Central gland and peripheral zone prostate tumors have significantly different quantitative imaging signatures on 3 Tesla endorectal, in vivo T2-weighted MR imagery.
Central gland and peripheral zone prostate tumors have significantly different quantitative imaging signatures on 3 Tesla endorectal, in vivo T2-weighted MR imagery.
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DOI:
10.1002/jmri.23618
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发表时间:
2012-07
影响因子:
4.4
通讯作者:
Madabhushi, Anant
中科院分区:
文献类型:
--
作者:
Viswanath, Satish E.;Bloch, Nicholas B.;Chappelow, Jonathan C.;Toth, Robert;Rofsky, Neil M.;Genega, Elizabeth M.;Lenkinski, Robert E.;Madabhushi, Anant
关键词:
To identify and evaluate textural quantitative imaging signatures (QISes) for tumors occurring within the central gland (CG) and peripheral zone (PZ) of the prostate, respectively, as seen on in vivo 3 Tesla endorectal T2-weighted (T2w) Magnetic Resonance Imaging (MRI). This study utilized 22 pre-operative prostate MRI datasets (16 PZ, 6 CG) acquired from men with confirmed prostate cancer (CaP) and scheduled for radical prostatectomy (RP). The prostate region-of-interest (ROI) was automatically delineated on T2w MRI, following which it was corrected for intensity-based acquisition artifacts. An expert pathologist manually delineated the dominant tumor regions on ex vivo sectioned and stained RP specimens as well as identified each of the studies as either a CG or PZ CaP. A non-linear registration scheme was employed to spatially align and then map CaP extent from the ex vivo RP sections onto the corresponding MRI slices. 110 texture features were then extracted on a per-voxel basis from all T2w MRI datasets. An information theoretic feature selection procedure was then applied to identify QISes comprising T2w MRI textural features specific to CG and PZ CaP, respectively. The QISes for CG and PZ CaP were evaluated via Quadratic Discriminant Analysis (QDA) on a per-voxel basis against the ground truth for CaP on T2w MRI, mapped from corresponding histology. The QDA classifier yielded an area under the Receiver Operating characteristic curve of 0.86 for the CG CaP studies, and 0.73 for the PZ CaP studies over 25 runs of randomized 3-fold cross-validation. By comparison, the accuracy of the QDA classifier was significantly lower when (a) using all 110 texture features (with no feature selection applied), as well as (b) a randomly selected combination of texture features. CG and PZ prostate cancers have significantly differing textural quantitative imaging signatures on T2w endorectal in vivo MRI.
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