Soft-tissue-Sarcoma / README.md
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---
license: cc-by-3.0
task_categories:
- image-segmentation
tags:
- medical
- pet
- ct
- mri
- sarcoma
- oncology
- extremity
- tumor-segmentation
- rtstruct
- dicom
- tcia
- multimodal
pretty_name: Soft-tissue Sarcoma (joint FDG-PET/CT and MRI)
size_categories:
- n<1K
configs:
- config_name: default
data_files:
- split: preview
path: data/preview-*
dataset_info:
features:
- name: image
dtype: image
- name: mask
dtype: image
- name: overlay
dtype: image
- name: patient_id
dtype: string
- name: role
dtype: string
- name: frame
dtype: string
- name: sequence
dtype: string
- name: modality
dtype: string
- name: is_gold_tier
dtype: bool
- name: is_propagated
dtype: bool
- name: is_derived_crop
dtype: bool
- name: orientation
dtype: string
- name: n_slices
dtype: int32
- name: slice_index
dtype: int32
- name: mass_slice_frac
dtype: float32
- name: mass_px
dtype: int32
- name: edema_px
dtype: int32
- name: has_gtv_mass
dtype: bool
- name: has_gtv_edema
dtype: bool
- name: uses_alias_roi_names
dtype: bool
- name: roi_names
dtype: string
- name: image_series_uid
dtype: string
- name: rtstruct_uid
dtype: string
- name: lung_mets
dtype: int32
- name: grade
dtype: string
- name: site
dtype: string
- name: histology
dtype: string
- name: mskcc_type
dtype: string
- name: mri_to_pet_days
dtype: int32
splits:
- name: preview
num_bytes: 29167123
num_examples: 306
download_size: 29149250
dataset_size: 29167123
---
# Soft-tissue-Sarcoma (STS)
A TCIA collection of **51 patients with histologically proven soft-tissue sarcoma
of the extremities**, each imaged with **joint pre-treatment FDG-PET/CT and MRI**
and contoured by an expert radiation oncologist. Collected at McGill University
Health Centre (Montreal) and published with Vallières et al., *Phys Med Biol* 2015.
The original study built a radiomics model predicting **lung metastases** from
joint PET/MRI texture features; 19 of the 51 patients developed lung metastases.
## Dataset Details
| Field | Value |
|---|---|
| Modalities | FDG-PET, CT, MRI (T1 + T2FS-or-STIR) + DICOM RTSTRUCT contours |
| Body part | `EXTREMITY` (all 612 series) — 28/51 thigh, remainder other limb/girdle sites |
| Task | 3D tumour segmentation (single foreground structure) |
| Patients | 51 — `STS_001``STS_051`, contiguous, no gaps |
| Studies | 102 — exactly 2 per patient (one MRI session, one PET/CT session) |
| Series | 612 = 51 CT + 51 PT + 204 MR + 306 RTSTRUCT (**exactly 12 per patient**) |
| Images | 38,283 DICOM |
| Size | 9.19 GiB (TCIA quotes 9.87 GB) |
| Scanners | PET/CT: GE Discovery ST. MRI: GE / Philips / Siemens / Varian (multi-vendor) |
| License | **CC BY 3.0 Unported** — commercial use permitted |
| DOI | `10.7937/K9/TCIA.2015.7GO2GSKS` |
| Registration | None — fully public |
**There is no official train/val/test split** and no named subsets. Splitting is
left to the consumer. Natural strata that do exist: lung metastases 19 / 32,
T2FS 26 / STIR 25, `GTV_Edema` present 32 / absent 19.
