1. Deep-learned estimation of uncertainty in measurements of apparent diffusion coefficient from whole-body diffusion-weighted MRI.
- Author
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Zormpas-Petridis K, Tunariu N, Collins DJ, Messiou C, Koh DM, and Blackledge MD
- Subjects
- Diffusion Magnetic Resonance Imaging methods, Humans, Male, Prostate, Uncertainty, Mesothelioma diagnostic imaging, Prostatic Neoplasms diagnostic imaging
- Abstract
Purpose: To use deep learning to calculate the uncertainty in apparent diffusion coefficient (σADC) voxel-wise measurements to clinically impact the monitoring of treatment response and improve the quality of ADC maps., Materials and Methods: We use a uniquely designed diffusion-weighted imaging (DWI) acquisition protocol that provides gold-standard measurements of σADC to train a deep learning model on two separate cohorts: 16 patients with prostate cancer and 28 patients with mesothelioma. Our network was trained with a novel cost function, which incorporates a perception metric and a b-value regularisation term, on ADC maps calculated by combinations of 2 or 3 b-values (e.g. 50/600/900, 50/900, 50/600, 600/900 s/mm
2 ). We compare the accuracy of the deep-learning based approach for estimation of σADC with gold-standard measurements., Results: The model accurately predicted the σADC for every b-value combination in both cohorts. Mean values of σADC within areas of active disease deviated from those measured by the gold-standard by 4.3% (range, 2.87-6.13%) for the prostate and 3.7% (range, 3.06-4.54%) for the mesothelioma cohort. We also showed that the model can easily be adapted for a different DWI protocol and field-of-view with only a few images (as little as a single patient) using transfer learning., Conclusion: Deep learning produces maps of σADC from standard clinical diffusion-weighted images (DWI) when 2 or more b-values are available., Competing Interests: Declaration of competing interest Konstantinos Zormpas-Petridis and Matthew D Blackledge have submitted a patent to the Hellenic Industrial Property Organisation directly regarding the work described in this article. The other authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022. Published by Elsevier Ltd.)- Published
- 2022
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