Clinical Imaging Research Centre, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nanyang Junior College, Singapore.
Comput Math Methods Med. 2020 Oct 20;2020:8861035. doi: 10.1155/2020/8861035. eCollection 2020.
Prostate segmentation in multiparametric magnetic resonance imaging (mpMRI) can help to support prostate cancer diagnosis and therapy treatment. However, manual segmentation of the prostate is subjective and time-consuming. Many deep learning monomodal networks have been developed for automatic whole prostate segmentation from T2-weighted MR images. We aimed to investigate the added value of multimodal networks in segmenting the prostate into the peripheral zone (PZ) and central gland (CG). We optimized and evaluated monomodal DenseVNet, multimodal ScaleNet, and monomodal and multimodal HighRes3DNet, which yielded dice score coefficients (DSC) of 0.875, 0.848, 0.858, and 0.890 in WG, respectively. Multimodal HighRes3DNet and ScaleNet yielded higher DSC with statistical differences in PZ and CG only compared to monomodal DenseVNet, indicating that multimodal networks added value by generating better segmentation between PZ and CG regions but did not improve the WG segmentation. No significant difference was observed in the apex and base of WG segmentation between monomodal and multimodal networks, indicating that the segmentations at the apex and base were more affected by the general network architecture. The number of training data was also varied for DenseVNet and HighRes3DNet, from 20 to 120 in steps of 20. DenseVNet was able to yield DSC of higher than 0.65 even for special cases, such as TURP or abnormal prostate, whereas HighRes3DNet's performance fluctuated with no trend despite being the best network overall. Multimodal networks did not add value in segmenting special cases but generally reduced variations in segmentation compared to the same matched monomodal network.
多参数磁共振成像(mpMRI)中的前列腺分割有助于支持前列腺癌的诊断和治疗。然而,手动分割前列腺是主观且耗时的。许多深度学习单模态网络已经被开发出来,用于从 T2 加权磁共振图像自动分割整个前列腺。我们旨在研究多模态网络在将前列腺分割为外周区(PZ)和中央腺(CG)中的附加价值。我们优化并评估了单模态 DenseVNet、多模态 ScaleNet 以及单模态和多模态 HighRes3DNet,它们在 WG 中的骰子得分系数(DSC)分别为 0.875、0.848、0.858 和 0.890。与单模态 DenseVNet 相比,多模态 HighRes3DNet 和 ScaleNet 在 PZ 和 CG 中仅产生更高的 DSC,具有统计学差异,表明多模态网络通过生成更好的 PZ 和 CG 区域之间的分割来增加价值,但并没有改善 WG 的分割。在 WG 的顶点和基部的分割中,单模态和多模态网络之间没有观察到显著差异,这表明顶点和基部的分割受一般网络结构的影响更大。DenseVNet 和 HighRes3DNet 的训练数据数量也有所不同,从 20 到 120,每次增加 20。DenseVNet 甚至能够在特殊情况下(如 TURP 或异常前列腺)产生高于 0.65 的 DSC,而 HighRes3DNet 的性能波动不定,没有趋势,尽管它是整体上最好的网络。多模态网络在分割特殊情况下没有增加价值,但通常与相同的匹配单模态网络相比,减少了分割的变化。