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Article

Habitats in DCE-MRI to Predict Clinically Significant Prostate Cancers

by
Nestor Andres Parra
1,
Hong Lu
1,2,
Jung Choi
3,
Kenneth Gage
3,
Julio Pow-Sang
4,
Robert J. Gillies
1,3 and
Yoganand Balagurunathan
1,*
1
Department of Cancer Physiology, H.L. Moffitt Cancer Center, Tampa, FL 33612, USA; [email protected]
2
Department of Radiology, Tianjin Medical University Cancer, Institute and Hospital, Tianjin, China
3
Department of Radiology, and H.L. Moffitt Cancer Center, Tampa, FL 33612, USA
4
Department of Urology, H.L. Moffitt Cancer Center, Tampa, FL 33612, USA
*
Author to whom correspondence should be addressed.
Tomography 2019, 5(1), 68-76; https://doi.org/10.18383/j.tom.2018.00037
Submission received: 15 December 2018 / Revised: 10 January 2019 / Accepted: 11 February 2019 / Published: 1 March 2019

Abstract

Prostate cancer identification and assessment of clinical significance continues to be a challenge. Routine multiparametric magnetic resonance imaging has shown to be useful in assessing disease progression. Although dynamic contrast-enhanced imaging (DCE) has the ability to characterize perfusion across time and has shown enormous utility, radiological assessment (Prostate Imaging-Reporting and Data System or PIRADS version 2) has limited its use owing to lack of consistency and nonquantitative nature. In our work, we propose a systematic methodology to quantify perfusion dynamics for the DCE imaging. Using these metrics, 7 different subregions or perfusion habitats of the targeted lesions are localized and related to clinical significance. We found that quantitative features describing the habitat based on the late area under the DCE time-activity curve was a good predictor of clinical significance disease. The best predictive feature in the habitat had an AUC of 0.82, CI [0.81–0.83].
Keywords: MRI; prostate cancer; machine learning; radiomics; habitats; DCE MRI; prostate cancer; machine learning; radiomics; habitats; DCE

Share and Cite

MDPI and ACS Style

Parra, N.A.; Lu, H.; Choi, J.; Gage, K.; Pow-Sang, J.; Gillies, R.J.; Balagurunathan, Y. Habitats in DCE-MRI to Predict Clinically Significant Prostate Cancers. Tomography 2019, 5, 68-76. https://doi.org/10.18383/j.tom.2018.00037

AMA Style

Parra NA, Lu H, Choi J, Gage K, Pow-Sang J, Gillies RJ, Balagurunathan Y. Habitats in DCE-MRI to Predict Clinically Significant Prostate Cancers. Tomography. 2019; 5(1):68-76. https://doi.org/10.18383/j.tom.2018.00037

Chicago/Turabian Style

Parra, Nestor Andres, Hong Lu, Jung Choi, Kenneth Gage, Julio Pow-Sang, Robert J. Gillies, and Yoganand Balagurunathan. 2019. "Habitats in DCE-MRI to Predict Clinically Significant Prostate Cancers" Tomography 5, no. 1: 68-76. https://doi.org/10.18383/j.tom.2018.00037

APA Style

Parra, N. A., Lu, H., Choi, J., Gage, K., Pow-Sang, J., Gillies, R. J., & Balagurunathan, Y. (2019). Habitats in DCE-MRI to Predict Clinically Significant Prostate Cancers. Tomography, 5(1), 68-76. https://doi.org/10.18383/j.tom.2018.00037

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