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3D foundation model for generalizable disease detection in head computed tomography.

April 22, 2026pubmed logopapers

Authors

Zhu W,Huang H,Tang H,Musthyala R,Yu B,Chen L,Vega E,O'Donnell T,Hayek R,Kuohn L,Dehkharghani S,Frontera JA,Masurkar AV,Melmed K,Razavian N

Affiliations (10)

  • Center for Data Science, New York University, New York, NY, USA.
  • Center for Data Science, New York University, New York, NY, USA. [email protected].
  • Courant Institute of Mathematical Sciences, New York University, New York, NY, USA.
  • Department of Radiology, NYU Grossman School of Medicine, New York, NY, USA.
  • Siemens Healthineers, Malvern, PA, USA.
  • Department of Neurology, NYU Grossman School of Medicine, New York, NY, USA.
  • Department of Neuroscience and Physiology, NYU Grossman School of Medicine, New York, NY, USA.
  • Neuroscience Institute, NYU Grossman School of Medicine, New York, NY, USA.
  • Department of Radiology, NYU Grossman School of Medicine, New York, NY, USA. [email protected].
  • Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA. [email protected].

Abstract

Head computed tomography (CT) imaging is a widely used imaging modality with multitudes of medical indications, particularly in assessing pathology of the brain, skull and cerebrovascular system. It is commonly used as the first-line imaging in neurologic emergencies given its rapidity of image acquisition, safety, cost and ubiquity. Deep learning models may facilitate detection of a wide range of diseases. However, the scarcity of high-quality labels and annotations, particularly among less common conditions, substantially hinders the development of powerful models. To address this challenge, we introduce FM-HCT, a Foundation Model for Head CT for generalizable disease detection, trained using self-supervised learning. Our approach pretrains a deep learning model on a large, diverse dataset of 361,663 non-contrast 3D head CT scans without the need for manual annotations, enabling the model to learn robust, generalizable features. Our results demonstrate that the self-supervised foundation model substantially improves performance on downstream diagnostic tasks compared to models trained from scratch and previous 3D CT foundation models trained on scarce annotated datasets.

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