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Prostatic urinary tract visualization with super-resolution deep learning models.

Takaaki Yoshimura1,2, Kentaro Nishioka3, Takayuki Hashimoto3

  • 1Department of Health Sciences and Technology, Faculty of Health Sciences, Hokkaido University, Sapporo, Japan.

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|January 6, 2023
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Summary
This summary is machine-generated.

Super-resolution (SR) deep learning models enhance prostatic urinary tract visibility on post-urination MRI (PU-MRI) for urethra-sparing radiation therapy. The residual dense network (RDN) model showed the most promising results for improving visualization and reducing urinary side effects.

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Area of Science:

  • Medical Imaging
  • Radiation Oncology
  • Artificial Intelligence

Background:

  • Accurate visualization of the prostatic urinary tract is crucial for minimizing urinary side effects in urethra-sparing radiation therapy.
  • Post-urination magnetic resonance imaging (PU-MRI) offers a catheter-free method for visualizing the prostatic urinary tract.

Purpose of the Study:

  • To evaluate the effectiveness of combining PU-MRI with super-resolution (SR) deep learning models for improving prostatic urinary tract visibility.
  • To compare the performance of four different SR deep learning models (EDSR, WDSR, SRGAN, RDN) in enhancing PU-MRI images.

Main Methods:

  • Thirty patients undergoing proton therapy received non-contrast, high-resolution 2D T2-weighted turbo spin-echo PU-MRI.
  • Four SR deep learning models (EDSR, WDSR, SRGAN, RDN) were applied to the PU-MRI images.
  • Quantitative assessment using complex wavelet structural similarity index measure (CW-SSIM) and subjective evaluation by radiation oncologists.

Main Results:

  • All SR models achieved high quantitative similarity scores (CW-SSIM > 99.30%).
  • Subjective evaluation showed that the residual dense network (RDN) model significantly improved prostatic urinary tract visibility compared to standard PU-MRI.
  • RDN achieved the highest visibility scores (4.37 and 3.73) with strong inter-operator reliability (k = 0.93).

Conclusions:

  • Super-resolution deep learning models, particularly RDN, can effectively enhance prostatic urinary tract visibility on PU-MRI.
  • This enhancement has the potential to improve treatment planning and reduce urinary side effects in radiation therapy.
  • The RDN model provides results comparable to original images while subjectively improving visualization.