Haralick Texture Analysis for Differentiating Suspicious Prostate Lesions from Normal Tissue in Low-Field MRI

This study evaluates the feasibility of using Haralick texture analysis on low-field, T2-weighted MRI images for detecting prostate cancer, extending current research from high-field MRI to the more accessible and cost-effective low-field MRI. A total of twenty-one patients with biopsy-proven prostate cancer (Gleason score 4+3 or higher) were included. Before transperineal biopsy guided by low-field (58-74mT) MRI, a radiologist annotated suspicious regions of interest (ROIs) on high-field (3T) MRI. Rigid image registration was performed to align corresponding regions on both high- and low-field images, ensuring an accurate propagation of annotations to the co-registered low-field images for texture feature calculations. For each cancerous ROI, a matching ROI of identical size was drawn in a non-suspicious region presumed to be normal tissue. Four Haralick texture features (Energy, Correlation, Contrast, and Homogeneity) were extracted and compared between cancerous and non-suspicious ROIs. Two extraction methods were used: the direct computation of texture measures within the ROIs and a sliding window technique generating texture maps across the prostate from which average values were derived. The results demonstrated statistically significant differences in texture features between cancerous and non-suspicious regions. Specifically, Energy and Homogeneity were elevated (p-values: <0.00001-0.004), while Contrast and Correlation were reduced (p-values: <0.00001-0.03) in cancerous ROIs. These findings suggest that Haralick texture features are both feasible and informative for differentiating abnormalities, offering promise in assisting prostate cancer detection on low-field MRI.