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T2-Only Prostate Cancer Prediction by Meta-Learning from BI-Parametric MR Imaging

Yi, Weixi; Wang, Yipei; Thorley, Natasha; Ng, Alexander; Punwani, Shonit; Kasivisvanathan, Veeru; Barratt, Dean C; ... Hu, Yipeng; + view all (2025) T2-Only Prostate Cancer Prediction by Meta-Learning from BI-Parametric MR Imaging. In: 2025 IEEE 22nd International Symposium on Biomedical Imaging (ISBI). (pp. pp. 1-5). IEEE: Houston, TX, USA. Green open access

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Abstract

Current imaging-based prostate cancer diagnosis requires both MR T2-weighted (T2w) and diffusion-weighted imaging (DWI) sequences, with additional sequences for potentially greater accuracy improvement. However, measuring diffusion patterns in DWI sequences can be time-consuming, prone to artifacts and sensitive to imaging parameters. While machine learning (ML) models have demonstrated radiologist-level accuracy in detecting prostate cancer from these two sequences, this study investigates the potential of ML-enabled methods using only the T2w sequence as input during inference time. We first discuss the technical fea-sibility of such a T2-only approach, and then propose a novel ML formulation, where DWI sequences - readily available for training purposes - are only used to train a meta-learning model, which subsequently only uses T2w sequences at inference. Using multiple datasets from more than 3,000 prostate cancer patients, we report superior or comparable performance in localising radiologist-identified prostate cancer using our proposed T2-only models, compared with alternative models using T2-only or both sequences as input. Real patient cases are presented and discussed to demonstrate, for the first time, the exclusively true-positive cases from models with different input sequences. Open-source code is available at https://github.com/wxyi057/MetaT2.

Type: Proceedings paper
Title: T2-Only Prostate Cancer Prediction by Meta-Learning from BI-Parametric MR Imaging
Event: 2025 IEEE 22nd International Symposium on Biomedical Imaging (ISBI)
Dates: 14 Apr 2025 - 17 Apr 2025
ISBN-13: 979-8-3315-2052-6
Open access status: An open access version is available from UCL Discovery
DOI: 10.1109/ISBI60581.2025.10981221
Publisher version: https://doi.org/10.1109/isbi60581.2025.10981221
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Prostate cancer prediction, Bi-level optimisation, Meta learning, Diffusion model
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10210701
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