## Per-patient structure — 6 image series + 6 RTSTRUCT
Every one of the 51 patients has exactly the same 12 series, in **two frames of
reference**:
| Frame | Image series | Paired RTSTRUCT | n |
|---|---|---|---|
| **Native MRI** | MR T1 | `RTstruct_T1` | 51 |
| **Native MRI** | MR T2FS *or* STIR | `RTstruct_T2FS` / `RTstruct_STIR` | 26 / 25 |
| PET/CT | CT | `RTstruct_CT` | 51 |
| PET/CT | PT (FDG-PET) | `RTstruct_PET` | 51 |
| PET/CT (crop) | `Aligned_T1toPET_BOX` | `RTstruct_AlignedT1toPET` | 51 |
| PET/CT (crop) | `Aligned_{T2FS,STIR}toPET_BOX` | `RTstruct_Aligned{T2FS,STIR}toPET` | 26 / 25 |
T2FS and STIR are **mutually exclusive and partition all 51 patients**. The paper
treats STIR as a fallback under the "T2FS" umbrella: *"When T2-weighted
fat-saturated scans were not available, STIR scans were used (n = 25)."*
## Ground truth — one hand-drawn tier, five propagated
There is a **single annotator** (an expert radiation oncologist), so there is no
inter-rater ambiguity. What varies is *drawn* versus *derived*:
- **Gold / primary:** `RTstruct_T2FS` (26) and `RTstruct_STIR` (25) — contours
were **manually drawn slice-by-slice on the T2FS/STIR scans**. This is the tier
the paper's features were extracted from.
- **Propagated:** the other four tiers (`RTstruct_T1`, `RTstruct_CT`,
`RTstruct_PET`, `RTstruct_Aligned*toPET`) are **MIM Software rigid-registration
propagations** of those contours onto the other grids.
⚠️ **`ROIGenerationAlgorithm = MANUAL` on all 306 objects, including the
propagated ones** — the DICOM tag does *not* distinguish drawn from derived. Use
the tier table above, not the tag.
⚠️ **The PET/CT-frame masks cross a large time gap.** The MRI and PET/CT sessions
are a **median 21 days apart** (mean 20.5; range 0–63 days; only **3 same-day**;
32/51 more than 14 days; 10/51 more than 30 days; the PET/CT session **never**
precedes the MRI). The PET/CT-frame contours are rigid propagations across that
much repositioning, so they are geometrically approximate. Neubauer et al.
(MICCAI 2020) found it necessary to have a nuclear medicine physician
**re-delineate on PET** rather than trust them.
### Two ROIs, and they are nested
| ROI | Patients | Meaning |
|---|---|---|
| `GTV_Mass` | **51 (all)** | tumour mass, **excluding** peritumoural edema — the paper's reference target |
| `GTV_Edema` | **32** | tumour **including** peritumoural edema — secondary, used in the paper only to probe segmentation-uncertainty |
⚠️ **`GTV_Edema` is a nested superset of `GTV_Mass`**, not a disjoint class. Across
all 32 patients the in-plane area ratio is ≥ 1.031 (median 1.29, max 8.74), and
the edema slice set is a superset of the mass slice set for 31/32 — the sole
exception, `STS_021`, has exactly one mass slice with no edema contour.
**Build these as two independent binary targets, never as a `{0,1,2}` label map.**
A label map assigns "edema" only to the rim annulus `GTV_Edema \ GTV_Mass`, which
is not a structure anyone annotated and scores meaninglessly.
## Loader gotchas — verified against all 612 series and all 306 RTSTRUCT objects
These are easy to get silently wrong. `series_to_patient.json` and `pairs.json`
(shipped at repo root) pre-resolve all of them.
1. **`SeriesDescription` is typo-ridden.** RTSTRUCT carries `RTStruct_CT`,
`RTStruct_PET`, `RTstruct_AlignedT!toPET` (**bang instead of a 1**),
`RTstruct_Aligned_T1toPET` / `_STIRtoPET` (stray underscore), plus stray `_BOX`
suffixes; the MR side has `Alligned_T1toPET_BOX` (**double L**). After
case-insensitive normalisation the counts land exactly on
51/51/51/26/25/51/26/25 = 306.
2. **Native-MR T1-vs-T2FS/STIR is NOT readable from the description.** The 102
*native* MR series carry free-text clinical protocol names — `AX STIR`,
`Axial FSE/T2 Fatsat`, `KNEE *AXT2SP`, `eT1W_TSE_ax SENSE W PICT-PLUS`,
`2. AXIAL T1 BOTH LEGS - RESEARCH` … Resolve the sequence by following the
normalised RTSTRUCT back through `ReferencedFrameOfReferenceSequence` to the
series it references. `pairs.json` has already done this.
3. **The other 102 MR series are MIM-derived crops**, distinguishable *only* by
`Manufacturer` containing `MIM Software` (e.g. `SIEMENS / MIM Software`). The
`Aligned_*_BOX` volumes are **tumour-centred crops**, not full FOV (e.g.
