A Novel Classification Method for Prediction of Rectal Bleeding in Prostate Cancer Radiotherapy Based on a Semi-Nonnegative ICA of 3D Planned Dose Distributions

IEEE J Biomed Health Inform. 2015 May;19(3):1168-77. doi: 10.1109/JBHI.2014.2328315. Epub 2014 Jun 30.

Abstract

The understanding of dose/side-effects relationships in prostate cancer radiotherapy is crucial to define appropriate individual's constraints for the therapy planning. Most of the existing methods to predict side-effects do not fully exploit the rich spatial information conveyed by the three-dimensional planned dose distributions. We propose a new classification method for three-dimensional individuals' doses, based on a new semi-nonnegative ICA algorithm to identify patients at risk of presenting rectal bleeding from a population treated for prostate cancer. The method first determines two bases of vectors from the population data: the two bases span vector subspaces, which characterize patients with and without rectal bleeding, respectively. The classification is then achieved by calculating the distance of a given patient to the two subspaces. The results, obtained on a cohort of 87 patients (at two year follow-up) treated with radiotherapy, showed high performance in terms of sensitivity and specificity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms*
  • Gastrointestinal Hemorrhage* / diagnosis
  • Gastrointestinal Hemorrhage* / etiology
  • Gastrointestinal Hemorrhage* / prevention & control
  • Humans
  • Image Interpretation, Computer-Assisted / methods*
  • Imaging, Three-Dimensional
  • Male
  • Prostatic Neoplasms / radiotherapy*
  • Radiotherapy / adverse effects*
  • Rectal Diseases* / diagnosis
  • Rectal Diseases* / etiology
  • Rectal Diseases* / prevention & control
  • Rectum / physiopathology
  • Sensitivity and Specificity