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Main Authors: Rolfsnes, Erlend Sortland, Thangngat, Philip, Eftestøl, Trygve, Nordström, Tobias, Jäderling, Fredrik, Eklund, Martin, Fernandez-Quilez, Alvaro
Format: Preprint
Published: 2023
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Online Access:https://arxiv.org/abs/2309.08381
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author Rolfsnes, Erlend Sortland
Thangngat, Philip
Eftestøl, Trygve
Nordström, Tobias
Jäderling, Fredrik
Eklund, Martin
Fernandez-Quilez, Alvaro
author_facet Rolfsnes, Erlend Sortland
Thangngat, Philip
Eftestøl, Trygve
Nordström, Tobias
Jäderling, Fredrik
Eklund, Martin
Fernandez-Quilez, Alvaro
contents Artificial intelligence systems show promise to aid in the di- agnostic pathway of prostate cancer (PC), by supporting radiologists in interpreting magnetic resonance images (MRI) of the prostate. Most MRI-based systems are designed to detect clinically significant PC le- sions, with the main objective of preventing over-diagnosis. Typically, these systems involve an automatic prostate segmentation component and a clinically significant PC lesion detection component. In spite of the compound nature of the systems, evaluations are presented assum- ing a standalone clinically significant PC detection component. That is, they are evaluated in an idealized scenario and under the assumption that a highly accurate prostate segmentation is available at test time. In this work, we aim to evaluate a clinically significant PC lesion de- tection system accounting for its compound nature. For that purpose, we simulate a realistic deployment scenario and evaluate the effect of two non-ideal and previously validated prostate segmentation modules on the PC detection ability of the compound system. Following, we com- pare them with an idealized setting, where prostate segmentations are assumed to have no faults. We observe significant differences in the de- tection ability of the compound system in a realistic scenario and in the presence of the highest-performing prostate segmentation module (DSC: 90.07+-0.74), when compared to the idealized one (AUC: 77.93 +- 3.06 and 84.30+- 4.07, P<.001). Our results depict the relevance of holistic evalu- ations for PC detection compound systems, where interactions between system components can lead to decreased performance and degradation at deployment time.
format Preprint
id arxiv_https___arxiv_org_abs_2309_08381
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle On undesired emergent behaviors in compound prostate cancer detection systems
Rolfsnes, Erlend Sortland
Thangngat, Philip
Eftestøl, Trygve
Nordström, Tobias
Jäderling, Fredrik
Eklund, Martin
Fernandez-Quilez, Alvaro
Image and Video Processing
Computer Vision and Pattern Recognition
Medical Physics
Artificial intelligence systems show promise to aid in the di- agnostic pathway of prostate cancer (PC), by supporting radiologists in interpreting magnetic resonance images (MRI) of the prostate. Most MRI-based systems are designed to detect clinically significant PC le- sions, with the main objective of preventing over-diagnosis. Typically, these systems involve an automatic prostate segmentation component and a clinically significant PC lesion detection component. In spite of the compound nature of the systems, evaluations are presented assum- ing a standalone clinically significant PC detection component. That is, they are evaluated in an idealized scenario and under the assumption that a highly accurate prostate segmentation is available at test time. In this work, we aim to evaluate a clinically significant PC lesion de- tection system accounting for its compound nature. For that purpose, we simulate a realistic deployment scenario and evaluate the effect of two non-ideal and previously validated prostate segmentation modules on the PC detection ability of the compound system. Following, we com- pare them with an idealized setting, where prostate segmentations are assumed to have no faults. We observe significant differences in the de- tection ability of the compound system in a realistic scenario and in the presence of the highest-performing prostate segmentation module (DSC: 90.07+-0.74), when compared to the idealized one (AUC: 77.93 +- 3.06 and 84.30+- 4.07, P<.001). Our results depict the relevance of holistic evalu- ations for PC detection compound systems, where interactions between system components can lead to decreased performance and degradation at deployment time.
title On undesired emergent behaviors in compound prostate cancer detection systems
topic Image and Video Processing
Computer Vision and Pattern Recognition
Medical Physics
url https://arxiv.org/abs/2309.08381