Targeted prostate biopsy using statistical image analysis

Yiqiang Zhan, Dinggang Shen, Jianchao Zeng, Leon Sun, Gabor Fichtinger, Judd Moul, Christos Davatzikos

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

In this paper, a method for maximizing the probability of prostate cancer detection via biopsy is presented, by combining image analysis and optimization techniques. This method consists of three major steps. First, a statistical atlas of the spatial distribution of prostate cancer is constructed from histological images obtained from radical prostatectomy specimen. Second, a probabilistic optimization framework is employed to optimize the biopsy strategy, so that the probability of cancer detection is maximized under needle placement uncertainties. Finally, the optimized biopsy strategy generated in the atlas space is mapped to a specific patient space using an automated segmentation and elastic registration method. Cross-validation experiments showed that the predictive power of the optimized biopsy strategy for cancer detection reached the 94%-96% levels for 6-7 biopsy cores, which is significantly better than standard random-systematic biopsy protocols, thereby encouraging further investigation of optimized biopsy strategies in prospective clinical studies.

Original languageEnglish
Pages (from-to)779-788
Number of pages10
JournalIEEE Transactions on Medical Imaging
Volume26
Issue number6
DOIs
Publication statusPublished - 2007 Jun 1
Externally publishedYes

Keywords

  • Biopsy optimization
  • Prostate cancer
  • Spatial normalization
  • Statistical image analysis

ASJC Scopus subject areas

  • Biomedical Engineering
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Electrical and Electronic Engineering
  • Computer Science Applications
  • Computational Theory and Mathematics

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  • Cite this

    Zhan, Y., Shen, D., Zeng, J., Sun, L., Fichtinger, G., Moul, J., & Davatzikos, C. (2007). Targeted prostate biopsy using statistical image analysis. IEEE Transactions on Medical Imaging, 26(6), 779-788. https://doi.org/10.1109/TMI.2006.891497