A Unified Multi-Phase CT Synthesis and Classification Framework for Kidney Cancer Diagnosis with Incomplete Data

Multi-phase CT is widely adopted for the diagnosis of kidney cancer due to the complementary information among phases. However, the complete set of multi-phase CT is often not available in practical clinical applications. In recent years, there have been some studies to generate the missing modality image from the available data. Nevertheless, the generated images are not guaranteed to be effective for the diagnosis task. In this paper, we propose a unified framework for kidney cancer diagnosis with incomplete multi-phase CT, which simultaneously recovers missing CT images and classifies cancer subtypes using the completed set of images. The advantage of our framework is that it encourages a synthesis model to explicitly learn to generate missing CT phases that are helpful for classifying cancer subtypes. We further incorporate lesion segmentation network into our framework to exploit lesion-level features for effective cancer classification in the whole CT volumes. The proposed framework is based on fully 3D convolutional neural networks to jointly optimize both synthesis and classification of 3D CT volumes. Extensive experiments on both in-house and external datasets demonstrate the effectiveness of our framework for the diagnosis with incomplete data compared with state-of-the-art baselines. In particular, cancer subtype classification using the completed CT data by our method achieves higher performance than the classification using the given incomplete data.

ProsDectNet: Bridging the Gap in Prostate Cancer Detection via Transrectal B-mode Ultrasound Imaging

Interpreting traditional B-mode ultrasound images can be challenging due to image artifacts (e.g., shadowing, speckle), leading to low sensitivity and limited diagnostic accuracy. While Magnetic Resonance Imaging (MRI) has been proposed as a solution, it is expensive and not widely available. Furthermore, most biopsies are guided by Transrectal Ultrasound (TRUS) alone and can miss up to 52% cancers, highlighting the need for improved targeting. To address this issue, we propose ProsDectNet, a multi-task deep learning approach that localizes prostate cancer on B-mode ultrasound. Our model is pre-trained using radiologist-labeled data and fine-tuned using biopsy-confirmed labels. ProsDectNet includes a lesion detection and patch classification head, with uncertainty minimization using entropy to improve model performance and reduce false positive predictions. We trained and validated ProsDectNet using a cohort of 289 patients who underwent MRI-TRUS fusion targeted biopsy. We then tested our approach on a group of 41 patients and found that ProsDectNet outperformed the average expert clinician in detecting prostate cancer on B-mode ultrasound images, achieving a patient-level ROC-AUC of 82%, a sensitivity of 74%, and a specificity of 67%. Our results demonstrate that ProsDectNet has the potential to be used as a computer-aided diagnosis system to improve targeted biopsy and treatment planning.

Multi-frame-based Cross-domain Image Denoising for Low-dose Computed Tomography

Computed tomography (CT) has been used worldwide for decades as one of the most important non-invasive tests in assisting diagnosis. However, the ionizing nature of X-ray exposure raises concerns about potential health risks such as cancer. The desire for lower radiation dose has driven researchers to improve the reconstruction quality, especially by removing noise and artifacts. Although previous studies on low-dose computed tomography (LDCT) denoising have demonstrated the potential of learning-based methods, most of them were developed on the simulated data collected using Radon transform. However, the real-world scenario significantly differs from the simulation domain, and the joint optimization of denoising with the modern CT image reconstruction pipeline is still missing. In this paper, for the commercially available third-generation multi-slice spiral CT scanners, we propose a two-stage method that better exploits the complete reconstruction pipeline for LDCT denoising across different domains. Our method makes good use of the high redundancy of both the multi-slice projections and the volumetric reconstructions while avoiding the collapse of information in conventional cascaded frameworks. The dedicated design also provides a clearer interpretation of the workflow. Through extensive evaluations, we demonstrate its superior performance against state-of-the-art methods.