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MICCAI FLARE Task1 Pan-cancer Segmentation Dataset

Note: Please fill out the registration form on the challenge website below to have your data access request approved.

This is the dataset for MICCAI26 Challenge: Pan-cancer segmentation in CT scans. We have curated over 17,000 labeled cancer CT scans, aiming to promote the development of accurate and robust pan-cancer segmentation models in low-resource settings.

FLARE26-T1-Pancancer

Data Source and Structure

Substantial time and effort were invested by each team of the datasets. Please cite the original dataset papers in your publications.

Disease target # cases Source License Dataset link
Head and neck cancer (240) 240 SegRap25 [1, 2] CC BY-SA 4.0 Link
Esophagus cancer (154) 154 AbdomenAtlas [3] CC BY-NC 4.0 Link
Lung cancer (5854) 4049 LUNA25 [4, 5, 6] CC BY-NC 4.0 Link
1010 LIDC-IDRI [7] CC BY 4.0 Link
415 NSCLC-Radiomics [8] CC BY 3.0 Link
229 LNDb [9] CC BY 4.0 Link
88 NSCLC-Radiogenomics [10] CC BY 3.0 Link
63 MSD-LungTumor [11] CC BY-SA 4.0 Link
Liver cancer (1658) 842 TotalSeg-liver_lesions [12] CC BY 4.0 Link
303 MSD-HepaticVessel [11] CC BY-SA 4.0 Link
219 WAW-TACE [13] CC BY 4.0 Link
118 MSD-Liver [11] CC BY-SA 4.0 Link
102 Colorectal-Liver-Metastases [14] CC BY 4.0 Link
74 HCC-TACE-SEG [15] CC BY 4.0 Link
Adrenal cancer (52) 52 Adrenal-ACC-Ki67-Seg [16] CC BY 3.0 Link
Pancreatic cancer (1800) 876 PanTS [17] CC BY-NC-ND 4.0 Link
482 PANORAMA [18] CC BY 4.0 Link
281 MSD-Pancreas [11] CC BY-SA 4.0 Link
161 PanTrack [19, 20] CC BY-NC-SA 4.0 Link
Kidney cancer (488) 488 KiTS [21] CC BY-NC-SA 4.0 Link
Lymph nodes (530) 354 Mediastinal-Lymph-Node-SEG [22] CC BY 4.0 Link
176 CT-Lymph-Nodes [23] CC BY 3.0 Link
Colon cancer (126) 126 MSD-Colon [11] CC BY-SA 4.0 Link
Endometrial cancer (79) 79 AbdomenAtlas [3] CC BY-NC 4.0 Link
Whole body cancer (6782) 5000 DeepLesion [6, 24] Open license Link
692 autoPETCT [25] CC BY 3.0 Link
606 LongitudinalCTLesion [26] CC BY 4.0 Link
484 MSWAL [27] CC BY-NC 4.0 Link

train_label: This dataset aggregates all publicly available CT cancer datasets that include lesion annotations. Please note that it is partially labeled: only the primary lesion is annotated in each case, while other lesions, such as metastases, may remain unlabeled.

train_per_cancer_type: We also provide fine-grained datasets organized by cancer type. Participants may develop and submit cancer-specific models for five major cancer types: lung, liver, pancreatic, kidney, and colon cancer.

train_unlabel The unlabeled datasets may optionally be used for model training. Participants are also encouraged to use other large-scale public datasets, such as CT-RATE and Merlin, for self-supervised pretraining.

validation-public: Both images and annotations are provided. Please do not use them for model training!

validation-hidden: The labels of the hidden validation set will not be released. Please submit the segmentation results on codabench to get the metrics.

PancancerCTSeg/
├── train_label/
│   ├── imagesTr/
│   └── labelsTr/
├── train_per_cancer_type/
│   ├── Dataset001_HeadNeckCancer/
│   │   ├── imagesTr/
│   │   └── labelsTr/
│   ├── Dataset002_EsophagusCancer/
│   ├── Dataset003_LungCancer/
│   ├── Dataset004_LiverCancer/
│   ├── Dataset005_AdrenalCancer/
│   ├── Dataset006_PancreaticCancer/
│   ├── Dataset007_KidneyCancer/
│   ├── Dataset008_LymphNodes/
│   ├── Dataset009_ColonCancer/
│   ├── Dataset010_EndometrialCancer/
│   └── Dataset011_WholeBody/
├── train_unlabel/
│   ├── AMOS-2350/
│   └── MSD-506/
│       ├── MSD-Colon/
│       ├── MSD-HapaticVessel/
│       ├── MSD-Liver/
│       ├── MSD-Lung/
│       ├── MSD-Pancreas/
│       └── MSD-Spleen/
├── validation/
│   ├── HealthyImages-noLesion/
│   ├── Validation-Hidden-Images/
│   ├── Validation-Public-Images/
│   └── Validation-Public-Labels/
└── README.md

