We present a focal liver lesion detection model leveraged by custom-designed multi-phase computed tomography (CT) volumes, which reflects real-world clinical lesion detection practice using a Single Shot MultiBox Detector (SSD). We show that grouped convolutions effectively harness richer information of the multi-phase data for the object detection model, while a naive application of SSD suffers from a generalization gap. We trained and evaluated the modified SSD model and recently proposed variants with our CT dataset of 64 subjects by five-fold cross validation. Our model achieved a 53.3% average precision score and ran in under three seconds per volume, outperforming the original model and state-of-the-art variants. Results show that the one-stage object detection model is a practical solution, which runs in near real-time and can learn an unbiased feature representation from a large-volume real-world detection dataset, which requires less tedious and time consuming construction of the weak phase-level bounding box labels.
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