2020
DOI: 10.1007/s00259-020-05140-y
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Supervised machine learning enables non-invasive lesion characterization in primary prostate cancer with [68Ga]Ga-PSMA-11 PET/MRI

Abstract: Purpose Risk classification of primary prostate cancer in clinical routine is mainly based on prostate-specific antigen (PSA) levels, Gleason scores from biopsy samples, and tumor-nodes-metastasis (TNM) staging. This study aimed to investigate the diagnostic performance of positron emission tomography/magnetic resonance imaging (PET/MRI) in vivo models for predicting low-vs-high lesion risk (LH) as well as biochemical recurrence (BCR) and overall patient risk (OPR) with machine learning. … Show more

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Cited by 97 publications
(88 citation statements)
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“…Consequently, this study demonstrates that multi-imaging features can guide to the genomically most aggressive region within the prostate. Papp et al [ 72 ] aimed to investigate the diagnostic performance of PSMA PET/MRI in vivo models for predicting low vs. high lesion risk, together with BCR and overall patient risk, with machine learning. They demonstrated the potential to enhance risk classification in primary prostate cancer patients built on PET/MRI radiomics and machine learning without biopsy sampling.…”
Section: Future Perspectivementioning
confidence: 99%
“…Consequently, this study demonstrates that multi-imaging features can guide to the genomically most aggressive region within the prostate. Papp et al [ 72 ] aimed to investigate the diagnostic performance of PSMA PET/MRI in vivo models for predicting low vs. high lesion risk, together with BCR and overall patient risk, with machine learning. They demonstrated the potential to enhance risk classification in primary prostate cancer patients built on PET/MRI radiomics and machine learning without biopsy sampling.…”
Section: Future Perspectivementioning
confidence: 99%
“…2.0 [37] was used to extract a total number of 234 radiomic features from each sample as of optimized radiomic principles [38]. The resulting radiomic dataset underwent redundancy reduction with covariance matrix analysis where a Pearson correlation of 0.85 was selected as threshold [37]. This step resulted in 98 features.…”
Section: Statistical and Radiomic Analysismentioning
confidence: 99%
“…In each fold, feature ranking and selection of the highest-ranking 10 features was performed via R-squared ranking in the training set of each MC fold. The selected features were then also selected for the validation subset [37,39]. This step was necessary to minimize the chances of overfitting.…”
Section: Statistical and Radiomic Analysismentioning
confidence: 99%
See 1 more Smart Citation
“…Each dataset underwent redundancy reduction by correlation matrix analysis 27 followed by a 10-fold cross-validation split with a training-validation ratio of 80%-20% 16 . Training sets of the folds were subjects of feature ranking analysis 28 and the highestranking eight as well as 16 (if available) features were selected for further analysis. The resulted dataset configurations were analyzed by class imbalance ratios and the quantum advantage score (a.k.a.…”
Section: Datasetmentioning
confidence: 99%