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Ren Y, Wang G, Wang P, Liu K, Liu Q, Sun H, Li X, Wei B. MM-SFENet: multi-scale multi-task localization and classification of bladder cancer in MRI with spatial feature encoder network. Phys Med Biol 2024; 69:025009. [PMID: 38091612 DOI: 10.1088/1361-6560/ad1548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 12/13/2023] [Indexed: 01/12/2024]
Abstract
Objective. Bladder cancer is a common malignant urinary carcinoma, with muscle-invasive and non-muscle-invasive as its two major subtypes. This paper aims to achieve automated bladder cancer invasiveness localization and classification based on MRI.Approach. Different from previous efforts that segment bladder wall and tumor, we propose a novel end-to-end multi-scale multi-task spatial feature encoder network (MM-SFENet) for locating and classifying bladder cancer, according to the classification criteria of the spatial relationship between the tumor and bladder wall. First, we built a backbone with residual blocks to distinguish bladder wall and tumor; then, a spatial feature encoder is designed to encode the multi-level features of the backbone to learn the criteria.Main Results. We substitute Smooth-L1 Loss with IoU Loss for multi-task learning, to improve the accuracy of the classification task. By learning two datasets collected from bladder cancer patients at the hospital, the mAP, IoU, Acc, Sen and Spec are used as the evaluation metrics. The experimental result could reach 93.34%, 83.16%, 85.65%, 81.51%, 89.23% on test set1 and 80.21%, 75.43%, 79.52%, 71.87%, 77.86% on test set2.Significance. The experimental result demonstrates the effectiveness of the proposed MM-SFENet on the localization and classification of bladder cancer. It may provide an effective supplementary diagnosis method for bladder cancer staging.
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Affiliation(s)
- Yu Ren
- College of Electronic Engineering and Intelligent Manufacturing, Anqing Normal University, Anqing 246133, People's Republic of China
- Center for Medical Artificial Intelligence, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
- Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
| | - Guoli Wang
- Center for Medical Artificial Intelligence, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
- Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
| | - Pingping Wang
- Center for Medical Artificial Intelligence, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
- Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
| | - Kunmeng Liu
- Center for Medical Artificial Intelligence, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
- Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
| | - Quanjin Liu
- College of Electronic Engineering and Intelligent Manufacturing, Anqing Normal University, Anqing 246133, People's Republic of China
| | - Hongfu Sun
- Urological department, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250011, People's Republic of China
| | - Xiang Li
- Center for Medical Artificial Intelligence, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
- Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
| | - Bengzheng Wei
- Center for Medical Artificial Intelligence, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
- Qingdao Academy of Chinese Medical Sciences, Shandong University of Traditional Chinese Medicine, Qingdao 266112, People's Republic of China
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Huang D, Xu X, Du P, Feng Y, Zhang X, Lu H, Liu Y. Radiomics-based T-staging of hollow organ cancers. Front Oncol 2023; 13:1191519. [PMID: 37719013 PMCID: PMC10499612 DOI: 10.3389/fonc.2023.1191519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 08/11/2023] [Indexed: 09/19/2023] Open
Abstract
Cancer growing in hollow organs has become a serious threat to human health. The accurate T-staging of hollow organ cancers is a major concern in the clinic. With the rapid development of medical imaging technologies, radiomics has become a reliable tool of T-staging. Due to similar growth characteristics of hollow organ cancers, radiomics studies of these cancers can be used as a common reference. In radiomics, feature-based and deep learning-based methods are two critical research focuses. Therefore, we review feature-based and deep learning-based T-staging methods in this paper. In conclusion, existing radiomics studies may underestimate the hollow organ wall during segmentation and the depth of invasion in staging. It is expected that this survey could provide promising directions for following research in this realm.
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Affiliation(s)
- Dong Huang
- School of Biomedical Engineering, Air Force Medical University, Shaanxi, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Shaanxi, China
| | - Xiaopan Xu
- School of Biomedical Engineering, Air Force Medical University, Shaanxi, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Shaanxi, China
| | - Peng Du
- School of Biomedical Engineering, Air Force Medical University, Shaanxi, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Shaanxi, China
| | - Yuefei Feng
- School of Biomedical Engineering, Air Force Medical University, Shaanxi, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Shaanxi, China
| | - Xi Zhang
- School of Biomedical Engineering, Air Force Medical University, Shaanxi, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Shaanxi, China
| | - Hongbing Lu
- School of Biomedical Engineering, Air Force Medical University, Shaanxi, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Shaanxi, China
| | - Yang Liu
- School of Biomedical Engineering, Air Force Medical University, Shaanxi, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Shaanxi, China
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Li M, Jiang Z, Shen W, Liu H. Deep learning in bladder cancer imaging: A review. Front Oncol 2022; 12:930917. [PMID: 36338676 PMCID: PMC9631317 DOI: 10.3389/fonc.2022.930917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 09/30/2022] [Indexed: 11/13/2022] Open
Abstract
Deep learning (DL) is a rapidly developing field in machine learning (ML). The concept of deep learning originates from research on artificial neural networks and is an upgrade of traditional neural networks. It has achieved great success in various domains and has shown potential in solving medical problems, particularly when using medical images. Bladder cancer (BCa) is the tenth most common cancer in the world. Imaging, as a safe, noninvasive, and relatively inexpensive technique, is a powerful tool to aid in the diagnosis and treatment of bladder cancer. In this review, we provide an overview of the latest progress in the application of deep learning to the imaging assessment of bladder cancer. First, we review the current deep learning approaches used for bladder segmentation. We then provide examples of how deep learning helps in the diagnosis, staging, and treatment management of bladder cancer using medical images. Finally, we summarize the current limitations of deep learning and provide suggestions for future improvements.