Dataset Download Instructions

Directly download the merged dataset:

from huggingface_hub import snapshot_download

local_dir = "./"
snapshot_download(
    repo_id="FLARE-MedFM/PancancerCTSeg",
    repo_type="dataset",
    local_dir=local_dir,
    allow_patterns=["train_label/**"],
)

Directly download the cancer-wise dataset (e.g., liver cancer):

from huggingface_hub import snapshot_download

local_dir = "./"
snapshot_download(
    repo_id="FLARE-MedFM/PancancerCTSeg",
    repo_type="dataset",
    local_dir=local_dir,
    allow_patterns=[
        "train_per_cancer_type/Dataset004_LiverCancer/**"
    ],
)

Directly download the unlabeled dataset:

from huggingface_hub import snapshot_download

local_dir = "./"
snapshot_download(
    repo_id="FLARE-MedFM/PancancerCTSeg",
    repo_type="dataset",
    local_dir=local_dir,
    allow_patterns=["train_unlabel/**"],
)

Directly download the whole dataset (not recommended. It is more data-efficient to download only the merged dataset or a cancer-wise dataset):

from huggingface_hub import snapshot_download

local_dir = "./"
snapshot_download(
    repo_id="FLARE-MedFM/PancancerCTSeg",
    repo_type="dataset",
    local_dir=local_dir,
)

Reference

  • [1] X. Luo, J. Fu, Y. Zhong, S. Liu, B. Han, M. Astaraki, S. Bendazzoli, I. Toma-Dasu, Y. Ye, Z. Chen, et al., "SegRap2023: A benchmark of organs-at-risk and gross tumor volume segmentation for radiotherapy planning of nasopharyngeal carcinoma," Medical Image Analysis, vol. 101, p. 103447, 2025.

  • [2] X. Luo, W. Liao, Y. Zhao, Y. Qiu, J. Xu, Y. He, H. Huang, L. Li, S. Zhang, J. Fu, G. Wang, and S. Zhang, "A multicenter dataset for lymph node clinical target volume delineation of nasopharyngeal carcinoma," Scientific Data, vol. 11, p. 1085, 2024.

  • [3] P. R. A. S. Bassi, M. C. Yavuz, I. E. Hamamci, S. Er, X. Chen, W. Li, B. Menze, S. Decherchi, A. Cavalli, K. Wang, et al., "RadGPT: Constructing 3D image-text tumor datasets," in Proceedings of the IEEE/CVF International Conference on Computer Vision, pp. 23720–23730, 2025.

  • [4] D. Peeters, B. Obreja, N. Antonissen, and C. Jacobs, "The LUNA25 Challenge: Public training and development set—imaging data," data set, 2025.

  • [5] D. Peeters, B. Obreja, N. Antonissen, and C. Jacobs, "The LUNA25 Challenge: Public training and development set—annotation data," data set, 2025.

  • [6] J. Ma, Z. Yang, S. Kim, B. Chen, M. Baharoon, A. Fallahpour, R. Asakereh, H. Lyu, and B. Wang, "MedSAM2: Segment anything in 3D medical images and videos," arXiv preprint arXiv:2504.03600, 2025.

  • [7] S. G. Armato III, G. McLennan, L. Bidaut, M. F. McNitt-Gray, C. R. Meyer, A. P. Reeves, B. Zhao, D. R. Aberle, C. I. Henschke, E. A. Hoffman, et al., "Data from LIDC-IDRI," data set, 2015.

  • [8] H. Aerts, E. R. Velazquez, R. T. H. Leijenaar, C. Parmar, P. Grossmann, S. Carvalho, J. Bussink, R. Monshouwer, B. Haibe-Kains, D. Rietveld, et al., "Data from: Decoding tumour phenotype by noninvasive imaging using a quantitative radiomics approach," data set, 2014.

  • [9] J. Pedrosa, G. Aresta, C. Ferreira, M. Rodrigues, P. Leitão, A. Silva Carvalho, J. Rebelo, E. Negrão, I. Ramos, A. Cunha, and A. Campilho, "LNDb Dataset," data set, 2023.

  • [10] S. Bakr, O. Gevaert, S. Echegaray, K. Ayers, M. Zhou, M. Shafiq, H. Zheng, W. Zhang, A. Leung, M. Kadoch, et al., "Data for NSCLC Radiogenomics," data set, 2017.

  • [11] M. Antonelli, A. Reinke, S. Bakas, K. Farahani, A. Kopp-Schneider, B. A. Landman, G. Litjens, B. Menze, O. Ronneberger, R. M. Summers, et al., "The Medical Segmentation Decathlon," Nature Communications, vol. 13, no. 1, p. 4128, 2022.

  • [12] J. Wasserthal, "Training dataset for TotalSegmentator task liver_lesions," data set, 2026.

  • [13] K. Bartnik, T. Bartczak, M. Krzyziński, K. Korzeniowski, K. Lamparski, P. Węgrzyn, E. Lam, M. Bartkowiak, T. Wróblewski, K. Mech, M. Januszewicz, and P. Biecek, "WAW-TACE: A hepatocellular carcinoma multiphase CT dataset with segmentations, radiomics features, and clinical data," data set, 2024.

