1. Deep learning algorithm performs similarly to radiologists in the assessment of prostate volume on MRI.
- Author
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Thimansson E, Bengtsson J, Baubeta E, Engman J, Flondell-Sité D, Bjartell A, and Zackrisson S
- Subjects
- Humans, Male, Algorithms, Prostate-Specific Antigen, Retrospective Studies, Observer Variation, Sensitivity and Specificity, Organ Size, Deep Learning standards, Magnetic Resonance Imaging, Prostate anatomy & histology, Prostate diagnostic imaging, Prostate pathology, Prostatic Neoplasms diagnostic imaging, Prostatic Neoplasms surgery, Radiologists
- Abstract
Objectives: Prostate volume (PV) in combination with prostate specific antigen (PSA) yields PSA density which is an increasingly important biomarker. Calculating PV from MRI is a time-consuming, radiologist-dependent task. The aim of this study was to assess whether a deep learning algorithm can replace PI-RADS 2.1 based ellipsoid formula (EF) for calculating PV., Methods: Eight different measures of PV were retrospectively collected for each of 124 patients who underwent radical prostatectomy and preoperative MRI of the prostate (multicenter and multi-scanner MRI's 1.5 and 3 T). Agreement between volumes obtained from the deep learning algorithm (PV
DL ) and ellipsoid formula by two radiologists (PVEF1 and PVEF2 ) was evaluated against the reference standard PV obtained by manual planimetry by an expert radiologist (PVMPE ). A sensitivity analysis was performed using a prostatectomy specimen as the reference standard. Inter-reader agreement was evaluated between the radiologists using the ellipsoid formula and between the expert and inexperienced radiologists performing manual planimetry., Results: PVDL showed better agreement and precision than PVEF1 and PVEF2 using the reference standard PVMPE (mean difference [95% limits of agreement] PVDL : -0.33 [-10.80; 10.14], PVEF1 : -3.83 [-19.55; 11.89], PVEF2 : -3.05 [-18.55; 12.45]) or the PV determined based on specimen weight (PVDL : -4.22 [-22.52; 14.07], PVEF1 : -7.89 [-30.50; 14.73], PVEF2 : -6.97 [-30.13; 16.18]). Inter-reader agreement was excellent between the two experienced radiologists using the ellipsoid formula and was good between expert and inexperienced radiologists performing manual planimetry., Conclusion: Deep learning algorithm performs similarly to radiologists in the assessment of prostate volume on MRI., Key Points: • A commercially available deep learning algorithm performs similarly to radiologists in the assessment of prostate volume on MRI. • The deep-learning algorithm was previously untrained on this heterogenous multicenter day-to-day practice MRI data set., (© 2022. The Author(s).)- Published
- 2023
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