Anatomy-Aware Promptable Segmentation with Online Interactive Training for AUTOPET V

We present an anatomy-aware, promptable model for whole-body lesion segmentation in FDG and PSMA PET/CT, developed for the AUTOPET V challenge. The proposed method is built as family of nnU-Net-based models and trained in two stages: i) a pre-training stage that produces a strong initial segmentation, and ii) an online interactive stage that learns to exploit scribble prompts, refining the prediction over successive interactions. Anatomical context is incorporated through organ supervision using a single shared head that predicts lesions and organs from the same features, which reduces false p