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patient_id
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5
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55
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81
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21
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65
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34
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27
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1000012
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64
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ZGT
64
4.5
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52
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RP
24
10014
1000014
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RUMC
48
null
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62
0
NO
22
10015
1000015
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PCNN
64
23
null
50
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27
10016
1000016
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RUMC
60
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71
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19
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1000017
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RUMC
67
5.5
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NO
19
10018
1000018
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PCNN
70
8.8
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35
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NO
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23
10019
1000019
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RUMC
61
10
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42
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YES
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19
10020
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RUMC
43
4.6
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47
0
NO
21
10021
1000021
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RUMC
61
23
0.39
60
3
YES
4+3
MRBx
19
10022
1000022
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PCNN
56
5
null
25
1
NO
3+3
MRBx
27
10023
1000023
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RUMC
62
1.5
0.03
37
0
NO
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MRBx
19
10024
1000024
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RUMC
65
5.5
0.17
35
0
NO
19
10025
1000025
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RUMC
37
4.1
0.17
24
0
NO
19
10026
1000026
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RUMC
54
4.06
0.11
35
1
NO
3+3
SysBx+MRBx
19
10027
1000027
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PCNN
63
7.4
null
37
0
NO
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MRBx
25
10028
1000028
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RUMC
64
9.99
0.09
117
0
NO
23
10029
1000029
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RUMC
64
8.9
0.2
46
5
YES
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SysBx+MRBx
19
10030
1000030
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ZGT
70
6
0.08
72
0
NO
21
10031
1000031
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RUMC
67
11.4
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78
0
NO
19
10032
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RUMC
73
19.18
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57
3
YES
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MRBx
19
10033
1000033
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RUMC
61
9.3
0.24
38
0
NO
19
10034
1000034
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ZGT
66
4.6
0.11
47
1
NO
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19
10035
1000035
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PCNN
70
3.59
null
19
1
NO
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27
10036
1000036
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RUMC
69
7
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YES
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MRBx
19
10037
1000037
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RUMC
38
2.9
0.11
26
0
NO
19
10038
1000038
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RUMC
62
9.9
0.2
50
1
NO
3+3
MRBx
21
10039
1000039
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RUMC
66
10
0.09
109
0
NO
19
10040
1000040
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RUMC
78
55
1.25
44
2
YES
3+4,N/A,N/A
MRBx
21
10041
1000041
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PCNN
74
22
null
30
1
NO
3+3
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27
10042
1000042
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ZGT
67
4.8
0.08
60
1
NO
3+3,0+0
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22
10043
1000043
