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Author:

Xu, Xuanang (Xu, Xuanang.) | Lian, Chunfeng (Lian, Chunfeng.) | Wang, Shuai (Wang, Shuai.) | Zhu, Tong (Zhu, Tong.) | Chen, Ronald C. (Chen, Ronald C..) | Wang, Andrew Z. (Wang, Andrew Z..) | Royce, Trevor J. (Royce, Trevor J..) | Yap, Pew-Thian (Yap, Pew-Thian.) | Shen, Dinggang (Shen, Dinggang.) | Lian, Jun (Lian, Jun.)

Indexed by:

SCIE EI PubMed Web of Science

Abstract:

Post-prostatectomy radiotherapy requires accurate annotation of the prostate bed (PB), i.e., the residual tissue after the operative removal of the prostate gland, to minimize side effects on surrounding organs -at-risk (OARs). However, PB segmentation in computed tomography (CT) images is a challenging task, even for experienced physicians. This is because PB is almost a "virtual" target with non-contrast bound-aries and highly variable shapes depending on neighboring OARs. In this work, we propose an asym-metric multi-task attention network (AMTA-Net) for the concurrent segmentation of PB and surround-ing OARs. Our AMTA-Net mimics experts in delineating the non-contrast PB by explicitly leveraging its critical dependency on the neighboring OARs (i.e., the bladder and rectum), which are relatively easy to distinguish in CT images. Specifically, we first adopt a U-Net as the backbone network for the low-level (or prerequisite) task of the OAR segmentation. Then, we build an attention sub-network upon the backbone U-Net with a series of cascaded attention modules, which can hierarchically transfer the OAR features and adaptively learn discriminative representations for the high-level (or primary) task of the PB segmentation. We comprehensively evaluate the proposed AMTA-Net on a clinical dataset composed of 186 CT images. According to the experimental results, our AMTA-Net significantly outperforms current clinical state-of-the-arts (i.e., atlas-based segmentation methods), indicating the value of our method in reducing time and labor in the clinical workflow. Our AMTA-Net also presents better performance than the technical state-of-the-arts (i.e., the deep learning-based segmentation methods), especially for the most indistinguishable and clinically critical part of the PB boundaries. Source code is released at https://github.com/superxuang/amta-net. Published by Elsevier B.V.

Keyword:

Attention mechanism Computed tomography Deep learning Multi-task Prostate bed Segmentation

Author Community:

  • [ 1 ] [Xu, Xuanang]Univ N Carolina, Dept Radiol, Chapel Hill, NC 27599 USA
  • [ 2 ] [Lian, Chunfeng]Univ N Carolina, Dept Radiol, Chapel Hill, NC 27599 USA
  • [ 3 ] [Wang, Shuai]Univ N Carolina, Dept Radiol, Chapel Hill, NC 27599 USA
  • [ 4 ] [Yap, Pew-Thian]Univ N Carolina, Dept Radiol, Chapel Hill, NC 27599 USA
  • [ 5 ] [Xu, Xuanang]Univ N Carolina, Biomed Res Imaging Ctr, Chapel Hill, NC 27599 USA
  • [ 6 ] [Lian, Chunfeng]Univ N Carolina, Biomed Res Imaging Ctr, Chapel Hill, NC 27599 USA
  • [ 7 ] [Wang, Shuai]Univ N Carolina, Biomed Res Imaging Ctr, Chapel Hill, NC 27599 USA
  • [ 8 ] [Yap, Pew-Thian]Univ N Carolina, Biomed Res Imaging Ctr, Chapel Hill, NC 27599 USA
  • [ 9 ] [Zhu, Tong]Univ N Carolina, Dept Radiat Oncol, Chapel Hill, NC 27599 USA
  • [ 10 ] [Wang, Andrew Z.]Univ N Carolina, Dept Radiat Oncol, Chapel Hill, NC 27599 USA
  • [ 11 ] [Royce, Trevor J.]Univ N Carolina, Dept Radiat Oncol, Chapel Hill, NC 27599 USA
  • [ 12 ] [Lian, Jun]Univ N Carolina, Dept Radiat Oncol, Chapel Hill, NC 27599 USA
  • [ 13 ] [Lian, Chunfeng]Xian Fiaotong Univ, Sch Math & Stat, Xian 710049, Shaanxi, Peoples R China
  • [ 14 ] [Shen, Dinggang]ShanghaiTech Univ, Sch Biomed Engn, Shanghai 201210, Peoples R China
  • [ 15 ] [Shen, Dinggang]Shanghai United Imaging Intelligence Co Ltd, Shanghai 200030, Peoples R China
  • [ 16 ] [Shen, Dinggang]Korea Univ, Dept Artificial Intelligence, Seoul 02841, South Korea
  • [ 17 ] [Wang, Shuai]Shandong Univ, Sch Mech Elect & Informat Engn, Weihai 264209, Shandong, Peoples R China
  • [ 18 ] [Chen, Ronald C.]Univ Kansas, Dept Radiat Oncol, Med Ctr, Kansas City, KS 66160 USA

Reprint Author's Address:

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Source :

MEDICAL IMAGE ANALYSIS

ISSN: 1361-8415

Year: 2021

Volume: 72

8 . 5 4 5

JCR@2020

ESI Discipline: COMPUTER SCIENCE;

ESI HC Threshold:33

CAS Journal Grade:1

Cited Count:

WoS CC Cited Count: 2

SCOPUS Cited Count: 17

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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