  • [14] A. L. Simpson, J. Peoples, J. M. Creasy, G. Fichtinger, N. Gangai, A. Lasso, K. N. Keshava Murthy, J. Shia, M. I. D'Angelica, and R. K. G. Do, "Preoperative CT and survival data for patients undergoing resection of colorectal liver metastases," data set, 2023.

  • [15] A. W. Moawad, D. Fuentes, A. Morshid, A. M. Khalaf, M. M. Elmohr, A. Abusaif, J. D. Hazle, A. O. Kaseb, M. Hassan, A. Mahvash, J. Szklaruk, A. Qayyom, and K. Elsayes, "Multimodality annotated HCC cases with and without advanced imaging segmentation," data set, 2021.

  • [16] A. W. Moawad, A. A. Ahmed, M. ElMohr, M. Eltaher, M. A. Habra, S. Fisher, N. Perrier, M. Zhang, D. Fuentes, and K. Elsayes, "Voxel-level segmentation of pathologically proven adrenocortical carcinoma with Ki-67 expression," data set, 2023.

  • [17] W. Li, X. Zhou, Q. Chen, T. Lin, P. R. A. S. Bassi, X. Chen, C. Ye, Z. Zhu, K. Ding, H. Li, et al., "PanTS: The pancreatic tumor segmentation dataset," in Advances in Neural Information Processing Systems, vol. 38, 2025.

  • [18] N. Alves, M. Schuurmans, D. Rutkowski, A. Saha, P. Vendittelli, N. Obuchowski, M. H. Liedenbaum, I. S. Haldorsen, A. Molven, D. Yakar, et al., "Artificial intelligence and radiologists in pancreatic cancer detection using standard of care CT scans (PANORAMA): An international, paired, non-inferiority, confirmatory, observational study," The Lancet Oncology, vol. 27, no. 1, pp. 116–124, 2026.

  • [19] Y. Kirchhoff, M. Rokuss, D. P. Mertens, D. Füller, B. Hamm, A. Schreyer, O. Ritter, and K. Maier-Hein, "Exploiting longitudinal context in clinician-verified interactive lesion tracking," arXiv preprint arXiv:2605.23118, 2026.

  • [20] M. R. Rokuss, Y. Kirchhoff, S. Roy, B. Kovacs, C. Ulrich, T. Wald, M. Zenk, S. Denner, F. Isensee, P. Vollmuth, J. Kleesiek, and K. Maier-Hein, "Longitudinal segmentation of MS lesions via temporal difference weighting," in Medical Image Computing and Computer Assisted Intervention—MICCAI 2024 Workshops, pp. 64–74, 2025.

  • [21] N. Heller, F. Isensee, D. Trofimova, R. Tejpaul, Z. Zhao, H. Chen, L. Wang, A. Golts, D. Khapun, D. Shats, et al., "The KiTS21 Challenge: Automatic segmentation of kidneys, renal tumors, and renal cysts in corticomedullary-phase CT," arXiv preprint arXiv:2307.01984, 2023.

  • [22] S. Engelson, J. Ehrhardt, T. Kepp, J. Niemeijer, and H. Handels, "LNQ Challenge 2023: Learning mediastinal lymph node segmentation with a probabilistic lymph node atlas," Machine Learning for Biomedical Imaging, vol. 2, MICCAI 2023 LNQ Challenge special issue, pp. 817–833, 2024.

  • [23] H. R. Roth, L. Lu, A. Seff, K. M. Cherry, J. Hoffman, S. Wang, J. Liu, E. Turkbey, and R. M. Summers, "A new 2.5D representation for lymph node detection in CT," data set, 2015.

  • [24] K. Yan, X. Wang, L. Lu, and R. M. Summers, "DeepLesion: Automated mining of large-scale lesion annotations and universal lesion detection with deep learning," Journal of Medical Imaging, vol. 5, no. 3, p. 036501, 2018.

  • [25] J. Dexl, K. Jeblick, A. Mittermeier, B. Schachtner, A. T. Stüber, J. Topalis, M. Rokuss, F. Isensee, K. H. Maier-Hein, H. Kalisch, et al., "The autoPET3 Challenge: Automated lesion segmentation in whole-body PET/CT—multitracer multicenter generalization," arXiv preprint arXiv:2605.05775, 2026.

  • [26] T. Küstner, F. Peisen, S. Gatidis, A. Wagner, O. Megne, A. Othman, A. Sanner, T. Loßau, J. H. Moltz, T. Kohlbrandt, and A. Hering, "Longitudinal-CT," data set, 2025.

  • [27] Z. Wu, Q. Zhao, M. Hu, Y. Li, H. Xue, Z. Jiang, A. Stefanidis, Q. Wang, I. Razzak, Z. Ge, et al., "MSWAL: 3D multi-class segmentation of whole abdominal lesions dataset," in Medical Image Computing and Computer Assisted Intervention—MICCAI 2025, pp. 378–388, 2025.

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