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Label-set impact on deep learning-based prostate segmentation on MRI.

Jakob Meglič1,2, Mohammed R S Sunoqrot3,4, Tone Frost Bathen3,4

  • 1Department of Circulation and Medical Imaging, Norwegian University of Science and Technology - NTNU, 7030, Trondheim, Norway. jakobmeg@stud.ntnu.no.

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|September 25, 2023
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Summary

Manual segmentation label selection significantly impacts deep learning prostate segmentation performance. Automatic segmentation models showed higher agreement than manual methods and demonstrated true learning capabilities.

Keywords:
Deep learningLabelMRIProstateSegmentation

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Area of Science:

  • Medical Imaging Analysis
  • Artificial Intelligence in Healthcare
  • Prostate Cancer Diagnostics

Background:

  • Prostate segmentation is crucial for computer-aided detection and diagnosis of prostate cancer.
  • Deep learning (DL) methods excel in prostate gland and zone segmentation.
  • The influence of manual segmentation (label) selection on DL model performance remains under-explored.

Purpose of the Study:

  • To investigate the impact of manual label-set selection on the performance of DL-based prostate segmentation.
  • To assess how using different expert label-sets affects segmentation accuracy and agreement.
  • To compare the performance of DL models against manual segmentation agreement.

Main Methods:

  • Utilized two distinct expert label-sets from the PROSTATEx I challenge dataset (n=198).
  • Incorporated an additional in-house dataset (n=233) for comprehensive evaluation.
  • Employed the nnU-Net framework for automatic prostate segmentation.

Main Results:

  • Label-set selection significantly impacted model performance (p < 0.001).
  • Models trained and tested with the same label-set exhibited significantly higher performance (p < 0.001).
  • Automatic segmentations showed significantly higher agreement (p < 0.0001) than manual segmentations, with models outperforming human labelers.

Conclusions:

  • Manual segmentation label-set choice measurably affects DL-based prostate segmentation performance.
  • DL-based segmentation demonstrated superior inter-reader agreement compared to manual segmentation.
  • Further consideration of label-set selection, multicenter segmentation, and procedural agreement is warranted for robust DL models.