MicroSegNet: A Deep Learning Approach for Prostate Segmentation on Micro-Ultrasound Images

Micro-ultrasound (micro-US) is a novel 29-MHz ultrasound technique that provides 3-4 times higher resolution than traditional ultrasound, delivering comparable accuracy for diagnosing prostate cancer to MRI but at a lower cost. Accurate prostate segmentation is crucial for prostate volume measurement, cancer diagnosis, prostate biopsy, and treatment planning. This paper proposes a deep learning approach for automated, fast, and accurate prostate segmentation on micro-US images. Prostate segmentation on micro-US is challenging due to artifacts and indistinct borders between the prostate, bladder, and urethra in the midline. We introduce MicroSegNet, a multi-scale annotation-guided Transformer UNet model to address this challenge. During the training process, MicroSegNet focuses more on regions that are hard to segment (challenging regions), where expert and non-expert annotations show discrepancies. We achieve this by proposing an annotation-guided cross entropy loss that assigns larger weight to pixels in hard regions and lower weight to pixels in easy regions. We trained our model using micro-US images from 55 patients, followed by evaluation on 20 patients. Our MicroSegNet model achieved a Dice coefficient of 0.942 and a Hausdorff distance of 2.11 mm, outperforming several state-of-the-art segmentation methods, as well as three human annotators with different experience levels. We will make our code and dataset publicly available to promote transparency and collaboration in research.

Learning a high-dimensional classification rule using auxiliary outcomes

Correlated outcomes are common in many practical problems. Based on a decomposition of estimation bias into two types, within-subspace and against-subspace, we develop a robust approach to estimating the classification rule for the outcome of interest with the presence of auxiliary outcomes in high-dimensional settings. The proposed method includes a pooled estimation step using all outcomes to gain efficiency, and a subsequent calibration step using only the outcome of interest to correct both types of biases. We show that when the pooled estimator has a low estimation error and a sparse against-subspace bias, the calibrated estimator can achieve a lower estimation error than that when using only the single outcome of interest. An inference procedure for the calibrated estimator is also provided. Simulations and a real data analysis are conducted to justify the superiority of the proposed method.