Abstract
We address the problem of prostate lesion detection, localization, and segmentation in T2W magnetic resonance (MR) images. We train a deep convolutional encoder-decoder architecture to simultaneously segment the prostate, its anatomical structure, and the malignant lesions. To incorporate the 3D contextual spatial information provided by the MRI series, we propose a novel 3D sliding window approach, which preserves the 2D domain complexity while exploiting 3D information. Experiments on data from 19 patients provided for the public by the Initiative for Collaborative Computer Vision Benchmarking (I2CVB) show that our approach outperforms traditional pattern recognition and machine learning approaches by a significant margin. Particularly, for the task of cancer detection and localization, the system achieves an average AUC of 0.995, an accuracy of 0.894, and a recall of 0.928. The proposed mono-modal deep learning-based system performs comparably to other multi-modal MR-based systems. It could improve the performance of a radiologist in prostate cancer diagnosis and treatment planning.
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References
Alkadi R, Taher F, El-Baz A, Naoufel W: Early diagnosis and staging of prostate cancer using magnetic resonance imaging: State of the art and perspectives. In: Prostate cancer imaging: An engineering and clinical perspective, chapter 2. Taylor & Francis, In-press
Badrinarayanan V, Kendall A, Cipolla R: Segnet: A deep convolutional encoder-decoder architecture for image segmentation. IEEE Trans Pattern Anal Mach Intell 39 (12): 2481–2495, 2017
Chan I, Wells W, Mulkern RV, Haker S, Zhang J, Zou KH, Maier SE, Tempany C: Detection of prostate cancer by integration of line-scan diffusion, t2-mapping and t2-weighted magnetic resonance imaging; a multichannel statistical classifier. Med Phys 30 (9): 2390–2398, 2003
Chawla NV, Bowyer KW, Hall LO, Philip Kegelmeyer W: Smote: synthetic minority over-sampling technique. J Artif Intell Res 16: 321–357, 2002
Csurka G, Larlus D, Perronnin F, Meylan F: What is a good evaluation measure for semantic segmentation?. In: BMVC, volume 27, p 2013. Citeseer, 2013
Drozdzal M, Chartrand G, Vorontsov E, Shakeri M, Di Jorio L, An T, Romero A, Bengio Y, Pal C, Kadoury S: Learning normalized inputs for iterative estimation in medical image segmentation. Med Image Anal 44: 1–13, 2018
Eigen D, Fergus R: Predicting depth, surface normals and semantic labels with a common multi-scale convolutional architecture.. In: Proceedings of the IEEE international conference on computer vision, 2015, pp 2650–2658
Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F: Cancer incidence and mortality worldwide: sources, methods and major patterns in globocan 2012. Int J Cancer 136 (5): E359–86, 2015
Fütterer JJ: Multiparametric mri in the detection of clinically significant prostate cancer. Korean J Radiol 18 (4): 597–606, 2017
Garcia-Garcia A, Orts-Escolano S, Oprea S, Villena-Martinez V, Garcia-Rodriguez J: A review on deep learning techniques applied to semantic segmentation, 2017. arXiv:1704.06857
Greenspan H, van Ginneken B, Summers RM: Guest editorial deep learning in medical imaging overview and future promise of an exciting new technique. IEEE Trans Med Imaging 35 (5): 1153–1159, 2016
Guo Y, Gao Y, Shen D: Deformable mr prostate segmentation via deep feature learning and sparse patch matching. IEEE Trans Med Imaging 35 (4): 1077–1089, 2016
Hall MA: Correlation-based feature selection of discrete and numeric class machine learning, 2000
Han H, Wang W-Y, Mao B-H: Borderline-smote: a new over- sampling method in imbalanced data sets learning.. In: International Conference on Intelligent Computing, pp 878–887. Springer , 2005
He K, Zhang X, Ren S, Sun J: Delving deep into rectifiers: Surpassing human-level performance on imagenet classification.. In: Proceedings of the IEEE international conference on computer vision, pp 1026–1034, 2015
Kiraly AP, Nader CA, Tuysuzoglu A, Grimm R, Kiefer B, El-Zehiry N, Kamen A: Deep convolutional encoder-decoders for prostate cancer detection and classification.. In: International Conference on Medical Image Computing and Computer-Assisted Intervention, pp 489–497. Springer, 2017
