2307 lines
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2307 lines
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<title>Multiparametric MRI in Localization of Prostate Cancer with Patient-specific MRI-based Prostate Mold Validation | National Institute of Biomedical Imaging and Bioengineering</title>
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<div class="field field--name-field-collaborator field--type-link field--label-hidden field__item"><span>Bradford J Wood, M.D.</span></div>
|
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<div class="field field--name-field-institution field--type-string field--label-hidden field__item">Center for Interventional Oncology, CC</div>
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<div class="field field--name-field-collaborator field--type-link field--label-hidden field__item"><span>Peter Pinto, M.D.</span></div>
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<div class="field field--name-field-institution field--type-string field--label-hidden field__item">Urology Oncology Branch, Center for Cancer Research, NCI</div>
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<div class="field field--name-field-collaborator field--type-link field--label-hidden field__item"><span>Peter Choyke, M.D.</span></div>
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<div class="field field--name-field-institution field--type-string field--label-hidden field__item">Molecular Imaging Program, Center for Cancer Research, NCI</div>
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<div class="field field--name-field-collaborator field--type-link field--label-hidden field__item"><span>Baris Turkbey, M.D.</span></div>
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<div class="field field--name-field-institution field--type-string field--label-hidden field__item">Molecular Imaging Program, Center for Cancer Research, NCI</div>
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<div class="field field--name-field-collaborator field--type-link field--label-hidden field__item"><span>Marston Linehan, M.D.</span></div>
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<div class="field field--name-field-institution field--type-string field--label-hidden field__item">Urologic Oncology Branch, Center for Cancer Research, NCI</div>
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<div class="field field--name-field-collaborator field--type-link field--label-hidden field__item"><span>Maria J Merino, MD</span></div>
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<div class="field field--name-field-institution field--type-string field--label-hidden field__item">Laboratory of Pathology, Center for Cancer Research, NCI</div>
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<div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>The NCI Molecular Imaging Program develops innovative methods of localizing prostate cancer based on in vivo multiparametric MRI. SPIS contributes to this effort in two areas. (1) Assisted in the design, implementation, and validation of individualized MR-based molds to facilitate the correlation of the multiparametric MRI imaging with downstream histopathology. Achieving sufficient MR/histopathology image correlation (i.e., 3D alignment) is critical when evaluating the efficacy of new prostate imaging protocols as potential cancer diagnostics. During the initial mold development phase, SPIS 3D-printed ~130 patient-specific molds. Recently, SPIS has resumed the mold printing (2-5 surgeries/week), and is now responsible for automating the process of creating the mold 3D model files from the MRI imaging files. (2) Developing an unsupervised multi-characteristic framework for prostate cancer localization using diffusion-weighted magnetic resonance imaging (DW-MRI).</p>
|
||
<p>More specifically, the potential single imaging modality localization method consists of combining a number of unique parameters from different models that characterize underlying tissue structure estimated from DW-MRI signal attenuation. The process of combining unique parameters from multiple models allows for the reduction of false positive and false negative voxels compared to using a single parameter, such as only apparent diffusion coefficient or kurtosis. This is due to the fact that theoretically a ‘positive-if-all-positive’ selection process favors higher specificity.</p>
|
||
<p> </p>
|
||
|
||
<figure role="group" class="align-center">
|
||
<img alt="Process of MR imaging to patient-specific prostate mold/slicer" data-entity-type="file" data-entity-uuid="b622f162-e77f-44ec-8dd5-5f19401a139a" src="/sites/default/files/inline-images/Multipara1.jpg" width="644" height="584" loading="lazy">
|
||
<figcaption>Process of making the patient-specific sectioning-mold from the MRI imaging: (a) prostate MRI images, (b) segmentation, (c) patient-specific prostate model, and (d) 3D-printed mold with knife slots for 6mm sectioning.</figcaption>
|
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<p> </p>
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<img alt="Positive-if-all-Positive approach for combining three unique DW-MRI parameters" data-entity-type="file" data-entity-uuid="619e98e5-deb7-42d0-89cb-93fcec246d9f" src="/sites/default/files/inline-images/Multipara2.jpg" width="900" height="693" loading="lazy">
|
||
<figcaption>Estimated characteristics: apparent diffusion coefficient, D (a); pseudo-diffusion fraction, f, (b); kurtosis, K, (c); corresponding threshold maps (d-f); unsupervised framework map with cancerous voxels in red and tumor suspicious voxels in green (g).</figcaption>
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<p> </p>
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<img alt="Unsupervised framework map, weighted MR image, and histology slide" data-entity-type="file" data-entity-uuid="ff04a188-7cea-4878-83cb-73b24d468ab0" height="345" src="/sites/default/files/inline-images/Multipara3.jpg" width="999" loading="lazy">
|
||
<figcaption>Unsupervised framework map with cancerous voxels in red and tumor suspicious voxels in green (a); axial T2-weighted MR image confirming large regions high level of risk for prostate carcinoma (b); corresponding histology slide confirms a large focus of Gleason 4+4 cancer (c).</figcaption>
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<p> </p>
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<li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055445/">Application of an unsupervised multi-characteristic framework for intermediate-high risk prostate cancer localization using diffusion-weighted MRI</a></li>
|
||
<li><a href="https://pubmed.ncbi.nlm.nih.gov/25570593/">Atlas based AAM and SVM model for fully automatic MRI prostate segmentation</a></li>
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<li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390048/">Decision support system for localizing prostate cancer based on multiparametric magnetic resonance imaging</a></li>
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<li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3526004/">11C-Acetate PET/CT Imaging in Localized Prostate Cancer: A study with MRI and Histopathologic Correlation</a></li>
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||
<li><a href="https://pubmed.ncbi.nlm.nih.gov/22901591/">Correlation of magnetic resonance imaging tumor volume with histopathology</a></li>
|
||
<li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3534884/">A Step Towards Personalized Medicine: Use of a Patient-Specific MRI based Prostate Mold for Validation of Multi-parametric MRI in the Localization of Prostate Cancer</a></li>
|
||
<li><a href="https://pubmed.ncbi.nlm.nih.gov/21944089/">Multiparametric 3T prostate magnetic resonance imaging to detect cancer: histopathological correlation using prostatectomy specimens processed in customized magnetic resonance imaging based molds</a></li>
|
||
<li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2774342/">A method for correlating in vivo prostate magnetic resonance imaging and histopathology using individualized magnetic resonance-based molds</a></li>
|
||
<li>Novel Method for Correlating MRI and Histopathology Using Patient-Specific MR-based Molds <em>(unavailable)</em></li>
|
||
<li>Pathological Correlation of Radiological-Detected Prostate Cancer Lesions by a Novel Technique <em>(unavailable)</em></li>
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<div class="field field--name-field-card-text field--type-text-long field--label-hidden field__item"><p>2012 NIH Director’s Award: Design and implementation of a method for correlating in vivo prostate MRI and histopathology using individualized MR-based molds resulting in a standard-of-care at NIH</p>
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