Deep learning for automated contouring of neurovascular structures on magnetic resonance imaging for prostate cancer patients

Bibliographic Details
Title: Deep learning for automated contouring of neurovascular structures on magnetic resonance imaging for prostate cancer patients
Authors: Ingeborg van den Berg, Mark H.F. Savenije, Frederik R. Teunissen, Sandrine M.G. van de Pol, Marnix J.A. Rasing, Harm H.E. van Melick, Wyger M. Brink, Johannes C.J. de Boer, Cornelis A.T. van den Berg, Jochem R.N. van der Voort van Zyp
Source: Physics and Imaging in Radiation Oncology, Vol 26, Iss , Pp 100453- (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Medical physics. Medical radiology. Nuclear medicine
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: Artificial intelligence (AI), Contouring, Deep learning (DL), Magnetic resonance-guided radiotherapy (MRgRT), Neurovascular-sparing, Prostate cancer (PCa), Medical physics. Medical radiology. Nuclear medicine, R895-920, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: Background and purpose: Manual contouring of neurovascular structures on prostate magnetic resonance imaging (MRI) is labor-intensive and prone to considerable interrater disagreement. Our aim is to contour neurovascular structures automatically on prostate MRI by deep learning (DL) to improve workflow and interrater agreement. Materials and methods: Segmentation of neurovascular structures was performed on pre-treatment 3.0 T MRI data of 131 prostate cancer patients (training [n = 105] and testing [n = 26]). The neurovascular structures include the penile bulb (PB), corpora cavernosa (CCs), internal pudendal arteries (IPAs), and neurovascular bundles (NVBs). Two DL networks, nnU-Net and DeepMedic, were trained for auto-contouring on prostate MRI and evaluated using volumetric Dice similarity coefficient (DSC), mean surface distances (MSD), Hausdorff distances, and surface DSC. Three radiation oncologists evaluated the DL-generated contours and performed corrections when necessary. Interrater agreement was assessed and the time required for manual correction was recorded. Results: nnU-Net achieved a median DSC of 0.92 (IQR: 0.90–0.93) for the PB, 0.90 (IQR: 0.86–0.92) for the CCs, 0.79 (IQR: 0.77–0.83) for the IPAs, and 0.77 (IQR: 0.72–0.81) for the NVBs, which outperformed DeepMedic for each structure (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2405-6316
Relation: http://www.sciencedirect.com/science/article/pii/S2405631623000441; https://doaj.org/toc/2405-6316
DOI: 10.1016/j.phro.2023.100453
Access URL: https://doaj.org/article/adfba488f50a492599a82e648d62d384
Accession Number: edsdoj.fba488f50a492599a82e648d62d384
Database: Directory of Open Access Journals
More Details
ISSN:24056316
DOI:10.1016/j.phro.2023.100453
Published in:Physics and Imaging in Radiation Oncology
Language:English