July 19, 2023 — Guerbet, a global specialist in contrast media and medical imaging solutions, announced the success of its teams at the PI-CAI (Prostate Imaging: Cancer Al) Grand Challenge1, an international challenge organized by a consortium2 of radiology opinion leaders in prostate imaging, urologists and artificial intelligence experts, to compare the performance of artificial intelligence algorithms in the detection of prostate cancer.
Diagnosis of prostate cancer, a public health issue
The second male cancer according to the WHO, prostate cancer, with 1.4 million new cases each year worldwide, accounts for 6.8% of male cancer-related deaths (350,000 deaths per year). Currently, only 10% to 20% of patients are diagnosed at a stage where the tumor is resectable.
Magnetic resonance imaging (MRI) plays an increasingly important role in the early diagnosis of prostate cancer. The European Association of Urology recommends MRI before considering a biopsy. However, prostate MRI is difficult to interpret and requires a good level of expertise to avoid the high variability of interpretations and diagnostic errors highlighted in some studies.3
However, thanks to advances in artificial intelligence, it is possible to develop a machine learning system that uses supervised learning algorithms trained using large volumes of medical data from patients with suspected prostate cancer. By training artificial intelligence on these data, it becomes possible to create a model capable of detecting the early signs of prostate cancer.
The PI-CAI Grand Challenge, a competition to advance the diagnosis of prostate cancer
The PI-CAI Grand Challenge, launched in November 2022 on the detection of prostate cancer, aims to encourage technological advances in early diagnosis and accurate detection of prostate cancer and to evaluate the performance of participants' artificial intelligence algorithms.
Bringing together more than 320 academic and industrial teams, including Guerbet, each invited to submit an artificial intelligence algorithm capable of diagnosing more than 10,000 prostate MRI examinations in order to be compared to diagnoses of radiologists specialized in prostate imaging.
The PI-CAI Grand Challenge was divided into two stages. During the first stage, the organization proposed that the participating teams train their algorithm on approximately 1,500 data, which was then tested by the organizers on a cohort of internal data from 1,000 patients. It was at the Annual Meeting of the Radiological Society of North America (RSNA) 2022 in Chicago that the Guerbet team was recognized, ranking first and second according to performance metrics.
For the second stage of the challenge, the organizers proposed that the 5 finalists from the first stage train their algorithm on a much wider database of 9,100 MRIs in order to evaluate their performance. Guerbet once again responded magnificently to the challenge, ranking first in all categories, according to the results revealed on 10 July at the Medical Imaging with Deep Learning (MIDL) conference in Nashville in the United States.
At the same time as this artificial intelligence challenge, the organization conducted a multi-center, multireader study on the same database with the next objective being to compare radiologists' results to those of algorithms. This second part of the study will be published next.
"This recognition demonstrates our commitment to innovation and research to improve the diagnosis and care of cancer patients. We will continue to invest in advanced technology solutions to fight this disease, collaborate with healthcare professionals to further improve our technology and accessibility. An initial AI prostate cancer algorithm marketing pathway will be created within the framework of the non-exclusive licensing agreement signed with Intrasense in the first half of 2024: an agreement that provides for the marketing of a product incorporating the Guerbet prostate algorithm during the first quarter of 2024," says François Nicolas, Senior Vice President, Research, Development and Innovation, and Chief Digital Officer at Guerbet.
For more information: www.guerbet.com
References:
1 https://pi-cai.grand-challenge.org/
2 The challenge is organised by Radboud University Medical Center, Ziekenhuis Groep Twente, University Medical Center Groningen, Norwegian University of Science and Technology, approved by MIDL, MICCAI, the European Society of Urogenital Radiology and the European Association of Urology; sponsored by Amazon Web Services and partially supported by EU H2020: ProCAncer-I and Health~Holland. The Scientific Advisory Board is made up of: For the Radiology portion: Prof. Padhani (UK), Prof. Bonekamp (DE), Prof. Villeirs (BE), Prof. Barentsz (NL), Prof. Rouvière (FR), Dr. Panebianco (IT); For the Urology portion: Prof. Bjartell (SE), Prof. Salomon (DE), Dr. Giannarini (IT), Dr. van den Bergh (NL), Prof. Kasivisvanathan (UK); and for the AI portion: Prof. Huisman (NL), J. Kalapathy-Cramer (USA), Prof. Maier-Hein (DE), Prof. Elschot (NO), M. Rusu (USA).
June 10, 2025 
