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Radiomics models based on ADC maps for predicting high-grade prostate cancer at radical prostatectomy: comparison with preoperative biopsy
Chao Han1, Shuai Ma1, Xiang Liu1, Yi Liu1, Changxin Li2, Yaofeng Zhang2, Xiaodong Zhang1, and Xiaoying Wang1
1Department of Radiology, Peking University First Hospital, Beijing, China, 2Beijing Smart Tree Medical Technology Co. Ltd., Beijing, China
Four radiomics models based on manual/automatic segmentation of prostate gland/prostate cancer (PCa) lesion from ADC maps were developed and tested to distinguish high-grade and low-grade PCa, which obtained roughly the same diagnostic efficacy as preoperative biopsy.
Figure 3. ROC curves of the 4 radiomics models and TRUS biopsy in the training cohort (a) and test cohort (b). (Model 1 is based on manual segmentation of the prostate gland. Model 2 is based on manual segmentation of prostate cancer lesions. Model 3 is based on automatic segmentation of the prostate gland by the 3D prostate segmentation algorithm. Model 4 is based on thresholding segmentation of prostate cancer lesions by a fast-automatic thresholding algorithm. ROC: receiver operating characteristic; TRUS: transrectal ultrasound.)
Figure 5. Decision curve analysis comparing the net benefits of different radiomics models and TURS biopsy for the test cohort. (Model 1 is based on manual segmentation of the prostate gland. Model 2 is based on manual segmentation of prostate cancer lesions. Model 3 is based on automatic segmentation of the prostate gland by the 3D prostate segmentation algorithm. Model 4 is based on thresholding segmentation of prostate cancer lesions by a fast-automatic thresholding algorithm. TRUS: transrectal ultrasound.)