ArticleInternational journal of radiation oncology, biology, physics2025
Multidisciplinary Consensus Prostate Contours on Magnetic Resonance Imaging: Educational Atlas and Reference Standard for Artificial Intelligence Benchmarking.
Article in International journal of radiation oncology, biology, physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Magnetic Resonance Guided Radical Radiation Therapy for Prostate Cancer in the Presence of Bilateral Hip Prostheses: First Experience With a 1.5 T Magnetic Resonance Linear Accelerator.Advances in radiation oncology · 2026Article
- PURE-MRI: An international study assessing physician accuracy in delineating the prostate and urethra on prostate MRI.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2026Article
- Urethra contours on MRI: Multidisciplinary consensus educational atlas and reference standard for artificial intelligence benchmarking.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2026Article
- Current state of the art of new prostate MRI technologies and potential future developments.BJR open · 2026Review
- AI-driven precision diagnosis and treatment of prostate cancer: a narrative review.Frontiers in oncology · 2026Review
- PrecisionPro Fusion: Clinical validation of an automated, rigid, Prostate-Specific MRI-CT Fusion system for prostate radiotherapy planning.Technical innovations & patient support in radiation oncology · 2025Article
- Artificial intelligence in prostate cancer: navigating the new frontier of precision uro-oncology.American journal of clinical and experimental urology · 2025Review
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Authors and funding
20 authors.
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Abstract
purposeEvaluation of artificial intelligence (AI) algorithms for prostate segmentation is challenging because ground truth is lacking. We aimed to: (1) create a reference standard data set with precise prostate contours by expert consensus, and (2) evaluate various AI tools against this standard. METHODS AND MATERIALS: We obtained prostate magnetic resonance imaging cases from six institutions from the Qualitative Prostate Imaging Consortium. A panel of 4 experts (2 genitourinary radiologists and 2 prostate radiation oncologists) meticulously developed consensus prostate segmentations on axial T
resultsThe panel achieved consensus prostate segmentation on each slice of all 68 patient cases included in the reference data set. We present 2 patient examples to serve as contouring guides. Depending on the AI tool, median Dice scores (across patients) ranged from 0.80 to 0.94 for whole prostate segmentation. For a typical (median) patient, AI tools had a mean error over the prostate surface ranging from 1.3 to 2.4 mm. They maximally deviated 3.0 to 9.4 mm outside the prostate and 3.0 to 8.5 mm inside the prostate for a typical patient. Error in prostate volume measurement for a typical patient ranged from 4.3% to 31.4%.
conclusionsWe established an expert consensus benchmark for prostate segmentation. The best-performing AI tools have typical accuracy greater than that reported for radiation oncologists using computed tomography scans (the most common clinical approach for radiation therapy planning). Physician review remains essential to detect occasional major errors.
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