Kohl S, Bonekamp D, Schlemmer H-P, Yaqubi K, Hohenfellner M, Hadaschik B, Radtke J-P, Maier-Hein K: Adversarial networks for the detection of aggressive prostate cancer, 2017. arXiv:1702.08014 1702.08014
Kumar D, Wong A, Clausi DA: Lung nodule classification using deep features in ct images.. In: 2015 12th conference on computer and robot vision (CRV), pp 133–138. IEEE, 2015
Lemaitre G: Computer-aided diagnosis for prostate cancer using multi-parametric magnetic resonance imaging. PhD thesis, Ph. D. dissertation, Universitat de Girona and Université de Bourgogne, 2016
Lemaître G, Martí R, Freixenet J, Vilanova JC, Walker PM, Meriaudeau F: Computer-aided detection and diagnosis for prostate cancer based on mono and multi-parametric mri: A review. Comput Biol Med 60: 8–31, 2015
Lemaitre G, Martí R, Rastgoo M, Mériaudeau F: Computer-aided detection for prostate cancer detection based on multi-parametric magnetic resonance imaging.. In: Engineering in Medicine and Biology Society (EMBC), 2017 39th Annual International Conference of the IEEE, pp 3138–3141. IEEE, 2017
Litjens G, Debats O, Barentsz J, Karssemeijer N, Huisman H: Computer-aided detection of prostate cancer in mri. IEEE Trans Med Imaging 33 (5): 1083–1092, 2014
Litjens G, Kooi T, Bejnordi BE, Setio AAA, Ciompi F, Ghafoorian M, van der Laak JAWM, van Ginneken B, Sánchez CI: A survey on deep learning in medical image analysis. Med Image Anal 42: 60–88, 2017
Long J, Shelhamer E, Darrell T: Fully convolutional networks for semantic segmentation.. In: Proceedings of the IEEE conference on computer vision and pattern recognition, 2015, pp 3431–3440
Lv D, Guo X, Wang X, Zhang J, Fang J: Computerized characterization of prostate cancer by fractal analysis in mr images. J Magn Reson Imaging 30 (1): 161–168, 2009
Mani I, Zhang I: knn approach to unbalanced data distributions: a case study involving information extraction.. In: Proceedings of workshop on learning from imbalanced datasets, vol 126, 2003
Mazurowski MA, Buda M, Saha A, Bashir MR: Deep learning in radiology: an overview of the concepts and a survey of the state of the art, 2018. arXiv:1802.08717
Puech P, Betrouni N, Makni N, Dewalle A-S, Villers A, Lemaitre L: Computer-assisted diagnosis of prostate cancer using dce-mri data: design, implementation and preliminary results. Int J Comput. Assist Radiol Surg 4 (1): 1–10, 2009
Qi CR, Hao SU, Nießner M, Dai A, Yan M, Guibas LJ: Volumetric and multi-view cnns for object classification on 3d data.. In: Proceedings of the IEEE conference on computer vision and pattern recognition, 2016, pp 5648–5656
Rampun A, Zheng L, Malcolm P, Tiddeman B, Zwiggelaar R: Computer-aided detection of prostate cancer in t2-weighted mri within the peripheral zone. Phys Med Biol 61 (13): 4796, 2016
Reda I, Shalaby A, Khalifa F, Elmogy M, Aboulfotouh A, El-Ghar MA, Hosseini-Asl E, Werghi N, Keynton R, El-Baz A: Computer-aided diagnostic tool for early detection of prostate cancer.. In: IEEE international conference on image processing (ICIP), pp 2668–2672. IEEE, 2016
Ronneberger O, Fischer P, Brox T: U-net: Convolutional networks for biomedical image segmentation.. In: International Conference on Medical image computing and computer-assisted intervention, pp 234–241. Springer, 2015
Roth HR, Lu Le, Liu J, Yao J, Seff A, Cherry K, Kim L, Summers RM: Improving computer-aided detection using convolutional neural networks and random view aggregation. IEEE Trans Med Imaging 35 (5): 1170–1181, 2016
Roth HR, Lu L, Seff A, Cherry KM, Hoffman J, Wang S, Liu J, Turkbey E, Summers RM: A new 2.5 d representation for lymph node detection using random sets of deep convolutional neural network observations.. In: International Conference on Medical Image Computing and Computer-Assisted Intervention, pp 520–527. Springer, 2014
Russakovsky O, Deng J, Su H, Krause J, Satheesh S, Ma S, Huang Z, Karpathy A, Khosla A, Bernstein M, Berg AC, Fei-Fei L: ImageNet large scale visual recognition challenge. Int J Comput Vis 115 (3): 211–252, 2015
Simonyan K, Zisserman A: Very deep convolutional networks for large-scale image recognition, 2014. arXiv:1409.1556
