# Influence of High-Performance Image-to-Image Translation Networks on Clinical Visual Assessment and Outcome Prediction: Utilizing Ultrasound to MRI Translation in Prostate Cancer

arXiv: https://arxiv.org/abs/2501.18109 · HTML: https://mlsanity.com/paper/2501.18109/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 6 of its 51 references that are in the map.
- First posted on arXiv 30 Jan 2025.

## Builds on (most cited first, 6 of 6)

- [Image-to-Image Translation: Methods and Applications](https://mlsanity.com/paper/2101.08629/) (2021)
- [Conditional Diffusion Models for Semantic 3D Brain MRI Synthesis](https://mlsanity.com/paper/2305.18453/) (2023)
- [Self-Supervised Ultrasound to MRI Fetal Brain Image Synthesis](https://mlsanity.com/paper/2008.08698/) (2020)
- [Prostate Cancer Detection using Deep Convolutional Neural Networks](https://mlsanity.com/paper/1905.13145/) (2019)
- [Unified Brain MR-Ultrasound Synthesis using Multi-Modal Hierarchical Representations](https://mlsanity.com/paper/2309.08747/) (2023)
- [Biological and Radiological Dictionary of Radiomics Features: Addressing Understandable AI Issues in Personalized Prostate Cancer; Dictionary Version PM1.0](https://mlsanity.com/paper/2412.10967/) (2024)

## Built on by (most cited first, 1 of 1)

- [A Systematic Benchmark of Intraoperative Ultrasound-to-MR Synthesis for Brain Tumour Surgery](https://mlsanity.com/paper/2606.00630/) (2026)

## Abstract (arXiv)

Purpose: This study examines the core traits of image-to-image translation (I2I) networks, focusing on their effectiveness and adaptability in everyday clinical settings. Methods: We have analyzed data from 794 patients diagnosed with prostate cancer (PCa), using ten prominent 2D/3D I2I networks to convert ultrasound (US) images into MRI scans. We also introduced a new analysis of Radiomic features (RF) via the Spearman correlation coefficient to explore whether networks with high performance (SSIM>85%) could detect subtle RFs. Our study further examined synthetic images by 7 invited physicians. As a final evaluation study, we have investigated the improvement that are achieved using the synthetic MRI data on two traditional machine learning and one deep learning method. Results: In quantitative assessment, 2D-Pix2Pix network substantially outperformed the other 7 networks, with an average SSIM~0.855. The RF analysis revealed that 76 out of 186 RFs were identified using the 2D-Pix2Pix algorithm alone, although half of the RFs were lost during the translation process. A detailed qualitative review by 7 medical doctors noted a deficiency in low-level feature recognition in I2I tasks. Furthermore, the study found that synthesized image-based classification outperformed US image-based classification with an average accuracy and AUC~0.93. Conclusion: This study showed that while 2D-Pix2Pix outperformed cutting-edge networks in low-level feature discovery and overall error and similarity metrics, it still requires improvement in low-level feature performance, as highlighted by Group 3. Further, the study found using synthetic image-based classification outperformed original US image-based methods.
