Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Eur J Nucl Med Mol Imaging. 2022 Jan;49(2):585-595. doi: 10.1007/s00259-021-05481-2. Epub 2021 Aug 7.
PURPOSE: We evaluated the performance of deep learning classifiers for bone scans of prostate cancer patients. METHODS: A total of 9113 consecutive bone scans (5342 prostate cancer patients) were initially evaluated. Bone scans were labeled as positive/negative for bone metastasis using clinical reports and image review for ground truth diagnosis. Two different 2D convolutional neural network (CNN) architectures were proposed: (1) whole body-based (WB) and (2) tandem architectures integrating whole body and local patches, here named as "global-local unified emphasis" (GLUE). Both models were trained using abundant (72%:8%:20% for training:validation:test sets) and limited training data (10%:40%:50%). The allocation of test sets was rotated across all images: therefore, fivefold and twofold cross-validation test results were available for abundant and limited settings, respectively. RESULTS: A total of 2991 positive and 6142 negative bone scans were used as input. For the abundant training setting, the receiver operating characteristics curves of both the GLUE and WB models indicated excellent diagnostic ability in terms of the area under the curve (GLUE: 0.936-0.955, WB: 0.933-0.957, P > 0.05 in four of the fivefold tests). The overall accuracies of the GLUE and WB models were 0.900 and 0.889, respectively. With the limited training setting, the GLUE models showed significantly higher AUCs than the WB models (0.894-0.908 vs. 0.870-0.877, P < 0.0001). CONCLUSION: Our 2D-CNN models accurately classified bone scans of prostate cancer patients. While both showed excellent performance with the abundant dataset, the GLUE model showed higher performance than the WB model in the limited data setting.
目的:我们评估了深度学习分类器在前列腺癌患者骨扫描中的性能。
方法:最初评估了 9113 例连续的骨扫描(5342 例前列腺癌患者)。使用临床报告和图像审查对骨扫描进行了骨转移的阳性/阴性标记,以进行地面实况诊断。提出了两种不同的 2D 卷积神经网络(CNN)架构:(1)全身基础(WB)和(2)串联架构,该架构集成了全身和局部斑块,这里称为“全局-局部统一强调”(GLUE)。两种模型均使用丰富的(72%:8%:20%用于训练:验证:测试集)和有限的训练数据(10%:40%:50%)进行训练。测试集的分配在所有图像之间旋转:因此,对于丰富的和有限的设置,分别有五重和双重交叉验证测试结果可用。
结果:共使用 2991 例阳性和 6142 例阴性骨扫描作为输入。对于丰富的训练设置,GLUE 和 WB 模型的接收者操作特征曲线均表明在曲线下面积方面具有出色的诊断能力(GLUE:0.936-0.955,WB:0.933-0.957,在五个五重测试中的四个中 P > 0.05)。GLUE 和 WB 模型的总体准确度分别为 0.900 和 0.889。对于有限的训练设置,GLUE 模型的 AUC 明显高于 WB 模型(0.894-0.908 vs. 0.870-0.877,P < 0.0001)。
结论:我们的 2D-CNN 模型准确地对前列腺癌患者的骨扫描进行了分类。虽然两者在丰富的数据集上均表现出出色的性能,但 GLUE 模型在有限数据设置下的性能优于 WB 模型。
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