Grunnleggende konsepter
Convolutional neural networks can reliably classify whether a 3D magnetic resonance imaging sequence of the prostate contains malignant lesions.
Sammendrag
This paper evaluates the performance of different convolutional neural network (CNN) architectures, including ResNet3D, ConvNet3D, and ConvNeXt3D, in classifying whether a 3D magnetic resonance imaging (MRI) sequence of the prostate contains malignant lesions. The authors used a private dataset from the Cantonal Hospital Aarau, consisting of 365 cases with 1,095 MRI sequences, with binary labels indicating the presence of clinically significant prostate cancer based on histopathological reports.
The key highlights and insights from the study are:
- The authors explored the use of CNNs for whole-image classification of prostate cancer, in contrast to previous approaches that relied on voxel-wise annotations.
- Incorporating pre-segmentation of the prostate gland as input to the CNN models improved the performance, with the ResNet3D model achieving the best results in terms of area under the receiver operating characteristic (AUC ROC) curve of 0.6214 and average precision (AP) of 0.4583.
- The authors observed that the different CNN models struggled to generalize well, with the best-performing models often overfitting on the training data. This was attributed to the small dataset size and potential issues with the quality of the ground truth labels.
- Compared to the institutional in-house lesion segmentation model, the CNN-based approaches did not outperform the baseline in terms of AP, suggesting the need for further improvements in the training process and incorporation of additional information, such as lesion locations or zonal information.
- The authors recommend exploring other machine learning algorithms, incorporating cross-validation, and leveraging pretrained weights or self-supervised learning to potentially improve the performance of the prostate cancer classification task.
Statistikk
With 1,276,106 newly diagnosed cases world-wide in 2018, prostate carcinomas (PCa) are the second most frequently diagnosed cancer disease and account for 3.8% of all deaths related to cancerous diseases among men.
The dataset consists of 365 studies and 1,095 image sequences, with each image having a size of 149 × 149 × 32 and a voxel spacing of 0.75, 0.75, 3 in x, y, z direction, respectively.
The dataset contains 246 benign labels and 119 malignant labels.
Sitater
"It was shown that a convolutional neural network (CNN) can predict the Gleason grade of a histological slice of a prostate biopsy."
"Recently, it was proven that CNNs can reliably detect carcinomas in liver images, when trained with MRI sequences and histopathological ground truth."