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README.md
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---
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license: cc-by-nc-sa-4.0
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task_categories:
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- image-segmentation
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tags:
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- medical
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- x-ray
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- pelvis
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- fracture
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- synthetic
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- multi-label
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pretty_name: 'PENGWIN Task 2: Pelvic Fragment Segmentation on Synthetic X-ray Images'
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---
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# PENGWIN Task 2: Pelvic Fragment Segmentation on Synthetic X-ray Images
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Mirror of the **training split** of Task 2 of the MICCAI 2024 PENGWIN challenge
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(https://pengwin.grand-challenge.org/), from the official Zenodo record
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[10913196](https://zenodo.org/records/10913196) (`train.zip`, md5 `9c90215dae54d8f494a85cfc7b19bc96`).
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**These are SYNTHETIC X-rays, not real radiographs**: DeepDRR renders of the 100 PENGWIN
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Task 1 training CTs simulating intraoperative C-arm fluoroscopy, 500 random poses per CT
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= **50,000 image/mask pairs**. Projections `0000-0249` show clean anatomy; `0250-0499`
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additionally contain up to 10 simulated K-wires/orthopaedic screws (`has_hardware`).
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The challenge validation (8,000) and test (600) X-rays were never publicly released.
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No real radiographs exist anywhere in PENGWIN 2024. (Zenodo's description writes the
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hardware range as `0250-0500`; indices verifiably end at `0499`.)
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## Columns
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| Column | Content |
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|---|---|
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| `image_display` | uint8 JPEG, official `visualize_drr` rendering (neg-log -> CLAHE -> invert). Browsing aid, lossy. |
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| `overlay` | RGB JPEG, per-fragment color fill + contour on `image_display`. Browsing aid, lossy. |
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| `image` | **Raw float32 448x448 DRR** (lossless deflate TIFF, pixel-identical to Zenodo). Intensities are pre-neg-log; apply `-log` + windowing before use (see below). |
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| `mask` | **uint32 bit-encoded multi-label segmentation** (lossless deflate TIFF; stored int32, values < 2^31, pixel-identical to Zenodo). NOT a plain label map. |
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| `image_id` | `{case:03d}_{projection:04d}` |
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| `case_id` | Source CT case 1-100 == the same patient's `PENGWIN_Task1` volume (see Overlap) |
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| `projection_index` | 0-499 |
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| `has_hardware` | `projection_index >= 250` |
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| `fragment_labels` | Fragment labels present (set bit positions 1-30) |
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| `n_fragments`, `n_sa`, `n_li`, `n_ri` | Fragment counts (total / sacrum / left hipbone / right hipbone) |
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## Mask encoding
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A pixel's uint32 value has bit `b = 10*(category-1) + fragment` set iff that fragment
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projects onto the pixel (categories: 1 sacrum SA, 2 left hipbone LI, 3 right hipbone RI;
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fragments 1-10, fragment 1 = main). **Overlapping fragments are the norm** (X-ray
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projection superimposes bone), so decode to per-fragment binary masks - do not treat the
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value as a class ID. Bit 0 is never set. Bit `b` corresponds exactly to label value `b`
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in `MedOtter/PENGWIN_Task1`.
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```python
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import numpy as np
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masks = [((seg >> b) & 1).astype(bool) for b in range(1, 31) if ((seg >> b) & 1).any()]
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```
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The official `pengwin_utils.py` (this repo's root, from the Zenodo record) provides
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`seg_to_masks` / `masks_to_seg`, the DRR renderer, and the challenge augmentation
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pipeline. Official deterministic test-time input: `neglog` then quantile window
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`(0.01, 0.95)` (see `build_augmentation(train=False)`).
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## Overlap warning
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Derived from **exactly the 100 CTs in `MedOtter/PENGWIN_Task1`** (same case numbering,
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same patients) - never treat the two as independent benchmarks. Task 1 in turn likely
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shares patients with CTPelvic1K's CLINIC subset (no ID crosswalk exists), and its GT was
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seeded by a CTPelvic1K-pretrained nnU-Net. Do not confuse with the separate PENGWIN 2026
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challenge, whose "Task 2" is a different task on different data.
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## License
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The Zenodo record metadata declares CC BY 4.0, while the challenge summary paper's Data
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Availability statement says the X-ray training set is released under **CC BY-NC-SA** - the
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same record-vs-paper conflict as PENGWIN Task 1. As with our Task 1 mirror, this mirror
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adopts the stricter author-stated **CC BY-NC-SA 4.0**.
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## Citation
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Sang Y. et al., "Benchmark of Segmentation Techniques for Pelvic Fracture in CT and
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X-Ray: Summary of the PENGWIN 2024 Challenge," IEEE TMI, doi:10.1109/TMI.2025.3650126
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(arXiv:2504.02382). Data: doi:10.5281/zenodo.10913196. Lineage: Liu Y. et al., MICCAI
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2023, doi:10.1007/978-3-031-43996-4_30.
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