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RUMC
77
38
null
48
3
YES
4+3
MRBx
21
10044
1000044
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ZGT
71
6.4
0.41
16
4
YES
3+4,4+4
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21
10045
1000045
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ZGT
51
7.9
null
67
0
NO
23
10046
1000046
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RUMC
60
null
null
37.700001
0
NO
21
10047
1000047
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ZGT
74
7.4
null
164
0
NO
29
10048
1000048
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RUMC
64
20
0.65
31
3
YES
4+3
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19
10049
1000049
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RUMC
68
18.200001
null
157
0
NO
23
10050
1000050
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RUMC
65
6
0.41
31
2
YES
3+4
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19
10051
1000051
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ZGT
68
4.8
0.07
72
0
NO
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25
10052
1000052
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RUMC
69
5.1
0.07
97
1
NO
2+3
MRBx
21
10053
1000053
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ZGT
64
4.3
0.1
48
2
YES
3+4
RP
21
10054
1000054
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RUMC
68
23
0.26
88
0
NO
25
10055
1000055
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RUMC
60
2.3
null
47
0
NO
21
10056
1000056
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ZGT
69
6.6
0.13
50
0
NO
0+0
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23
10057
1000057
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RUMC
62
7.1
0.15
47
0
NO
19
10058
1000058
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PCNN
69
9
null
60
0
NO
0+0
SysBx
27
10059
1000059
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RUMC
69
52
0.85
61
2
YES
3+4
MRBx
23
10060
1000060
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RUMC
64
7.2
0.1
67
0
NO
0+0
MRBx
21
10061
1000061
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RUMC
62
4.9
0.08
60
0
NO
21
10062
1000062
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ZGT
71
15.2
0.14
112
1
NO
3+3
SysBx+MRBx
26
10063
1000063
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RUMC
70
18.4
0.26
69
1
NO
3+3,N/A
MRBx
21
10064
1000064
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RUMC
66
13
0.12
104
0
NO
0+0
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23
10065
1000065
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PCNN
60
14
null
85
1
NO
3+3
SysBx
27
10066
1000066
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ZGT
64
6.5
0.19
33
0
NO
23
10067
1000067
10067_1000067
PCNN
63
7.2
null
110
0
NO
0+0
SysBx
27
10068
1000068
10068_1000068
PCNN
60
7.4
null
65
0
NO
0+0
SysBx
27
10069
1000069
10069_1000069
RUMC
68
6.3
0.05
124
0
NO
0+0
MRBx
19
10070
1000070
10070_1000070
RUMC
58
5.8
0.08
74
0
NO
19
10071
1000071
10071_1000071
ZGT
50
9.9
0.18
55
0
NO
0+0
SysBx
21
10072
1000072
10072_1000072
RUMC
70
8.8
0.09
98
0
NO
0+0,0+0
MRBx
23
10073
1000073
10073_1000073
RUMC
73
3.5
0.01
99
1
NO
3+3
MRBx
23
10074
1000074
10074_1000074
PCNN
60
11
null
45
2
YES
3+4
MRBx
27
10075
1000075
10075_1000075
RUMC
68
21
0.27
79
0
NO
0+0
MRBx
19
10076
1000076
10076_1000076
RUMC
61
14
0.2
69
0
NO
21
10077
1000077
10077_1000077
RUMC
69
7.98
0.22
37
0
NO
19
10078
1000078
10078_1000078
RUMC
51
7.6
0.14
56
4
YES
4+4
MRBx
19
10079
1000079
10079_1000079
PCNN
76
6.7
null
28
3
YES
4+3
MRBx
25
10080
1000080
10080_1000080
PCNN
64
9.4
null
69
1
NO
0+0,3+3
MRBx
25
10081
1000081
10081_1000081
RUMC
49
8.9
0.08
114
0
NO
23
10082
1000082
10082_1000082
RUMC
65
null
null
63
1
NO
3+3
MRBx
19
10083
1000083
10083_1000083
ZGT
72
3.7
null
33
0
NO
0+0
SysBx
19
10084
1000084
10084_1000084
ZGT
48
4
null
33
0
NO
0+0
SysBx
21
10085
1000085
10085_1000085
PCNN
59
8.3
null
65
3
YES
4+3
MRBx
27
10086
1000086
10086_1000086
RUMC
52
7.4
0.25
28
0
NO
0+0
SysBx+MRBx
19
10087
1000087
10087_1000087
RUMC
67
7.3
0.09
77
0
NO
21
10088
1000088
10088_1000088
RUMC
62
4.1
0.03
130
0
NO
25
10089
1000089
10089_1000089
RUMC
58
4
0.09
44.779999
0
NO
21
10090
1000090
10090_1000090
ZGT
65
5.2
null
41
1
NO
0+0,3+3
SysBx+MRBx
27
10091
1000091
10091_1000091
ZGT
59
4.7
0.1
47
0
NO
23
10092
1000092
10092_1000092
ZGT
62
6.7
0.18
37
1
NO
0+0,3+3
SysBx+MRBx
17
10093
1000093
10093_1000093
PCNN
75
7.4
null
35
1
NO
3+3
MRBx
25
10094
1000094
10094_1000094
RUMC
62
10.24
0.27
38
5
YES
4+5,0+0
SysBx+MRBx
19
10095
1000095
10095_1000095
PCNN
65
9.2
null
60
0
NO
0+0
MRBx
27
10096
1000096
10096_1000096
RUMC
64
22.33
0.66
34
0
NO
0+0
MRBx
19
10097
1000097
10097_1000097
PCNN
66
15.01
null
32
2
YES
3+4
MRBx
27
10098
1000098
10098_1000098
RUMC
69
12
0.17
69
0
NO
19
10099
1000099
10099_1000099
RUMC
64
5.5
0.05
120
0
NO
23
End of preview. Expand in Data Studio

