Volume 30, Issue 1 pp. 161-168
Original Research

Computerized characterization of prostate cancer by fractal analysis in MR images

Dongjiao Lv PhD

Dongjiao Lv PhD

Department of Biomedical Engineering, Peking University, Beijing, China, People's Republic of China

Center for Functional Imaging, Peking University, Beijing, China, People's Republic of China

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Xuemei Guo MD

Xuemei Guo MD

Center for Functional Imaging, Peking University, Beijing, China, People's Republic of China

Department of Radiology, Peking University First Hospital, Beijing, China, People's Republic of China

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Xiaoying Wang MD

Corresponding Author

Xiaoying Wang MD

Center for Functional Imaging, Peking University, Beijing, China, People's Republic of China

Department of Radiology, Peking University First Hospital, Beijing, China, People's Republic of China

Xiaoying Wang, 8 Xishiku Street, Xicheng District, Beijing China, 100034

Jue Zhang, Department of Biomedical Engineering & Center for Functional Imaging, Peking University, Yiheyuan Road No. 5, Beijing, 100871, China

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Jue Zhang PhD

Corresponding Author

Jue Zhang PhD

Department of Biomedical Engineering, Peking University, Beijing, China, People's Republic of China

Center for Functional Imaging, Peking University, Beijing, China, People's Republic of China

Xiaoying Wang, 8 Xishiku Street, Xicheng District, Beijing China, 100034

Jue Zhang, Department of Biomedical Engineering & Center for Functional Imaging, Peking University, Yiheyuan Road No. 5, Beijing, 100871, China

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Jing Fang PhD

Jing Fang PhD

Department of Biomedical Engineering, Peking University, Beijing, China, People's Republic of China

Center for Functional Imaging, Peking University, Beijing, China, People's Republic of China

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First published: 25 June 2009
Citations: 39

Abstract

Purpose

To explore the potential of computerized characterization of prostate MR images by extracting the fractal features of texture and intensity distributions as indices in the differential diagnosis of prostate cancer.

Materials and Methods

MR T2-weighted images (T2WI) of 55 patients with pathologic results detected by ultrasound guided biopsy were collected and then divided in two groups, 27 with prostate cancer (PCa) and 28 with no histological abnormality. Texture fractal dimension (TFD) and histogram fractal dimension (HFD) were calculated to analyze complexity features of regions of Interest (ROIs) selected from the peripheral zone. Two-sample t-tests were performed to evaluate group differences for both parameters. Receiver operating characteristic (ROC) analysis was used to estimate the performance of TFD and HFD for discriminating PCa.

Results

Significant differences were found in both TFD and HFD between the two patient groups. The areas under the ROC curves of TFD and HFD were 0.691 and 0.966, respectively, in distinguishing prostatic carcinoma from normal peripheral zone. As characterized by the fractal indices, cancerous prostatic tissue exhibited smoother texture and lower variation in intensity distribution than normal prostatic tissue.

Conclusion

The study suggests that TFD and HFD depict the changes in texture and intensity distribution associated with prostate cancer on T2WI. Both TFD and HFDprovide promising quantitative indices for cancer identification. HFD performs better than TFD offering a more robust MR-based indicator in the diagnosis of prostatic carcinoma. J. Magn. Reson. Imaging 2009;30:161–168. © 2009 Wiley-Liss, Inc.

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