ProsRegNet: A Deep Learning Framework for Registration of MRI and Histopathology Images of the Prostate
Wei Shao, Linda Banh, Christian A. Kunder, Richard E. Fan, Simon J. C. Soerensen, Jeffrey B. Wang, Nikola C. Teslovich, Nikhil Madhuripan, Anugayathri Jawahar, … 展开作者
Wei Shao, Linda Banh, Christian A. Kunder, Richard E. Fan, Simon J. C. Soerensen, Jeffrey B. Wang, Nikola C. Teslovich, Nikhil Madhuripan, Anugayathri Jawahar, Pejman Ghanouni, James D. Brooks, Geoffrey A. Sonn, Mirabela Rusu
Magnetic resonance imaging (MRI) is an increasingly important tool for the diagnosis and treatment of prostate cancer. However, interpretation of MRI suffers from high inter-observer variability across radiologists, thereby contributing to missed clinically significant cancers, overdiagnosed low-risk cancers, and frequent false positives. Interpretation of MRI could be greatly improved by providing radiologists with an answer key that clearly shows cancer locations on MRI. Registration of histopathology images from patients who had radical prostatectomy to pre-operative MRI allows such mapping of ground truth cancer labels onto MRI. However, traditional MRI-histopathology registration approaches are computationally expensive and require careful choices of the cost function and registration hyperparameters. This paper presents ProsRegNet, a deep learning-based pipeline to accelerate and simplify MRI-histopathology image registration in prostate cancer. Our pipeline consists of image preprocessing, estimation of affine and deformable transformations by deep neural networks, and mapping cancer labels from histopathology images onto MRI using estimated transformations. We trained our neural network using MR and histopathology images of 99 patients from our internal cohort (Cohort 1) and evaluated its performance using 53 patients from three different cohorts (an additional 12 from Cohort 1 and 41 from two public cohorts). Results show that our deep learning pipeline has achieved more accurate registration results and is at least 20 times faster than a state-of-the-art registration algorithm. This important advance will provide radiologists with highly accurate prostate MRI answer keys, thereby facilitating improvements in the detection of prostate cancer on MRI. Our code is freely available at https://github.com/pimed//ProsRegNet.
Magnetic resonance imaging (MRI) has great potential to improve prostate cancer diagnosis. It can spare men with a normal exam from undergoing invasive biopsy while making biopsies more accurate in men with lesions suspicious for cancer. Yet, the subtle differences between cancer and confounding conditions, render the interpretation of MRI challenging. The tissue collected from patients that undergo pre-surgical MRI and radical prostatectomy provides a unique opportunity to correlate histopathology images of the entire prostate with MRI in order to accurately map the extent of prostate cancer …
The interpretation of prostate MRI suffers from low agreement across radiologists due to the subtle differences between cancer and normal tissue. Image registration addresses this issue by accurately mapping the ground-truth cancer labels from surgical histopathology images onto MRI. Cancer labels achieved by image registration can be used to improve radiologists' interpretation of MRI by training deep learning models for early detection of prostate cancer. A major limitation of current automated registration approaches is that they require manual prostate segmentations, which is a time-consum…
University of Connecticut（康涅狄格大学）；University of Connecticut Health Center（康涅狄格大学健康中心）
Prostate cancer is the most common cancer in men worldwide and the second leading cause of cancer death in the United States. One of the prognostic features in prostate cancer is the Gleason grading of histopathology images. The Gleason grade is assigned based on tumor architecture on Hematoxylin and Eosin (H&E) stained whole slide images (WSI) by the pathologists. This process is time-consuming and has known interobserver variability. In the past few years, deep learning algorithms have been used to analyze histopathology images, delivering promising results for grading prostate cancer. Howev…