153×123×60), though self-consistent — 0% out-of-bounds contour vertices.
4. **ROI order is not stable.** 12 of the 192 two-ROI objects list `GTV_Edema`
first. Map by `ROIName`, never by `ROINumber` or sequence index.
5. **`STS_046` renames its ROIs.** On its PET/CT-frame RTSTRUCTs the names are
`GTV_Research` (= mass) and `GTV_Res+edema` (= edema). Hard-matching the
literal string `"GTV_Mass"` yields a **silently empty mask** for that patient.
Match with an alias set.
6. **Never group contours by z — the gold scans are not all axial.** Of the 51
annotated T2FS/STIR scans, **45 are axial, 4 coronal and 2 sagittal** (for the
32 edema patients specifically: 27 / 4 / 1), and contours are slightly oblique.
Use `ReferencedSOPInstanceUID` — it is present on every contour, and every
referenced SOP exists in its series.
7. **Foreground is sparse on the PET/CT grid, but not on the gold tier.**
`GTV_Mass` covers a median of only **13.6%** of CT slices (min 5.6%, max 36.3%;
14/51 patients under 10%), so a `debug_n_samples: 1` smoke test against the
PET/CT frame will look degenerate through no fault of the loader. The **gold
T2FS/STIR tier is not sparse** — median **50.0%** slice coverage (min 20.0%,
max 90.0%, none under 15%), so single-sample debug runs on the default target
behave normally.
8. **Frames of reference.** T1 and T2FS/STIR share one `FrameOfReferenceUID` (same
MRI session), so T1↔T2FS propagation is geometrically trivial; the PET/CT frame
is separate.
9. **Dates are shifted** for de-identification (intervals preserved), so
`StudyDate` values are not real. 84 of the 612 series carry
`DateReleased = 2020-05-21` — a partial resubmission over the 2015 release.
## Cross-dataset overlap
- ⚠️ **SAROS shares 6 patients**: `STS_001`, `STS_007`, `STS_008`, `STS_026`,
`STS_040`, `STS_044` → SAROS `case_815`, `case_636`, `case_678`, `case_714`,
`case_703`, `case_753`. The cross-reference lives in TCIA's
[Segmentation-Info CSV](https://www.cancerimagingarchive.net/wp-content/uploads/Segmentation-Info_09-29-2023.csv)
under `tcia_case_id`. SAROS labels **body regions**, not tumour, so the risk is
CT-image contamination rather than tumour-label leakage.
- ⚠️ **MSTT-199 uses all 51 of these patients as its external test set** (reported
Dice 0.79 U-Net / 0.80 LiteMedSAM). Do not train on STS and evaluate on MSTT-199.
- **No overlap** with MSD (no sarcoma task), the BraTS family, MedSAM's training
corpus, SA-Med2D-20M, autoPET, HECKTOR (same PI and lab, different patients and
disease), QIN-SARCOMA (OHSU, DCE-MRI only, no segmentations), or **TCGA-SARC**
(disjoint cohort — TCGA-SARC has no McGill/Montreal site, and its TCIA arm is
5 `TCGA-QQ-*` patients).
- ⚠️ `INFOclinical_STS.xlsx` has **no cross-reference ID column**. Its
`MSKCC type` column is a *histological classification scheme*
(Liposarcoma / Leiomyosarcoma / MFH / Other) — **not** a link to MSKCC or TCGA.
## Provenance
Official, author-deposited TCIA collection. All 51 patients from the paper are
present — **no count mismatch**. Third-party re-hosts exist and **all of them
misstate the license or the content**; prefer this mirror or TCIA directly:
| Re-host | Problem |
|---|---|
| Kaggle `4quant/soft-tissue-sarcoma` | HDF5 at 5 mm isotropic, **PET/CT only — no MRI**; ~4% of the original |
| `reasat/sts-reg` | NIfTI, T1→T2 registered; claims **CC0** (understates CC BY 3.0) |
| `husnainrasool/tcia-sarcoma-ds` | verbatim re-upload but claims **MIT** (wrong license class) |
| hyper.ai listing | labels it **Non-Commercial** — incorrect; CC BY 3.0 permits commercial use |
**Faithful-naming disclosures for this mirror:**
- 25 of the 51 "T2FS" scans are actually **STIR** — the paper's own umbrella term,
not a mirroring error.
