Cross-Shaped Windows Transformer with Self-supervised Pretraining for Clinically Significant Prostate Cancer Detection in Bi-parametric MRI

Fuente: arXiv
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Autori principali: Li, Yuheng, Wynne, Jacob, Wang, Jing, Qiu, Richard L. J., Roper, Justin, Pan, Shaoyan, Jani, Ashesh B., Liu, Tian, Patel, Pretesh R., Mao, Hui, Yang, Xiaofeng
Natura: Preprint
Pubblicazione: 2023
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author Li, Yuheng
Wynne, Jacob
Wang, Jing
Qiu, Richard L. J.
Roper, Justin
Pan, Shaoyan
Jani, Ashesh B.
Liu, Tian
Patel, Pretesh R.
Mao, Hui
Yang, Xiaofeng
author_facet Li, Yuheng
Wynne, Jacob
Wang, Jing
Qiu, Richard L. J.
Roper, Justin
Pan, Shaoyan
Jani, Ashesh B.
Liu, Tian
Patel, Pretesh R.
Mao, Hui
Yang, Xiaofeng
contents Biparametric magnetic resonance imaging (bpMRI) has demonstrated promising results in prostate cancer (PCa) detection using convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning (SSL) utilizes unlabeled data to generate meaningful semantic representations without the need for costly annotations, enhancing model performance on tasks with limited labeled data. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pretrain CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetune using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four comparable models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluate our method robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating good generalization to external data.
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spellingShingle Cross-Shaped Windows Transformer with Self-supervised Pretraining for Clinically Significant Prostate Cancer Detection in Bi-parametric MRI
Li, Yuheng
Wynne, Jacob
Wang, Jing
Qiu, Richard L. J.
Roper, Justin
Pan, Shaoyan
Jani, Ashesh B.
Liu, Tian
Patel, Pretesh R.
Mao, Hui
Yang, Xiaofeng
Image and Video Processing
Computer Vision and Pattern Recognition
Biparametric magnetic resonance imaging (bpMRI) has demonstrated promising results in prostate cancer (PCa) detection using convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning (SSL) utilizes unlabeled data to generate meaningful semantic representations without the need for costly annotations, enhancing model performance on tasks with limited labeled data. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pretrain CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetune using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four comparable models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluate our method robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating good generalization to external data.
title Cross-Shaped Windows Transformer with Self-supervised Pretraining for Clinically Significant Prostate Cancer Detection in Bi-parametric MRI
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2305.00385