Image Registration of In Vivo Micro-Ultrasound and Ex Vivo Pseudo-Whole
Mount Histopathology Images of the Prostate: A Proof-of-Concept Study
- URL: http://arxiv.org/abs/2305.19939v2
- Date: Fri, 16 Jun 2023 19:53:27 GMT
- Title: Image Registration of In Vivo Micro-Ultrasound and Ex Vivo Pseudo-Whole
Mount Histopathology Images of the Prostate: A Proof-of-Concept Study
- Authors: Muhammad Imran, Brianna Nguyen, Jake Pensa, Sara M. Falzarano, Anthony
E. Sisk, Muxuan Liang, John Michael DiBianco, Li-Ming Su, Yuyin Zhou, Wayne
G. Brisbane, and Wei Shao
- Abstract summary: Early diagnosis of prostate cancer significantly improves a patient's 5-year survival rate.
Micro-ultrasound (micro-US) provides a cost-effective alternative to MRI while delivering comparable diagnostic accuracy.
We present a semi-automated pipeline for registering in vivo micro-US images with ex vivo whole-mount histopathology images.
- Score: 7.323398943910078
- License: http://creativecommons.org/licenses/by-nc-sa/4.0/
- Abstract: Early diagnosis of prostate cancer significantly improves a patient's 5-year
survival rate. Biopsy of small prostate cancers is improved with image-guided
biopsy. MRI-ultrasound fusion-guided biopsy is sensitive to smaller tumors but
is underutilized due to the high cost of MRI and fusion equipment.
Micro-ultrasound (micro-US), a novel high-resolution ultrasound technology,
provides a cost-effective alternative to MRI while delivering comparable
diagnostic accuracy. However, the interpretation of micro-US is challenging due
to subtle gray scale changes indicating cancer vs normal tissue. This challenge
can be addressed by training urologists with a large dataset of micro-US images
containing the ground truth cancer outlines. Such a dataset can be mapped from
surgical specimens (histopathology) onto micro-US images via image
registration. In this paper, we present a semi-automated pipeline for
registering in vivo micro-US images with ex vivo whole-mount histopathology
images. Our pipeline begins with the reconstruction of pseudo-whole-mount
histopathology images and a 3-dimensional (3D) micro-US volume. Each
pseudo-whole-mount histopathology image is then registered with the
corresponding axial micro-US slice using a two-stage approach that estimates an
affine transformation followed by a deformable transformation. We evaluated our
registration pipeline using micro-US and histopathology images from 18 patients
who underwent radical prostatectomy. The results showed a Dice coefficient of
0.94 and a landmark error of 2.7 mm, indicating the accuracy of our
registration pipeline. This proof-of-concept study demonstrates the feasibility
of accurately aligning micro-US and histopathology images. To promote
transparency and collaboration in research, we will make our code and dataset
publicly available.
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