arXiv · 2609.36436
Merlin Plus: A Large-Scale, Multi-Cancer, Image-Mask-Report Dataset
Abstract
Multi-cancer segmentation in computed tomography (CT) is fundamentally limited by the scarcity of tumor masks across different organs. We present Merlin Plus, the first large-scale CT dataset with radiologist-created tumor masks across 9 organs. Merlin Plus extends the Merlin dataset by adding 1,153 per-voxel tumor masks and longitudinal metadata. To create these tumor masks, we developed a report-based active-learning framework in which radiology reports identify tumor cases for annotation and support training of a tumor segmentation model. The model generates initial masks, which radiologists review and correct to produce the final masks, reducing annotation burden while maintaining high-quality annotations. Besides tumor masks, the longitudinal metadata in Merlin Plus enables temporal modeling of cancer progression. By directly addressing the major bottleneck of limited multi-cancer segmentation masks, Merlin Plus supports scalable multi-organ cancer detection, segmentation, and longitudinal analysis in CT. Dataset is available at: https://github.com/MrGiovanni/MerlinPlus
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Pedro R. A. S. Bassi, Wenxuan Li, Szymon Plotka, Ruby Honjol, Jakub Przado, Xinze Zhou, Kang Wang, Yang Yang, Malte Jensen, Akshay S. Chaudhari, Curtis P. Langlotz, Alan L. Yuille, Zongwei Zhou. 2026-09-29. Merlin Plus: A Large-Scale, Multi-Cancer, Image-Mask-Report Dataset. https://arxiv.org/abs/2609.36436
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