Hybrid-View Attention Network for Clinically Significant Prostate Cancer Classification in Transrectal Ultrasound
This work addresses a critical diagnostic problem for prostate cancer patients, but it is incremental as it builds on existing CNN-transformer hybrid methods for a specific medical imaging task.
The paper tackles the challenge of accurately identifying clinically significant prostate cancer in transrectal ultrasound images by proposing a hybrid-view attention network that integrates transverse and sagittal views, achieving improved classification results on a dataset of 590 subjects.
Prostate cancer (PCa) is a leading cause of cancer-related mortality in men, and accurate identification of clinically significant PCa (csPCa) is critical for timely intervention. Transrectal ultrasound (TRUS) is widely used for prostate biopsy; however, its low contrast and anisotropic spatial resolution pose diagnostic challenges. To address these limitations, we propose a novel hybrid-view attention (HVA) network for csPCa classification in 3D TRUS that leverages complementary information from transverse and sagittal views. Our approach integrates a CNN-transformer hybrid architecture, where convolutional layers extract fine-grained local features and transformer-based HVA models global dependencies. Specifically, the HVA comprises intra-view attention to refine features within a single view and cross-view attention to incorporate complementary information across views. Furthermore, a hybrid-view adaptive fusion module dynamically aggregates features along both channel and spatial dimensions, enhancing the overall representation. Experiments are conducted on an in-house dataset containing 590 subjects who underwent prostate biopsy. Comparative and ablation results prove the efficacy of our method. The code is available at https://github.com/mock1ngbrd/HVAN.