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Affiliation(s)
- Mingyang Li
- Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zekun Jiang
- Ministry of Education (MoE) Key Lab of Artificial Intelligence, Artificial Intelligence (AI) Institute, Shanghai Jiao Tong University, Shanghai, China
| | - Wei Shen
- Ministry of Education (MoE) Key Lab of Artificial Intelligence, Artificial Intelligence (AI) Institute, Shanghai Jiao Tong University, Shanghai, China
- *Correspondence: Haitao Liu, ; Wei Shen,
| | - Haitao Liu
- Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- *Correspondence: Haitao Liu, ; Wei Shen,
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Xu X, Wang H, Guo Y, Zhang X, Li B, Du P, Liu Y, Lu H. Study Progress of Noninvasive Imaging and Radiomics for Decoding the Phenotypes and Recurrence Risk of Bladder Cancer. Front Oncol 2021; 11:704039. [PMID: 34336691 PMCID: PMC8321511 DOI: 10.3389/fonc.2021.704039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Accepted: 06/30/2021] [Indexed: 12/24/2022] Open
Abstract
Urinary bladder cancer (BCa) is a highly prevalent disease among aged males. Precise diagnosis of tumor phenotypes and recurrence risk is of vital importance in the clinical management of BCa. Although imaging modalities such as CT and multiparametric MRI have played an essential role in the noninvasive diagnosis and prognosis of BCa, radiomics has also shown great potential in the precise diagnosis of BCa and preoperative prediction of the recurrence risk. Radiomics-empowered image interpretation can amplify the differences in tumor heterogeneity between different phenotypes, i.e., high-grade vs. low-grade, early-stage vs. advanced-stage, and nonmuscle-invasive vs. muscle-invasive. With a multimodal radiomics strategy, the recurrence risk of BCa can be preoperatively predicted, providing critical information for the clinical decision making. We thus reviewed the rapid progress in the field of medical imaging empowered by the radiomics for decoding the phenotype and recurrence risk of BCa during the past 20 years, summarizing the entire pipeline of the radiomics strategy for the definition of BCa phenotype and recurrence risk including region of interest definition, radiomics feature extraction, tumor phenotype prediction and recurrence risk stratification. We particularly focus on current pitfalls, challenges and opportunities to promote massive clinical applications of radiomics pipeline in the near future.
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Affiliation(s)
- Xiaopan Xu
- School of Biomedical Engineering, Air Force Medical University, Xi’an, China
| | - Huanjun Wang
- Department of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
| | - Yan Guo
- Department of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
| | - Xi Zhang
- School of Biomedical Engineering, Air Force Medical University, Xi’an, China
| | - Baojuan Li
- School of Biomedical Engineering, Air Force Medical University, Xi’an, China
| | - Peng Du
- School of Biomedical Engineering, Air Force Medical University, Xi’an, China
| | - Yang Liu
- School of Biomedical Engineering, Air Force Medical University, Xi’an, China
| | - Hongbing Lu
- School of Biomedical Engineering, Air Force Medical University, Xi’an, China
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Ma X, Hadjiiski LM, Wei J, Chan HP, Cha KH, Cohan RH, Caoili EM, Samala R, Zhou C, Lu Y. U-Net based deep learning bladder segmentation in CT urography. Med Phys 2019; 46:1752-1765. [PMID: 30734932 DOI: 10.1002/mp.13438] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 12/26/2018] [Accepted: 01/31/2019] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES To develop a U-Net-based deep learning approach (U-DL) for bladder segmentation in computed tomography urography (CTU) as a part of a computer-assisted bladder cancer detection and treatment response assessment pipeline. MATERIALS AND METHODS A dataset of 173 cases including 81 cases in the training/validation set (42 masses, 21 with wall thickening, 18 normal bladders), and 92 cases in the test set (43 masses, 36 with wall thickening, 13 normal bladders) were used with Institutional Review Board approval. An experienced radiologist provided three-dimensional (3D) hand outlines for all cases as the reference standard. We previously developed a bladder segmentation method that used a deep learning convolution neural network and level sets (DCNN-LS) within a user-input bounding box. However, some cases with poor image quality or with advanced bladder cancer spreading into the neighboring organs caused