aware and appearance-guided priors. (Unpublished, Submitted).
MLA:
Qahqaie, Melika, et al. Unbalanced optimal transport for robust longitudinal lesion evolution with registration-aware and appearance-guided priors. Unpublished, Submitted. 2026.
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