A Comprehensive Segmentation, Registration, and Cancer Detection Scheme on 3 Tesla In Vivo Prostate DCE-MRI

  • Authors:
  • Satish Viswanath;B. Nicolas Bloch;Elisabeth Genega;Neil Rofsky;Robert Lenkinski;Jonathan Chappelow;Robert Toth;Anant Madabhushi

  • Affiliations:
  • Department of Biomedical Engineering, Rutgers University, USA;Department of Radiology, Beth Israel Deaconess Medical Center, , USA;Department of Radiology, Beth Israel Deaconess Medical Center, , USA;Department of Radiology, Beth Israel Deaconess Medical Center, , USA;Department of Radiology, Beth Israel Deaconess Medical Center, , USA;Department of Biomedical Engineering, Rutgers University, USA;Department of Biomedical Engineering, Rutgers University, USA;Department of Biomedical Engineering, Rutgers University, USA

  • Venue:
  • MICCAI '08 Proceedings of the 11th international conference on Medical Image Computing and Computer-Assisted Intervention - Part I
  • Year:
  • 2008

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Abstract

Recently, high resolution 3 Tesla (T) Dynamic Contrast-Enhanced MRI (DCE-MRI) of the prostate has emerged as a promising modality for detecting prostate cancer (CaP). Computer-aided diagnosis (CAD) schemes for DCE-MRI data have thus far been primarily developed for breast cancer and typically involve model fitting of dynamic intensity changes as a function of contrast agent uptake by the lesion. Comparatively there is relatively little work in developing CAD schemes for prostate DCE-MRI. In this paper, we present a novel unsupervised detection scheme for CaP from 3 T DCE-MRI which comprises 3 distinct steps. First, a multi-attribute active shape model is used to automatically segment the prostate boundary from 3 T in vivoMR imagery. A robust multimodal registration scheme is then used to non-linearly align corresponding whole mount histological and DCE-MRI sections from prostatectomy specimens to determine the spatial extent of CaP. Non-linear dimensionality reduction schemes such as locally linear embedding (LLE) have been previously shown to be useful in projecting such high dimensional biomedical data into a lower dimensional subspace while preserving the non-linear geometry of the data manifold. DCE-MRI data is embedded via LLE and then classified via unsupervised consensus clustering to identify distinct classes. Quantitative evaluation on 21 histology-MRI slice pairs against registered CaP ground truth estimates yielded a maximum CaP detection accuracy of 77.20% while the popular three time point (3TP) scheme yielded an accuracy of 67.37%.