Smith MR, Martinez T, Giraud-Carrier C: An instance level analysis of data complexity. Mach Learn 95 (2): 225–256, 2014
Tiwari P, Kurhanewicz J, Madabhushi A: Multi-kernel graph embedding for detection, gleason grading of prostate cancer via mri/mrs. Med Image Anal 17 (2): 219–235, 2013
Tiwari P, Rosen M, Madabhushi A: A hierarchical spectral clustering and nonlinear dimensionality reduction scheme for detection of prostate cancer from magnetic resonance spectroscopy (mrs). Med Phys 36 (9Part1): 3927–3939, 2009
Tiwari P, Viswanath S, Kurhanewicz J, Sridhar A, Madabhushi A: Multimodal wavelet embedding representation for data combination (maweric): integrating magnetic resonance imaging and spectroscopy for prostate cancer detection. NMR Biomed 25 (4): 607–619, 2012
Trigui R, Mitéran J, Walker PM, Sellami L, Ben Hamida A: Automatic classification and localization of prostate cancer using multi-parametric mri/mrs. Biomed Signal Process Control 31: 189–198, 2017
Tustison NJ, Avants BB, Cook PA, Zheng Y, Egan A, Yushkevich PA, Gee JC: N4itk: Improved n3 bias correction. IEEE Trans Med Imaging 29 (6): 1310–1320, 2010
Viswanath S, Bloch BN, Genega E, Rofsky N, Lenkinski R, Chappelow J, Toth R, Madabhushi A: A comprehensive segmentation, registration, and cancer detection scheme on 3 tesla in vivo prostate dce-mri.. In: International conference on medical image computing and computer-assisted intervention, pp 662–669. Springer, 2008
Viswanath SE, Bloch NB, Chappelow JC, Toth R, Rofsky NM, Genega EM, Lenkinski RE, Madabhushi A: Central gland and peripheral zone prostate tumors have significantly different quantitative imaging signatures on 3 tesla endorectal, in vivo t2- weighted mr imagery. J Magn Reson Imaging 36 (1): 213–224, 2012
Vos PC, Barentsz JO, Karssemeijer N, Huisman HJ: Automatic computer-aided detection of prostate cancer based on multiparametric magnetic resonance image analysis. Phys Med Biol 57 (6): 1527, 2012
Wang L, Zwiggelaar R: 3d texton based prostate cancer detection using multiparametric magnetic resonance imaging.. In: Annual conference on medical image understanding and analysis, pp 309– 319. Springer, 2017
Wang Z, Liu C, Cheng D, Wanga L, Yang X, Chengb K-TT: Automated detection of clinically significant prostate cancer in mp-mri images based on an end-to-end deep neural network. IEEE Transactions on Medical Imaging, 2018
Zhirong WU, Song S, Khosla A, Fisher YU, Zhang L, Tang X, Xiao J: 3d shapenets; A deep representation for volumetric shapes.. In: Proceedings of the IEEE conference on computer vision and pattern recognition, 2015, pp 1912–1920
Yang X, Liu C, Wang Z, Yang J, Min HL, Wang L, Cheng K-TT: Co-trained convolutional neural networks for automated detection of prostate cancer in multi-parametric mri. Med Image Anal 42: 212–227, 2017
Yang X, Wang Z, Liu C, Le HM, Chen J, Cheng K-TT, Wang L: Joint detection and diagnosis of prostate cancer in multi-parametric mri based on multimodal convolutional neural networks.. In: International Conference on Medical Image Computing and Computer-Assisted Intervention, pp 426–434. Springer, 2017
Lequan YU, Yang X, Chen H, Qin J, Heng P-A: Volumetric convnets with mixed residual connections for automated prostate segmentation from 3d mr images.. In: AAAI, 2017, pp 66–72
Zhou B, Khosla A, Lapedriza A, Oliva A, Torralba A: Learning deep features for discriminative localization.. In: IEEE conference on computer vision and pattern recognition (CVPR), pp 2921–2929. IEEE, 2016
Acknowledgements
The authors would also like to thank Dr. Waleed Hassen and Dr. Eric Vens from Cleveland Clinic, Abu Dhabi, and Dr. Salah El-Rai from Sheikh Khalifa General Hospital for their support and collaboration.
Funding
This work is support by a research grant from Al-Jalila foundation ref. AJF-201616.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Alkadi, R., Taher, F., El-baz, A. et al. A Deep Learning-Based Approach for the Detection and Localization of Prostate Cancer in T2 Magnetic Resonance Images. J Digit Imaging 32, 793–807 (2019). https://doi.org/10.1007/s10278-018-0160-1
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DOI: https://doi.org/10.1007/s10278-018-0160-1