We show that a simple machine learning algorithm validated most, but not all, aspects of the Prostate Imaging Reporting and Data System (PI-RADS) version 2 formalism derived exclusively from clinical perspectives. Specifically, the value of diffusion-weighted imaging (DWI) and dynamic contrast-enhanced (DCE) sequences in the peripheral zone was confirmed. In contradistinction to PI-RADS, DWI was found to be more valuable in the transition zone than T2 weighted imaging; however, a T2 texture feature afforded a small but significant increase in classifier accuracy in this zone.
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