Keywords: Prostate, Cancer, Machine Learning
The study aimed to build a deep-learning-based prostate cancer (PCa) detection model integrating the anatomical priors related to PCa’s zonal appearance difference and asymmetric patterns of PCa. A total of 220 patients with 246 whole-mount histopathology (WMHP) confirmed clinically significant prostate cancer (csPCa), and 432 patients with no indication of lesions on multi-parametric MRI (mpMRI) were included in the study. A proposed 3D Siamese nnUNet with self-designed Zonal Loss was implemented, and results were evaluated using 5-fold cross-validation. The proposed model that is aware of PCa-related anatomical information performed the best on both lesion-level detection and patient-level classification experiments.
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