Identifying prostate cancer patients that are harboring aggressive forms of prostate cancer remains a significant clinical challenge. To shed light on this problem, we develop an approach based on multispectral deep-ultraviolet (UV) microscopy that provides novel quantitative insight into the aggressiveness and grade of this disease. First, we find that UV spectral signatures from endogenous molecules give rise to a phenotypical continuum that differentiates critical structures of thin tissue sections with subcellular spatial resolution, including nuclei, cytoplasm, stroma, basal cells, nerves…
University of California, San Francisco（加州大学旧金山分校）；Duke University（杜克大学）；University of Dusseldorf（杜塞尔多夫大学）；University of Washington（华盛顿大学）
Non-invasive prostate cancer detection from MRI has the potential to revolutionize patient care by providing early detection of clinically-significant disease (ISUP grade group >= 2), but has thus far shown limited positive predictive value. To address this, we present an MRI-based deep learning method for predicting clinically significant prostate cancer applicable to a patient population with subsequent ground truth biopsy results ranging from benign pathology to ISUP grade group~5. Specifically, we demonstrate that mixed supervision via diverse histopathological ground truth improves classi…
Scientific Computing and Imaging Institute, University of Utah（犹他大学科学计算与成像研究所）；University of Utah（犹他大学）
Pathologists diagnose and grade prostate cancer by examining tissue from needle biopsies on glass slides. The cancer's severity and risk of metastasis are determined by the Gleason grade, a score based on the organization and morphology of prostate cancer glands. For diagnostic work-up, pathologists first locate glands in the whole biopsy core, and -- if they detect cancer -- they assign a Gleason grade. This time-consuming process is subject to errors and significant inter-observer variability, despite strict diagnostic criteria. This paper proposes an automated workflow that follows patholog…
Classification of Gleason Grading in Prostate Cancer Histopathology Images Using Deep Learning Techniques: YOLO, Vision Transformers, and Vision Mamba
School of Computer Engineering, Iran University of Science and Technology（伊朗科学技术大学计算机工程学院）；School of Electrical Engineering, Iran University of Science and Technology（伊朗科学技术大学电气工程学院）；School of Electrical Engineering, Shahrood Branch, Islamic Azad University（伊斯兰阿扎德大学沙赫鲁德分校电气工程学院）；Medical Sciences and Technologies Department, Science and Research Branch, Islamic Azad University（伊斯兰阿扎德大学科学研究分支医学科学与技术部门）
Magnetic Resonance Imaging (MRI) is widely used for screening and staging prostate cancer. However, many prostate cancers have subtle features which are not easily identifiable on MRI, resulting in missed diagnoses and alarming variability in radiologist interpretation. Machine learning models have been developed in an effort to improve cancer identification, but current models localize cancer using MRI-derived features, while failing to consider the disease pathology characteristics observed on resected tissue. In this paper, we propose CorrSigNet, an automated two-step model that localizes p…
Technological University Dublin（都柏林理工大学）；University College Dublin（都柏林大学学院）；St. James Hospital（圣詹姆斯医院）；Trinity College Dublin（都柏林三一学院）；Beaumont Hospital（博蒙特医院）
The diagnosis of prostate cancer is challenging due to the heterogeneity of its presentations, leading to the over diagnosis and treatment of non-clinically important disease. Accurate diagnosis can directly benefit a patient's quality of life and prognosis. Towards addressing this issue, we present a learning model for the automatic identification of prostate cancer. While many prostate cancer studies have adopted Raman spectroscopy approaches, none have utilised the combination of Raman Chemical Imaging (RCI) and other imaging modalities. This study uses multimodal images formed from stained…
Facebook（脸书）；Stanford University School of Medicine（斯坦福大学医学院）；Stanford University（斯坦福大学）；VA Palo Alto Health Care System（帕洛阿尔托退伍军人医疗保健系统）
Prostate cancer is the second deadliest cancer for American men. While Magnetic Resonance Imaging (MRI) is increasingly used to guide targeted biopsies for prostate cancer diagnosis, its utility remains limited due to high rates of false positives and false negatives as well as low inter-reader agreements. Machine learning methods to detect and localize cancer on prostate MRI can help standardize radiologist interpretations. However, existing machine learning methods vary not only in model architecture, but also in the ground truth labeling strategies used for model training. In this study, we…
