0696
Leveraging a multicompartmental signal model for improved classification of prostate-cancer bone metastases in whole-body DWI
Christopher C Conlin1, Christine H Feng2, Leonardino A Digma2, Ana E Rodriguez-Soto1, Joshua M Kuperman1, Dominic Holland3, Rebecca Rakow-Penner1, Tyler M Seibert1,2,4, Anders M Dale1,3,5, and Michael E Hahn1
1Department of Radiology, UC San Diego School of Medicine, La Jolla, CA, United States, 2Department of Radiation Medicine and Applied Sciences, UC San Diego School of Medicine, La Jolla, CA, United States, 3Department of Neurosciences, UC San Diego School of Medicine, La Jolla, CA, United States, 4Department of Bioengineering, UC San Diego Jacobs School of Engineering, La Jolla, CA, United States, 5Halıcıoğlu Data Science Institute, UC San Diego, La Jolla, CA, United States
Multicompartmental modeling was applied to develop an empirical tissue classifier for identifying bone lesions in whole-body DWI. This classifier considerably outperformed one based on conventional ADC values.
Figure 3: RSI cancer-likelihood map of a patient with prostate-cancer metastases in the pelvis and femur (cyan arrows), compared against conventional MR images. Bone lesions show a very high likelihood value [probability of being cancerous; P(cancer)] compared to surrounding normal tissue. Normal tissue is generally less pronounced on the likelihood map than on conventional MR images. False positive signal remains, however, in organs with dense cellular arrangement like the kidneys and brain.
Figure 2: RSI signal distributions for normal tissue and bone lesions. The joint C1,C2 probability density functions (PDFs) are shown for normal control tissue (left) and bone lesions (middle). Both PDFs are shown after log transformation to better show less frequent combinations of C1 and C2. The posterior probability distribution on the right is derived from the PDFs and shows the likelihood of cancer [P(cancer)] given particular C1 and C2 values. High C1 signal in particular is indicative of cancer.