PI-CAI: Prostate Imaging - Cancer AI Challenge (Public Training & Development)

The PI-CAI Public Training & Development dataset contains 1,500 biparametric MRI (bpMRI) studies from 1,476 patients acquired at four Dutch centers (RUMC, ZGT, PCNN, UMCG) between 2012 and 2021. The challenge targets clinically significant prostate cancer (csPCa, ISUP ≥ 2) detection and segmentation.

Dataset Summary

Field Details
Modality Biparametric MRI: axial/coronal/sagittal T2W + axial high-b-value (≥ 1000 s/mm²) DWI + axial ADC
Body Part Prostate (whole gland + csPCa lesions)
Cases 1,500 studies / 1,476 patients
Class composition 1,075 benign (ISUP ≤ 1) / 425 csPCa-positive (ISUP ≥ 2)
Total Size ~26 GB (images) + 139 MB (labels)
License CC BY-NC 4.0

Data Structure

images/
  {patient_id}/
    {patient_id}_{study_id}_t2w.mha   # axial T2W
    {patient_id}_{study_id}_cor.mha   # coronal T2W (occasionally missing)
    {patient_id}_{study_id}_sag.mha   # sagittal T2W (occasionally missing)
    {patient_id}_{study_id}_adc.mha   # axial ADC
    {patient_id}_{study_id}_hbv.mha   # axial high-b-value DWI
labels/
  csPCa_lesion_delineations/
    human_expert/
      original/         # native-resolution expert csPCa lesion masks (1,295 cases)
      resampled/        # SAME masks resampled to T2W axial geometry (1,295 cases)
      Pooch25/          # 2025 expert annotations for the 205 originally-only-AI-labeled cases
    AI/
      Bosma22a/         # AI-derived csPCa lesion masks (binary, 1,500 cases)
  anatomical_delineations/
    whole_gland/
      AI/Bosma22b/      # AI whole-prostate-gland masks (binary, 1,500 cases) — only gland labels
      AI/Guerbet23/     # alternate AI gland masks
    zonal_pz_tz/
      AI/HeviAI23/      # AI zonal masks (peripheral zone / transition zone)
      AI/Yuan23/        # alternate AI zonal masks
  clinical_information/
    marksheet.csv       # per-case clinical info (PSA, ISUP, center, etc.)
  additional_resources/
    ProstateX-mapping.json
marksheet.csv           # convenience copy at root

Recommended Ground Truth

For csPCa lesion segmentation, use:

labels/csPCa_lesion_delineations/human_expert/resampled/   # 1,295 cases
labels/csPCa_lesion_delineations/human_expert/Pooch25/     # +205 cases (= 1,500 total expert masks)

These are produced by trained investigators under three expert radiologists' supervision, carry granular multi-class ISUP labels (0/2/3/4/5), and are aligned to T2W axial geometry. The PI-CAI organizers explicitly recommend them over the AI-derived Bosma22a masks, which exist primarily as a complementary semi-supervised label source for the originally unannotated 205 positive cases (now superseded by Pooch25 for those cases).

For whole-prostate-gland segmentation, only AI-derived masks are available (anatomical_delineations/whole_gland/AI/Bosma22b/); the README in the picai_labels repo cautions these "can be susceptible to errors or faulty segmentations."

Important Caveats

  • Modalities are NOT co-registered. T2W (axial/cor/sag), DWI, and ADC are acquired at different resolutions and not co-registered across sequences (only 54 / 9,107 cases were manually co-registered in the full corpus). Models must handle this.
  • ADC absolute intensities are NOT standardized across centers — do not treat as universal.
  • Splits: The 1,500 public cases are physically distributed across 5 cross-validation folds (fold0fold4) in the original Zenodo release; here they are merged into a single images/ directory. There is no fixed train/val/test split.

Citation

@article{saha2024picai,
  title   = {Artificial intelligence and radiologists in prostate cancer detection on MRI (PI-CAI): an international, paired, non-inferiority, confirmatory study},
  author  = {Saha, Anindo and Bosma, Joeran S and Twilt, Jasper J and van Ginneken, Bram and Bjartell, Anders and Padhani, Anwar R and others},
  journal = {The Lancet Oncology},
  volume  = {25},
  number  = {7},
  pages   = {879--887},
  year    = {2024},
  doi     = {10.1016/S1470-2045(24)00220-1}
}

@dataset{picai_public_training_2022,
  title     = {The PI-CAI Challenge: Public Training and Development Dataset},
  author    = {Saha, Anindo and Twilt, Jasper J and Bosma, Joeran S and others},
  year      = 2022,
  publisher = {Zenodo},
  doi       = {10.5281/zenodo.6624726},
  url       = {https://doi.org/10.5281/zenodo.6624726}
}

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