- **Half the MR series (102/204) are derived** MIM registered crops, not raw
acquisitions. This is a raw + derived mix, exactly as TCIA publishes it.
- Body part is tagged `EXTREMITY` throughout, but roughly 10/51 primary sites are
girdle/trunk (buttock, pelvis, groin, parascapular) rather than true limb.
## Structure
```
images/<PatientID>/<SeriesInstanceUID>/*.dcm # CT, PT, MR — 306 series
segmentations/<PatientID>/<SeriesInstanceUID>/*.dcm # RTSTRUCT — 306 objects
clinical/INFOclinical_STS.xlsx # demographics + outcome vector
clinical/Soft-tissue-Sarcoma-nbia-digest.xlsx # official NBIA series digest
series_to_patient.json # all 612 series, normalised `role`
pairs.json # RTSTRUCT -> image series + ROI names
LICENSE.txt
```
**`series_to_patient.json`** keys each `SeriesInstanceUID` to `PatientID`,
`StudyInstanceUID`, `Modality`, `SeriesDescription`, a normalised **`role`**
(`ct`, `pet`, `mr_t1`, `mr_t2fs`, `mr_stir`, `aligned_t1_to_pet`,
`aligned_t2fs_to_pet`, `aligned_stir_to_pet`), `Manufacturer`, `ImageCount`,
`FileSize`, license/DOI and the relative `path`.
**`pairs.json`** keys each RTSTRUCT `SeriesInstanceUID` to the
**`image_series_uid` it is drawn on** (resolved from
`ReferencedFrameOfReferenceSequence`, not from the typo-ridden description),
`frame_of_reference_uid`, the literal `roi_names`, `roi_names_with_contours`,
`n_referenced_sop`, and the boolean flags `has_gtv_mass`, `has_gtv_edema` and
`uses_alias_roi_names`. Pairing therefore needs **no TCIA round-trip and no
description parsing**.
## Benchmark reference point
Neubauer et al., *Soft Tissue Sarcoma Co-Segmentation in Combined MRI and PET/CT
Data* (MICCAI MMMI 2020, [arXiv:2008.12544](https://arxiv.org/abs/2008.12544)):
39/51 patients after cropping to the leg region, 5-fold CV — best **T2 Dice
77.2 ± 16.5%**, **PET Dice 74.6 ± 19.0%**, T2-only baseline 65.6 ± 24.0%. They
resampled in-plane to 0.75 mm and kept the native T2 slice distance to avoid
interpolation artifacts.
## Source & Citation
- TCIA collection: https://www.cancerimagingarchive.net/collection/soft-tissue-sarcoma/
- DOI: `10.7937/K9/TCIA.2015.7GO2GSKS`
```bibtex
@article{vallieres2015sts,
author = {Valli{\`e}res, Martin and Freeman, Carolyn R. and
Skamene, Sonia R. and El Naqa, Issam},
title = {A radiomics model from joint {FDG-PET} and {MRI} texture features
for the prediction of lung metastases in soft-tissue sarcomas of
the extremities},
journal = {Physics in Medicine and Biology},
volume = {60},
number = {14},
pages = {5471--5496},
year = {2015},
doi = {10.1088/0031-9155/60/14/5471}
}
@misc{vallieres2015stsdata,
author = {Valli{\`e}res, M. and Freeman, C. R. and Skamene, S. R. and
El Naqa, I.},
title = {A radiomics model from joint {FDG-PET} and {MRI} texture features
for the prediction of lung metastases in soft-tissue sarcomas of
the extremities [Data set]},
year = {2015},
publisher = {The Cancer Imaging Archive},
doi = {10.7937/K9/TCIA.2015.7GO2GSKS}
}
@article{clark2013tcia,
author = {Clark, Kenneth and Vendt, Bruce and Smith, Kirk and others},
title = {The Cancer Imaging Archive ({TCIA}): Maintaining and Operating a
Public Information Repository},
journal = {Journal of Digital Imaging},
volume = {26},
number = {6},
pages = {1045--1057},
year = {2013},
doi = {10.1007/s10278-013-9622-7}
}
```