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Parameter-Efficient pretrained-CT-to-MRI Transfer for Rectal Cancer Segmentation: Performance-Calibration Trade-offs

Research Medical/Healthcare AI

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TL;DR - SWIFT transfers a CT-pretrained Swin V2 encoder to rectal-cancer MRI segmentation using parameter-efficient fine-tuning. Its variants substantially reduce model and trainable parameter counts while exposing trade-offs among tumor detection, boundary accuracy, and uncertainty calibration.

  • Decoder compression cut parameters by 70.1% (72.8M to 21.8M) and improved tumor detection from 89.9% to 93.9%, with a slight surface DSC decrease from 0.62 to 0.61.
  • LoRA used only 14.6% of SWIFTe’s trainable parameters while retaining similar segmentation performance.
  • A four-member LoRA-decoder ensemble produced the best post-temperature-scaling calibration, though its 0.217 expected calibration error showed substantial residual miscalibration.
  • Tumor-aware augmentation improved detection but reduced boundary agreement, highlighting a clinically relevant detection–segmentation trade-off.

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Parameter-Efficient pretrained-CT-to-MRI Transfer for Rectal Cancer Segmentation: Performance-Calibration Trade-offs

arXiv cs.CV Aneesh Rangnekar, Jorge Tapias Gomez, Joseph O Deasy, Harini Veeraraghavan 2026-08-27 arXiv:2608.27178
Public signals Semantic Scholar citations 0 · Semantic Scholar influential citations 0
Providers: Hugging Face · N/A OpenAlex · N/A Publisher · N/A Semantic Scholar · Citations 0 · Influential citations 0 X · N/A Fetched 2026-09-07 14:14:52.948188 UTC

TL;DR - SWIFT transfers a CT-pretrained Swin V2 encoder to rectal-cancer MRI segmentation using parameter-efficient fine-tuning. Its variants substantially reduce model and trainable parameter counts while exposing trade-offs among tumor detection, boundary accuracy, and uncertainty calibration.

  • Decoder compression cut parameters by 70.1% (72.8M to 21.8M) and improved tumor detection from 89.9% to 93.9%, with a slight surface DSC decrease from 0.62 to 0.61.
  • LoRA used only 14.6% of SWIFTe’s trainable parameters while retaining similar segmentation performance.
  • A four-member LoRA-decoder ensemble produced the best post-temperature-scaling calibration, though its 0.217 expected calibration error showed substantial residual miscalibration.
  • Tumor-aware augmentation improved detection but reduced boundary agreement, highlighting a clinically relevant detection–segmentation trade-off.
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