Ontology highlight
ABSTRACT: Background
Accurate lymph nodes (LNs) assessment is important for rectal cancer (RC) staging in multiparametric magnetic resonance imaging (mpMRI). However, it is incredibly time-consumming to identify all the LNs in scan region. This study aims to develop and validate a deep-learning-based, fully-automated lymph node detection and segmentation (auto-LNDS) model based on mpMRI.Methods
In total, 5789 annotated LNs (diameter ? 3 mm) in mpMRI from 293 patients with RC in a single center were enrolled. Fused T2-weighted images (T2WI) and diffusion-weighted images (DWI) provided input for the deep learning framework Mask R-CNN through transfer learning to generate the auto-LNDS model. The model was then validated both on the internal and external datasets consisting of 935 LNs and 1198 LNs, respectively. The performance for LNs detection was evaluated using sensitivity, positive predictive value (PPV), and false positive rate per case (FP/vol), and segmentation performance was evaluated using the Dice similarity coefficient (DSC).Findings
For LNs detection, auto-LNDS achieved sensitivity, PPV, and FP/vol of 80.0%, 73.5% and 8.6 in internal testing, and 62.6%, 64.5%, and 8.2 in external testing, respectively, significantly better than the performance of junior radiologists. The time taken for model detection and segmentation was 1.3 s/case, compared with 200 s/case for the radiologists. For LNs segmentation, the DSC of the model was in the range of 0.81-0.82.Interpretation
This deep learning-based auto-LNDS model can achieve pelvic LNseffectively based on mpMRI for RC, and holds great potential for facilitating N-staging in clinical practice.
SUBMITTER: Zhao X
PROVIDER: S-EPMC7276514 | biostudies-literature | 2020 Jun
REPOSITORIES: biostudies-literature
Zhao Xingyu X Xie Peiyi P Wang Mengmeng M Li Wenru W Pickhardt Perry J PJ Xia Wei W Xiong Fei F Zhang Rui R Xie Yao Y Jian Junming J Bai Honglin H Ni Caifang C Gu Jinhui J Yu Tao T Tang Yuguo Y Gao Xin X Meng Xiaochun X
EBioMedicine 20200605
<h4>Background</h4>Accurate lymph nodes (LNs) assessment is important for rectal cancer (RC) staging in multiparametric magnetic resonance imaging (mpMRI). However, it is incredibly time-consumming to identify all the LNs in scan region. This study aims to develop and validate a deep-learning-based, fully-automated lymph node detection and segmentation (auto-LNDS) model based on mpMRI.<h4>Methods</h4>In total, 5789 annotated LNs (diameter ≥ 3 mm) in mpMRI from 293 patients with RC in a single ce ...[more]