Evidence map›Paper›PMID 32812797›Full record

ArticleAJR. American journal of roentgenology2021

A 3D-2D Hybrid U-Net Convolutional Neural Network Approach to Prostate Organ Segmentation of Multiparametric MRI.

Alexander Ushinsky, Michelle Bardis, Justin Glavis-Bloom, Edward Uchio, Chanon Chantaduly, Michael Nguyentat, Daniel Chow, Peter D Chang, Roozbeh Houshyar

Abstract read
In one paragraph

Article in AJR. American journal of roentgenology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Alexander UshinskyDepartment of Radiological Sciences, University of California, Irvine, CA.
Michelle BardisCenter for Artificial Intelligence in Diagnostic Medicine, California Institute for Telecommunication and Information Technology, University of California, 4100 E Peltason Dr, Calit 2 Bldg, Ste 4500, Irvine, CA 92617.
Justin Glavis-BloomDepartment of Radiological Sciences, University of California, Irvine, CA.
Edward UchioDepartment of Urology, University of California, Irvine, CA.
Chanon ChantadulyCenter for Artificial Intelligence in Diagnostic Medicine, California Institute for Telecommunication and Information Technology, University of California, 4100 E Peltason Dr, Calit 2 Bldg, Ste 4500, Irvine, CA 92617.
Michael NguyentatDepartment of Radiology, University of Colorado Anschutz Medical Center, Aurora, CO.
Daniel ChowDepartment of Radiological Sciences, University of California, Irvine, CA.
Peter D ChangDepartment of Radiological Sciences, University of California, Irvine, CA.
Roozbeh HoushyarDepartment of Radiological Sciences, University of California, Irvine, CA.
University of California, Irvine · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Melanie Funes · 1994 to 2026
$57.9M
NCI NIH HHS P30 CA062203
6 · The paper itself

Abstract

objectiveProstate cancer is the most commonly diagnosed cancer in men in the United States with more than 200,000 new cases in 2018. Multiparametric MRI (mpMRI) is increasingly used for prostate cancer evaluation. Prostate organ segmentation is an essential step of surgical planning for prostate fusion biopsies. Deep learning convolutional neural networks (CNNs) are the predominant method of machine learning for medical image recognition. In this study, we describe a deep learning approach, a subset of artificial intelligence, for automatic localization and segmentation of prostates from mpMRI. MATERIALS AND

methodsThis retrospective study included patients who underwent prostate MRI and ultrasound-MRI fusion transrectal biopsy between September 2014 and December 2016. Axial T2-weighted images were manually segmented by two abdominal radiologists, which served as ground truth. These manually segmented images were used for training on a customized hybrid 3D-2D U-Net CNN architecture in a fivefold cross-validation paradigm for neural network training and validation. The Dice score, a measure of overlap between manually segmented and automatically derived segmentations, and Pearson linear correlation coefficient of prostate volume were used for statistical evaluation.

resultsThe CNN was trained on 299 MRI examinations (total number of MR images = 7774) of 287 patients. The customized hybrid 3D-2D U-Net had a mean Dice score of 0.898 (range, 0.890-0.908) and a Pearson correlation coefficient for prostate volume of 0.974.

conclusionA deep learning CNN can automatically segment the prostate organ from clinical MR images. Further studies should examine developing pattern recognition for lesion localization and quantification.

Indexed as

Deep LearningImaging, Three-DimensionalMultiparametric Magnetic Resonance ImagingHumansImage-Guided BiopsyMaleProstatic NeoplasmsRetrospective Studiesartificial intelligencedeep learningmachine learningmultiparametric MRI (mpMRI)prostate

Identifiers

PMID32812797
PMCPMC12588379
OpenAlexW3051093578

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.