MicroSegNet: A deep learning approach for prostate segmentation on micro-ultrasound images.

Journal: Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society
Published Date:

Abstract

Micro-ultrasound (micro-US) is a novel 29-MHz ultrasound technique that provides 3-4 times higher resolution than traditional ultrasound, potentially enabling low-cost, accurate diagnosis of prostate cancer. Accurate prostate segmentation is crucial for prostate volume measurement, cancer diagnosis, prostate biopsy, and treatment planning. However, prostate segmentation on micro-US is challenging due to artifacts and indistinct borders between the prostate, bladder, and urethra in the midline. This paper presents MicroSegNet, a multi-scale annotation-guided transformer UNet model designed specifically to tackle these challenges. During the training process, MicroSegNet focuses more on regions that are hard to segment (hard regions), characterized by discrepancies between expert and non-expert annotations. We achieve this by proposing an annotation-guided binary cross entropy (AG-BCE) loss that assigns a larger weight to prediction errors in hard regions and a lower weight to prediction errors in easy regions. The AG-BCE loss was seamlessly integrated into the training process through the utilization of multi-scale deep supervision, enabling MicroSegNet to capture global contextual dependencies and local information at various scales. We trained our model using micro-US images from 55 patients, followed by evaluation on 20 patients. Our MicroSegNet model achieved a Dice coefficient of 0.939 and a Hausdorff distance of 2.02 mm, outperforming several state-of-the-art segmentation methods, as well as three human annotators with different experience levels. Our code is publicly available at https://github.com/mirthAI/MicroSegNet and our dataset is publicly available at https://zenodo.org/records/10475293.

Authors

  • Hongxu Jiang
    Beijing Key Laboratory of Digital Media, School of Computer Science and Engineering, Beihang University, Beijing 100191, China.
  • Muhammad Imran
    Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, 54000 Lahore, Pakistan.
  • Preethika Muralidharan
    Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, 32608, United States.
  • Anjali Patel
    Radiomics and Augmented Intelligence Laboratory (RAIL), Department of Radiology and the Norman Fixel Institute for Neurological Diseases, University of Florida College of Medicine, Gainesville, FL, USA.
  • Jake Pensa
    UCLA Center for Advanced Surgical and Interventional Technology (CASIT), Los Angeles, USA.
  • Muxuan Liang
    Department of Statistics, University of Wisconsin-Madison, Madison, Wisconsin.
  • Tarik Benidir
    Glickman Urological and Kidney Institute, Cleveland, OH.
  • Joseph R Grajo
    Department of Radiology, Division of Abdominal Imaging, University of Florida College of Medicine, Gainesville, FL, USA.
  • Jason P Joseph
    Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA.
  • Russell Terry
    Department of Urology, University of Florida, Gainesville, FL, 32608, United States.
  • John Michael DiBianco
    Department of Urology, University of Florida, Gainesville, FL, 32608, United States.
  • Li-Ming Su
    Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA.
  • Yuyin Zhou
    Department of Computer Science, Johns Hopkins University, Baltimore, MD, USA.
  • Wayne G Brisbane
    Department of Urology, University of California, Los Angeles, CA, 90095, United States.
  • Wei Shao