Deep Learning Algorithm for Tumor Segmentation and Discrimination of Clinically Significant Cancer in Patients with Prostate Cancer.

Background: We investigated the feasibility of a deep learning algorithm (DLA) based on apparent diffusion coefficient (ADC) maps for the segmentation and discrimination of clinically significant cancer (CSC, Gleason score ≥ 7) from non-CSC in patients with prostate cancer (PCa). Methods: Data from...

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Publicado en:Current Oncology Vol. 30; no. 8; pp. 7275 - 7286
Autores principales: Hong, Sujin, Kim, Seung Ho, Yoo, Byeongcheol, Kim, Joo Yeon
Formato: Journal Article
Publicado: MDPI Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
      vid: 30
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      pub: MDPI
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        10.3390/curroncol30080528
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        atl: Deep Learning Algorithm for Tumor Segmentation and Discrimination of Clinically Significant Cancer in Patients with Prostate Cancer.
      aug:
        au:
          Hong, Sujin
          Kim, Seung Ho
          Yoo, Byeongcheol
          Kim, Joo Yeon
        affil: Department of Radiology, Inje University, College of Medicine, Haeundae Paik Hospital, Busan 48108, Republic of Korea
      sug:
      ab: Background: We investigated the feasibility of a deep learning algorithm (DLA) based on apparent diffusion coefficient (ADC) maps for the segmentation and discrimination of clinically significant cancer (CSC, Gleason score ≥ 7) from non-CSC in patients with prostate cancer (PCa). Methods: Data from a total of 149 consecutive patients who had undergone 3T-MRI and been pathologically diagnosed with PCa were initially collected. The labelled data (148 images for GS6, 580 images for GS7) were applied for tumor segmentation using a convolutional neural network (CNN). For classification, 93 images for GS6 and 372 images for GS7 were used. For external validation, 22 consecutive patients from five different institutions (25 images for GS6, 70 images for GS7) representing different MR machines were recruited. Results: Regarding segmentation and classification, U-Net and DenseNet were used, respectively. The tumor Dice scores for internal and external validation were 0.822 and 0.7776, respectively. As for classification, the accuracies of internal and external validation were 73 and 75%, respectively. For external validation, diagnostic predictive values for CSC (sensitivity, specificity, positive predictive value and negative predictive value) were 84, 48, 82 and 52%, respectively. Conclusions: Tumor segmentation and discrimination of CSC from non-CSC is feasible using a DLA developed based on ADC maps (b2000) alone.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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