Peer-Reviewed Publication
J Imaging Inform Med2026August 26, 2026Journal Article

Enhancing Robustness of Deep Learning to Batch Effects from Multi-site Data for Segmentation of Clinically Significant Prostate Cancer on MRI.

Sumedh Sonawane1, Pranav Sompalle2, Dihitha Baddula1, Minoti Kedare1, Natasha Setiadi3, Abhishek Midya4, Sena Azamat4, Zelin Zhang4, Dattatraya Patil5, Allison Yang6, Elias Kikano7, Danielle Hill6, Thomas Massuti6, Martin G Sanda5, Anant Madabhushi4,8, Clinton D Bahler9, Rakesh Shiradkar10
1Department of Biomedical Engineering and Informatics, Luddy School of Informatics, Computing and Engineering, Indiana University Indianapolis, Indianapolis, IN, USA.
2Department of Chemistry, School of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, USA.
3School of Computer Science, Georgia Institute of Technology, Atlanta, GA, USA.
4Wallace H. Coulter Department of Biomedical Engineering, Emory University, Atlanta, GA, USA.
5Department of Urology, Emory University School of Medicine, Atlanta, GA, USA.
6Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, USA.
7Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA, USA.
8Research Career Scientist, Atlanta Veterans Administration Medical Center, Atlanta, USA.
9Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.
10Department of Biomedical Engineering and Informatics, Luddy School of Informatics, Computing and Engineering, Indiana University Indianapolis, Indianapolis, IN, USA. rshirad@iu.edu.

Abstract

Deep learning (DL) has shown promise in segmenting clinically significant prostate cancer (csPCa) on MRI. However, batch effects arising from multi-site variations impact their generalizability. This study investigates the impact of training data harmonization, diversity, and few-shot fine-tuning on DL in segmenting csPCa on multi-site MRI. 3 T prostate MRI from N = 1822 patients of four sites (pu…

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