The construction of 3D medical image datasets presents several issues, including requiring significant financial costs in data collection and specialized expertise for annotation, as well as strict privacy concerns for patient confidentiality compared to natural image datasets. Therefore, it has become a pressing issue in 3D medical image segmentation to enable data-efficient learning with limited 3D medical data and supervision. A promising approach is pre-training, but improving its performance in 3D medical image segmentation is difficult due to the small size of existing 3D medical image datasets. We thus present the Primitive Geometry Segment Pre-training (PrimGeoSeg) method to enable the learning of 3D semantic features by pre-training segmentation tasks using only primitive geometric objects for 3D medical image segmentation. PrimGeoSeg performs more accurate and efficient 3D medical image segmentation without manual data collection and annotation. Further, experimental results show that PrimGeoSeg on SwinUNETR improves performance over learning from scratch on BTCV, MSD (Task06), and BraTS datasets by 3.7%, 4.4%, and 0.3%, respectively. Remarkably, the performance was equal to or better than state-of-the-art self-supervised learning despite the equal number of pre-training data. From experimental results, we conclude that effective pre-training can be achieved by looking at primitive geometric objects only. Code and dataset are available at https://github.com/SUPER-TADORY/PrimGeoSeg.

通过使用原始几何对象进行预训练，本文提出了一种名为PrimGeoSeg的方法，实现了对3D医学图像进行更准确和高效的分割，无需手动数据收集和标注，且与自监督学习相比具有相等或更好的性能。

基于原始几何分割的三维医学图像分割预训练