Equivariant Imaging Biomarkers for Robust Unsupervised Segmentation of Histopathology
Department of Biomedical Engineering, Yale University（生物医学工程系，耶鲁大学）；Department of Radiology & Biomedical Imaging, Yale University（放射科与生物医学成像系，耶鲁大学）；Department of Urology, Yale University（泌尿外科系，耶鲁大学）；Medical Scientist Training Program, Yale University（医学科学家培训计划，耶鲁大学）
The Gleason grading system using histological images is the most powerful diagnostic and prognostic predictor of prostate cancer. The current standard inspection is evaluating Gleason H&E-stained histopathology images by pathologists. However, it is complicated, time-consuming, and subject to observers. Deep learning (DL) based-methods that automatically learn image features and achieve higher generalization ability have attracted significant attention. However, challenges remain especially using DL to train the whole slide image (WSI), a predominant clinical source in the current diagnostic s…
DISC: Latent Diffusion Models with Self-Distillation from Separated Conditions for Prostate Cancer Grading
Scientific Computing and Imaging Institute, University of Utah（犹他大学科学计算与成像研究所）；The Catholic University of Korea College of Medicine（韩国天主教大学医学院）；Case Western Reserve University（凯斯西储大学）；Huntsman Cancer Institute, University of Utah Health（犹他大学健康亨茨曼癌症研究所）；University of Utah（犹他大学）
Queen’s University（女王大学）；University of British Columbia（不列颠哥伦比亚大学）；Exact Imaging
MOTIVATION: Detection of prostate cancer during transrectal ultrasound-guided biopsy is challenging. The highly heterogeneous appearance of cancer, presence of ultrasound artefacts, and noise all contribute to these difficulties. Recent advancements in high-frequency ultrasound imaging - micro-ultrasound - have drastically increased the capability of tissue imaging at high resolution. Our aim is to investigate the development of a robust deep learning model specifically for micro-ultrasound-guided prostate cancer biopsy. For the model to be clinically adopted, a key challenge is to design a so…
Queen’s University（女王大学）；University of British Columbia（不列颠哥伦比亚大学）；Exact Imaging（Exact Imaging公司）
A large body of previous machine learning methods for ultrasound-based prostate cancer detection classify small regions of interest (ROIs) of ultrasound signals that lie within a larger needle trace corresponding to a prostate tissue biopsy (called biopsy core). These ROI-scale models suffer from weak labeling as histopathology results available for biopsy cores only approximate the distribution of cancer in the ROIs. ROI-scale models do not take advantage of contextual information that are normally considered by pathologists, i.e. they do not consider information about surrounding tissue and …
Indian Institute of Technology, Bombay（印度理工学院孟买分校）
With the increase in the use of deep learning for computer-aided diagnosis in medical images, the criticism of the black-box nature of the deep learning models is also on the rise. The medical community needs interpretable models for both due diligence and advancing the understanding of disease and treatment mechanisms. In histology, in particular, while there is rich detail available at the cellular level and that of spatial relationships between cells, it is difficult to modify convolutional neural networks to point out the relevant visual features. We adopt an approach to model histology ti…
Inception Institute of Artificial Intelligence（人工智能初创研究院）
Segmentation of Prostate Cancer (PCa) tissues from Gleason graded histopathology images is vital for accurate diagnosis. Although deep learning (DL) based segmentation methods achieve state-of-the-art accuracy, they rely on large datasets with manual annotations. We propose a method to synthesize for PCa histopathology images by learning the geometrical relationship between different disease labels using self-supervised learning. We use a weakly supervised segmentation approach that uses Gleason score to segment the diseased regions and the resulting segmentation map is used to train a Shape R…
