Obese children have larger amounts of subcutaneous and visceral adipose tissue (SAT, VAT) and are at high risk for cardiometabolic disease. The reference standard to analyze SAT/VAT uses breath-held (BH) abdominal MRI for manual annotation of SAT/VAT. In children, the BH requirement and spatially varying VAT distribution are major challenges for body composition analysis. This work proposed a densely connected neural network with a class frequency balancing, boundary emphasizing loss to segment SAT/VAT using free breathing abdominal MRI in children.
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