论文标题

使用非局部掩码R-CNN具有组织病理学的真实情况,对两次癌MRI进行精确的前列腺癌检测和分割

Accurate Prostate Cancer Detection and Segmentation on Biparametric MRI using Non-local Mask R-CNN with Histopathological Ground Truth

论文作者

Dai, Zhenzhen, Jambor, Ivan, Taimen, Pekka, Pantelic, Milan, Elshaikh, Mohamed, Rogers, Craig, Ettala, Otto, Boström, Peter, Aronen, Hannu, Merisaari, Harri, Wen, Ning

论文摘要

目的:我们旨在开发深度机学习(DL)模型,以改善BP-MRI上掌内病变(IL)的检测和分割,并使用基于前列腺切除术的全量划分。我们还旨在调查转移学习和自我训练是否会通过标记的数据少量改善结果。 方法:根据BP-MRI,在MRI上描述了158例可疑病变,基于整个前列腺切除术截面的MRI划定了64例ILS ILS,未标记40例患者。提出了非本地掩码R-CNN来提高分割精度。通过微调使用基于前列腺切除术的描述的模型进行微调来研究转移学习。在自我训练中研究了两种标签选择策略。通过3D检测率,骰子相似系数(DSC),95%的Hausdrauff(95 HD,MM)和TRUE阳性比例(TPR)评估模型的性能。 结果:通过基于前列腺切除术的描述,具有微调和自我训练的非本地面膜R-CNN显着改善了所有评估指标。对于具有最高检测率和DSC的模型,所有格里森级组(GGG)中的80.5%(33/41)的病变被DSC检测到0.548 [0.165] [0.165],95 HD为5.72 [3.17],TPR为0.613 [0.193]。其中,DSC检测到94.7%(18/19)具有GGG> 2的病变,DSC为0.604 [0.135],95 HD为6.26 [3.44],TPR为0.580 [0.190]。 结论:基于组织学图像的注释,DL模型可以在BP-MRI上实现高前列腺癌检测和分割精度。为了进一步提高性能,需要更多具有MRI和全量前列腺切除术标本的注释的数据。

Purpose: We aimed to develop deep machine learning (DL) models to improve the detection and segmentation of intraprostatic lesions (IL) on bp-MRI by using whole amount prostatectomy specimen-based delineations. We also aimed to investigate whether transfer learning and self-training would improve results with small amount labelled data. Methods: 158 patients had suspicious lesions delineated on MRI based on bp-MRI, 64 patients had ILs delineated on MRI based on whole mount prostatectomy specimen sections, 40 patients were unlabelled. A non-local Mask R-CNN was proposed to improve the segmentation accuracy. Transfer learning was investigated by fine-tuning a model trained using MRI-based delineations with prostatectomy-based delineations. Two label selection strategies were investigated in self-training. The performance of models was evaluated by 3D detection rate, dice similarity coefficient (DSC), 95 percentile Hausdrauff (95 HD, mm) and true positive ratio (TPR). Results: With prostatectomy-based delineations, the non-local Mask R-CNN with fine-tuning and self-training significantly improved all evaluation metrics. For the model with the highest detection rate and DSC, 80.5% (33/41) of lesions in all Gleason Grade Groups (GGG) were detected with DSC of 0.548[0.165], 95 HD of 5.72[3.17] and TPR of 0.613[0.193]. Among them, 94.7% (18/19) of lesions with GGG > 2 were detected with DSC of 0.604[0.135], 95 HD of 6.26[3.44] and TPR of 0.580[0.190]. Conclusion: DL models can achieve high prostate cancer detection and segmentation accuracy on bp-MRI based on annotations from histologic images. To further improve the performance, more data with annotations of both MRI and whole amount prostatectomy specimens are required.

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