Histopathological images provide rich information for disease diagnosis. Large numbers of histopathological images have been digitized into high resolution whole slide images, opening opportunities in developing computational image analysis tools to reduce pathologists' workload and potentially improve inter- and intra- observer agreement. Most previous work on whole slide image analysis has focused on classification or segmentation of small pre-selected regions-of-interest, which requires fine-grained annotation and is non-trivial to extend for large-scale whole slide analysis. In this paper,…
Inception Institute of Artificial Intelligence（起源人工智能研究院）
Gleason grading from histopathology images is essential for accurate prostate cancer (PCa) diagnosis. Since such images are obtained after invasive tissue resection quick diagnosis is challenging under the existing paradigm. We propose a method to predict Gleason grades from magnetic resonance (MR) images which are non-interventional and easily acquired. We solve the problem in a generalized zero-shot learning (GZSL) setting since we may not access training images of every disease grade. Synthetic MRI feature vectors of unseen grades (classes) are generated by exploiting Gleason grades' ordere…
AI-assisted prostate cancer detection and localisation on biparametric MR by classifying radiologist-positives
Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London（医学图像计算中心，医学物理与生物医学工程系，伦敦大学学院）；Div of Surgery & Interventional Sci, University College London（外科与介入科学部，伦敦大学学院）；School of Computer Science and Engineering, University of Westminster（计算机科学与工程学院，威斯敏斯特大学）
CHIMERA Challenge: Biochemical Recurrence Prediction in Prostate Cancer Patients using multimodal datasets
Radboud University Medical Center（拉德堡德大学医学中心）；Canisius Wilhelmina Hospital（卡尼修斯威廉明娜医院）；Oncode Institute（Oncode研究所）；Erasmus University Medical Center（伊拉斯姆斯大学医学中心）；Bydgoszcz University of Science and Technology（比得哥什科技大学）；Yerevan State Medical University（埃里温国立医科大学）；IMP Diagnostics（IMP诊断公司）
Mitigating 3D Prostate Biparametric MRI Data Scarcity through Domain Adaptation using Locally-Trained Latent Diffusion Models for Prostate Cancer Detection
Institute of Biomedical Engineering, University of Toronto（多伦多大学生物医学工程研究所）；Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital（圣心医院卢内尔-塔内本研究所）；KITE Research Institute, Toronto Rehabilitation Institute, University Health Network（多伦多康复研究所、KITE研究所在大学健康网络）；Joint Department of Medical Imaging, University of Toronto, Princess Margaret Hospital, and Sinai Health systems（多伦多大学联合医学影像部门、玛格丽特医院及辛纳医疗系统）；Department of Computer Science, University of Toronto（多伦多大学计算机科学系）；Faculty Affiliate of the Vector Institute, Toronto（向量研究所教职员工）
Huron Digital Pathology（休伦数字病理学公司）；University of Waterloo（滑铁卢大学）；Vector Institute（矢量研究所）；McMaster University（麦克马斯特大学）；University of Pittsburgh Medical Center（匹兹堡大学医学中心）
The emergence of digital pathology has opened new horizons for histopathology and cytology. Artificial-intelligence algorithms are able to operate on digitized slides to assist pathologists with diagnostic tasks. Whereas machine learning involving classification and segmentation methods have obvious benefits for image analysis in pathology, image search represents a fundamental shift in computational pathology. Matching the pathology of new patients with already diagnosed and curated cases offers pathologist a novel approach to improve diagnostic accuracy through visual inspection of similar c…
Scaling Artificial Intelligence for Prostate Cancer Detection on MRI towards Organized Screening and Primary Diagnosis in a Global, Multiethnic Population (Study Protocol)
DeepGleason: a System for Automated Gleason Grading of Prostate Cancer using Deep Neural Networks
University of Augsburg（奥格斯堡大学）；University Hospital Augsburg（奥格斯堡大学医院）；BioM Biotech Cluster Development GmbH（BioM生物技术集群发展有限公司）；Bavarian Cancer Research Center (BZKF)（巴伐利亚癌症研究中心）
University of California, Los Angeles（加州大学洛杉矶分校）；David Geffen School of Medicine, University of California, Los Angeles（加州大学洛杉矶分校大卫·格芬医学院）
We report a framework based on a generative adversarial network (GAN) that performs high-fidelity color image reconstruction using a single hologram of a sample that is illuminated simultaneously by light at three different wavelengths. The trained network learns to eliminate missing-phase-related artifacts, and generates an accurate color transformation for the reconstructed image. Our framework is experimentally demonstrated using lung and prostate tissue sections that are labeled with different histological stains. This framework is envisaged to be applicable to point-of-care histopathology…
