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Prostate cancer detection : Automated
classifier using perfusion parameters versus
T2-weighted image
Two-compartment model
• Intravascular space
• Extravascular
extracellular space
• Transfer of contrast
– Simple diffusion
– ∆ concentration
Vein
Artery
Intravascular
space (plasma)
Extravascular
extracellular space
Intracellular space
Brix two-compartment model
• Equation for Fitting: Brix model
– Linearity assumption between signal enhancement and
concentration
• Parameters
– kel (sec-1): elimination of contrast
media from central compartment.
– kep(sec-1): exchange rate constant
from EES to plasma
– AH : constant corresponds to the size
of EES
Central
Compartment*
*Blood plasma
** Extravascular extracellular space(EES)
Peripheral
Compartment**
Kin
Kel
K21 = KepK12
Purpose
• To evaluate the diagnostic accuracy of
automated classifier using various
perfusion parameters by comparing with
T2-weighted image.
• To validate the tumor volumetric result of
classifier using pathology map
Patients
• 40 patients with radical prostatectomy
– DCE MR images withT2WI, prior to prostatectomy
– Pathology maps were available
– No medical or radiation treatment prior to
prostatectomy
Machine learning
• Classifier
– SupportVector Machine
– Parameters were optimized
• Cross-validation
– Leave-one-out method
• Features
– Kep, Kel, AH, time of arrival, time to peak, plateau signal,
base signal, RMSE, wash-in rate, wash-out rate, relative
enhancement, degree of enhancement
Experimental process
Data
collection
Machine
learning
4D analyzer
EvaluationComparing
Data
Training
results
ROI base, 3 ROI SVM, Leave-one-out Pixel based test
Using pathology mapWith prostate segment results
Measurement of parameters
• 4D analyzer (matlab based)
Measurement of parameters
• Normal peripheral zone
Volumetric classification result
Volumetric classification result
Comparing with prostate
segment result
• Prostate Cancer vs. Noncancer
* Generalized Estimating Equations
Automated
classifier
T2WI p-value*
Sensitivity 86% (132/153) 66% (101/153) p=0.004
Specificity 88% (289/327) 75% (244/327) p=0.002
Accuracy 88% (421/480) 72% (345/480) p<0.01
Prostate cancer detection

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Prostate cancer detection