无需人工标注,自动融合MRI与超声图像定位前列腺癌肿瘤
Registration-Enhanced Segmentation Method for Prostate Cancer in Ultrasound Images
- 构建注册-分割联合框架,对齐多模态影像空间信息
- 在1747例数据上实现0.212的平均Dice系数,显著优于基线方法
- 适合追求自动化诊断的临床医生和医学影像研究者
前列腺癌是男性癌症死亡的主要原因,早期发现可显著提升生存率。尽管磁共振(MRI)与经直肠超声(TRUS)融合活检能结合两者优势,实现更高精度,但该过程复杂且耗时,依赖大量人工标注,易出错。为此,我们提出一种完全自动的基于MRI-TRUS融合的分割方法,可在TRUS图像中直接识别前列腺肿瘤,无需人工标注。不同于传统简单拼接多模态数据的方法,本方法采用注册-分割联合框架,对齐并利用MRI与TRUS之间的空间信息,提升分割精度并减少人工干预。在斯坦福医院1,747例患者的数据集上验证,平均Dice系数达0.212,优于仅使用TRUS(0.117)和简单融合方法(0.132),差异具有统计显著性(p < 0.01)。该框架展示了降低前列腺癌诊断复杂性的潜力,并为其他多模态医学影像任务提供灵活架构。
原文摘要 · Abstract (English)
Prostate cancer is a major cause of cancer-related deaths in men, where early detection greatly improves survival rates. Although MRI-TRUS fusion biopsy offers superior accuracy by combining MRI's detailed visualization with TRUS's real-time guidance, it is a complex and time-intensive procedure that relies heavily on manual annotations, leading to potential errors. To address these challenges, we propose a fully automatic MRI-TRUS fusion-based segmentation method that identifies prostate tumors directly in TRUS images without requiring manual annotations. Unlike traditional multimodal fusion approaches that rely on naive data concatenation, our method integrates a registration-segmentation framework to align and leverage spatial information between MRI and TRUS modalities. This alignment enhances segmentation accuracy and reduces reliance on manual effort. Our approach was validated on a dataset of 1,747 patients from Stanford Hospital, achieving an average Dice coefficient of 0.212, outperforming TRUS-only (0.117) and naive MRI-TRUS fusion (0.132) methods, with significant improvements (p $<$ 0.01). This framework demonstrates the potential for reducing the complexity of prostate cancer diagnosis and provides a flexible architecture applicable to other multimodal medical imaging tasks.
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