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Background: Accurate and reliable classification models play a major role in clinical decision-making processes for prostate cancer (PCa) diagnosis. However, existing methods often demonstrate limited performance, particularly when applied to small datasets and binary classification problems. Objectives: This study aims to design a fine-tuned deep learning (DL) model capable of classifying PCa MRI images with high accuracy and to evaluate its performance by comparing it with various DL architectures. Methods: In this study, a basic convolutional neural network (CNN) model was developed and subsequently optimized using techniques such as L2 regularization, Tanh activation, dropout, and early stopping to enhance its performance. Additionally, a pyramid-type CNN architecture was designed to simultaneously evaluate both fine details and broader structures by combining low- and high-resolution information through feature maps extracted from different CNN layers. This approach enabled the model to learn complex features more effectively. For performance comparison, the developed fine-tuned enhanced pyramid network (FT-EPN) model was benchmarked against models such as Vgg16, Vgg19, Resnet50, InceptionV3, Densenet121, and Xception, which were trained using transfer learning (TL) techniques. It was also compared to next-generation models such as vision transformer (ViT) and MaxViT-v2. Results: The developed fine-tuned model achieved an accuracy rate of 96.77%, outperforming pre-trained TL models and next-generation models like ViT and MaxViT-v2. Among the TL models, Vgg19 achieved the highest accuracy rate at 92.74%. In comparison, ViT achieved an accuracy of 93.55%, while MaxViT-v2 achieved an accuracy of 95.16%. Conclusions: This study presents an optimized FT-EPN model to enhance the performance of DL models for PCa classification, offering a reference solution for future research. This model provides significant advantages in terms of classification accuracy and simplicity and has been evaluated as an effective solution in clinical applications.
Sarıateş et al. (Mon,) studied this question.