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Paper · arXiv

A multi-architecture study of specificity refinement and false-positive mechanism analysis in prostate MRI

Objectives: To characterize residual false positives in prostate MRI detection, and to evaluate a lightweight post-hoc refinement head for case-level specificity. Materials and Methods: This retrospective study used PI-CAI (5-fold cross-validation) and Prostate158 (n=158; external). A context-aware evidence head and an 89,216-parameter refinement head were trained on a frozen detection backbone; the evidence head was also trained on four further backbones (bare nnU-Net, bare U-Net, bare Mamba, MIGF-Mamba). For each false-positive region, T2-weighted, apparent-diffusion-coefficient, and high-b-value contrast ratios versus peri-lesional rings were compared against ground-truth lesions and c...

AuthorsYongbo Shu, Kewen Chen, Yifeng Yuan et al.
Primary categoryeess.IV
Published29 June 2026
Last updated at source29 June 2026
eess.IVcs.CVcs.LG
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