inaccurate segmentation. We have newly developed an automated U-DL method to estimate a likelihood map of the bladder in CTU. The U-DL did not require a user-input box and the level sets for postprocessing. To identify the best model for this task, we compared the following models: (a) two-dimensional (2D) U-DL and 3D U-DL using 2D CT slices and 3D CT volumes, respectively, as input, (b) U-DLs using CT images of different resolutions as input, and (c) U-DLs with and without automated cropping of the bladder as an image preprocessing step. The segmentation accuracy relative to the reference standard was quantified by six measures: average volume intersection ratio (AVI), average percent volume error (AVE), average absolute volume error (AAVE), average minimum distance (AMD), average Hausdorff distance (AHD), and the average Jaccard index (AJI). As a baseline, the results from our previous DCNN-LS method were used. RESULTS In the test set, the best 2D U-DL model achieved AVI, AVE, AAVE, AMD, AHD, and AJI values of 93.4 ± 9.5%, -4.2 ± 14.2%, 9.2 ± 11.5%, 2.7 ± 2.5 mm, 9.7 ± 7.6 mm, 85.0 ± 11.3%, respectively, while the corresponding measures by the best 3D U-DL were 90.6 ± 11.9%, -2.3 ± 21.7%, 11.5 ± 18.5%, 3.1 ± 3.2 mm, 11.4 ± 10.0 mm, and 82.6 ± 14.2%, respectively. For comparison, the corresponding values obtained with the baseline method were 81.9 ± 12.1%, 10.2 ± 16.2%, 14.0 ± 13.0%, 3.6 ± 2.0 mm, 12.8 ± 6.1 mm, and 76.2 ± 11.8%, respectively, for the same test set. The improvement for all measures between the best U-DL and the DCNN-LS were statistically significant (P < 0.001). CONCLUSION Compared to a previous DCNN-LS method, which depended on a user-input bounding box, the U-DL provided more accurate bladder segmentation and was more automated than the previous approach.
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Affiliation(s)
- Xiangyuan Ma
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA.,School of Data and Computer Science, Sun Yat-Sen University, Guangzhou, 510275, P.R. China.,Guangdong Province Key Laboratory Computational Science, Sun Yat-Sen University, Guangzhou, 510275, P.R. China
| | | | - Jun Wei
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Heang-Ping Chan
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Kenny H Cha
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Richard H Cohan
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Elaine M Caoili
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Ravi Samala
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Chuan Zhou
- Department of Radiology, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Yao Lu
- School of Data and Computer Science, Sun Yat-Sen University, Guangzhou, 510275, P.R. China.,Guangdong Province Key Laboratory Computational Science, Sun Yat-Sen University, Guangzhou, 510275, P.R. China
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Dolz J, Xu X, Rony J, Yuan J, Liu Y, Granger E, Desrosiers C, Zhang X, Ben Ayed I, Lu H. Multiregion segmentation of bladder cancer structures in MRI with progressive dilated convolutional networks. Med Phys 2018; 45:5482-5493. [DOI: 10.1002/mp.13240] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Revised: 10/03/2018] [Accepted: 10/05/2018] [Indexed: 12/15/2022] Open
Affiliation(s)
- Jose Dolz
- Laboratory for Imagery, Vision and Artificial Intelligence (LIVIA) École de technologie supérieure Montréal QCH3C 1K3Canada
| | - Xiaopan Xu
- School of Biomedical Engineering Fourth Military Medical University Xi’an Shaanxi710032China
| | - Jérôme Rony
- Laboratory for Imagery, Vision and Artificial Intelligence (LIVIA) École de technologie supérieure Montréal QCH3C 1K3Canada
| | - Jing Yuan
- School of Mathematics and Statistics Xidian University Xi’an 710071China
| | - Yang Liu
- School of Biomedical Engineering Fourth Military Medical University Xi’an Shaanxi710032China
| | - Eric Granger
- Laboratory for Imagery, Vision and Artificial Intelligence (LIVIA) École de technologie supérieure Montréal QCH3C 1K3Canada
| | - Christian Desrosiers
- Laboratory for Imagery, Vision and Artificial Intelligence (LIVIA) École de technologie supérieure Montréal QCH3C 1K3Canada
| | - Xi Zhang
- School of Biomedical Engineering Fourth Military Medical University Xi’an Shaanxi710032China
| | - Ismail Ben Ayed
- Laboratory for Imagery, Vision and Artificial Intelligence (LIVIA) École de technologie supérieure Montréal QCH3C 1K3Canada
| | - Hongbing Lu
- School of Biomedical Engineering Fourth Military Medical University Xi’an Shaanxi710032China
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