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. 2018 Mar 1;8(1):107-116.
eCollection 2018 Mar.

Automatic Prostate Cancer Segmentation Using Kinetic Analysis in Dynamic Contrast-Enhanced MRI

Affiliations

Automatic Prostate Cancer Segmentation Using Kinetic Analysis in Dynamic Contrast-Enhanced MRI

S Navaei Lavasani et al. J Biomed Phys Eng. .

Abstract

Background: Dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) provides functional information on the microcirculation in tissues by analyzing the enhancement kinetics which can be used as biomarkers for prostate lesions detection and characterization.

Objective: The purpose of this study is to investigate spatiotemporal patterns of tumors by extracting semi-quantitative as well as wavelet-based features, both extracted from pixel-based time-signal intensity curves to segment prostate lesions on prostate DCE-MRI.

Methods: Quantitative dynamic contrast-enhanced MRI data were acquired on 22 patients. Optimal features selected by forward selection are used for the segmentation of prostate lesions by applying fuzzy c-means (FCM) clustering. The images were reviewed by an expert radiologist and manual segmentation performed as the ground truth.

Results: Empirical results indicate that fuzzy c-mean classifier can achieve better results in terms of sensitivity, specificity when semi-quantitative features were considered versus wavelet kinetic features for lesion segmentation (Sensitivity of 87.58% and 75.62%, respectively) and (Specificity of 89.85% and 68.89 %, respectively).

Conclusion: The proposed segmentation algorithm in this work can potentially be implemented for automatic prostate lesion detection in a computer aided diagnosis scheme and combined with morphologic features to increase diagnostic credibility.

Keywords: Prostate Cancer; Segmentation; Semi-quantitative Feature; Wavelet Kinetic Feature; DCE-MRI.

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Conflict of interest statement

Conflict of interests: None.

Figures

Figure1
Figure1
Relative time intensity curve. The different parameters that were calculated (Max Relative enhancement, TTP, Wash-in, Wash-out and Area under curve (AUC)) are illustrated on a pixel of malignant prostatic tissue.
Figure2
Figure2
Segmentation of DCE-MRI images (Patient 1, 2, 3). (a, d, g) Tumor outlined by a pathologist, (b, e, h) The segmentation result by the Semi-quantitative features, (d, f, i) and by the Wavelet based features.

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