Abnormality Detection in Mammography using Deep Convolutional Neural Networks

Breast cancer is the most common cancer in women worldwide. The most common screening technology is mammography. To reduce the cost and workload of radiologists, we propose a computer aided detection approach for classifying and localizing calcifications and masses in mammogram images. To improve on conventional approaches, we apply deep convolutional neural networks (CNN) for automatic feature learning and classifier building. In computer-aided mammography, deep CNN classifiers cannot be trained directly on full mammogram images because of the loss of image details from resizing at input layers. Instead, our classifiers are trained on labelled image patches and then adapted to work on full mammogram images for localizing the abnormalities. State-of-the-art deep convolutional neural networks are compared on their performance of classifying the abnormalities. Experimental results indicate that VGGNet receives the best overall accuracy at 92.53\% in classifications. For localizing abnormalities, ResNet is selected for computing class activation maps because it is ready to be deployed without structural change or further training. Our approach demonstrates that deep convolutional neural network classifiers have remarkable localization capabilities despite no supervision on the location of abnormalities is provided.Comment: 6 page

A review on automatic mammographic density and parenchymal segmentation

Breast cancer is the most frequently diagnosed cancer in women. However, the exact cause(s) of breast cancer still remains unknown. Early detection, precise identification of women at risk, and application of appropriate disease prevention measures are by far the most effective way to tackle breast cancer. There are more than 70 common genetic susceptibility factors included in the current non-image-based risk prediction models (e.g., the Gail and the Tyrer-Cuzick models). Image-based risk factors, such as mammographic densities and parenchymal patterns, have been established as biomarkers but have not been fully incorporated in the risk prediction models used for risk stratification in screening and/or measuring responsiveness to preventive approaches. Within computer aided mammography, automatic mammographic tissue segmentation methods have been developed for estimation of breast tissue composition to facilitate mammographic risk assessment. This paper presents a comprehensive review of automatic mammographic tissue segmentation methodologies developed over the past two decades and the evidence for risk assessment/density classification using segmentation. The aim of this review is to analyse how engineering advances have progressed and the impact automatic mammographic tissue segmentation has in a clinical environment, as well as to understand the current research gaps with respect to the incorporation of image-based risk factors in non-image-based risk prediction models

NOVEL APPLICATIONS OF MACHINE LEARNING IN BIOINFORMATICS

Technological advances in next-generation sequencing and biomedical imaging have led to a rapid increase in biomedical data dimension and acquisition rate, which is challenging the conventional data analysis strategies. Modern machine learning techniques promise to leverage large data sets for finding hidden patterns within them, and for making accurate predictions. This dissertation aims to design novel machine learning-based models to transform biomedical big data into valuable biological insights. The research presented in this dissertation focuses on three bioinformatics domains: splice junction classification, gene regulatory network reconstruction, and lesion detection in mammograms. A critical step in defining gene structures and mRNA transcript variants is to accurately identify splice junctions. In the first work, we built the first deep learning-based splice junction classifier, DeepSplice. It outperforms the state-of-the-art classification tools in terms of both classification accuracy and computational efficiency. To uncover transcription factors governing metabolic reprogramming in non-small-cell lung cancer patients, we developed TFmeta, a machine learning approach to reconstruct relationships between transcription factors and their target genes in the second work. Our approach achieves the best performance on benchmark data sets. In the third work, we designed deep learning-based architectures to perform lesion detection in both 2D and 3D whole mammogram images

Models of breast lesions based on three-dimensional X-ray breast images

This paper presents a method for creation of computational models of breast lesions with irregular shapes from patient Digital Breast Tomosynthesis (DBT) images or breast cadavers and whole-body Computed Tomography (CT) images. The approach includes six basic steps: (a) normalization of the intensity of the tomographic images; (b) image noise reduction; (c) binarization of the lesion area, (d) application of morphological operations to further decrease the level of artefacts; (e) application of a region growing technique to segment the lesion; and (f) creation of a final 3D lesion model. The algorithm is semi-automatic as the initial selection of the region of the lesion and the seeds for the region growing are done interactively. A software tool, performing all of the required steps, was developed in MATLAB. The method was tested and evaluated by analysing anonymized sets of DBT patient images diagnosed with lesions. Experienced radiologists evaluated the segmentation of the tumours in the slices and the obtained 3D lesion shapes. They concluded for a quite satisfactory delineation of the lesions. In addition, for three DBT cases, a delineation of the tumours was performed independently by the radiologists. In all cases the abnormality volumes segmented by the proposed algorithm were smaller than those outlined by the experts. The calculated Dice similarity coefficients for algorithm-radiologist and radiologist-radiologist showed similar values. Another selected tumour case was introduced into a computational breast model to recursively assess the algorithm. The relative volume difference between the ground-truth tumour volume and the one obtained by applying the algorithm on the synthetic volume from the virtual DBT study is 5% which demonstrates the satisfactory performance of the proposed segmentation algorithm. The software tool we developed was used to create models of different breast abnormalities, which were then stored in a database for use by researchers working in this field

MAMMOGRAM AND TOMOSYNTHESIS CLASSIFICATION USING CONVOLUTIONAL NEURAL NETWORKS

Mammography is the most widely used method of screening for breast cancer. Traditional mammography produces two-dimensional X-ray images, while advanced tomosynthesis mammography produces reconstructed three-dimensional images. Due to high variability in tumor size and shape, and the low signal-to-noise ratio inherent to mammography, manual classification yields a significant number of false positives, thereby contributing to an unnecessarily large number of biopsies performed to reduce the risk of misdiagnosis. Achieving high diagnostic accuracy requires expertise acquired over many years of experience as a radiologist. The convolutional neural network (CNN) is a popular deep-learning construct used in image classification. The convolutional process involves simplifying an image containing millions of pixels to a set of small feature maps, thereby reducing the input dimension while retaining the features that distinguish different classes of images. This technique has achieved significant advancements in large-set image-classification challenges in recent years. In this study, high-quality original mammograms and tomosynthesis were obtained with approval from an institutional review board. Different classifiers based on convolutional neural networks were built to classify the 2-D mammograms and 3-D tomosynthesis, and each classifier was evaluated based on its performance relative to truth values generated by a board of expert radiologists. The results show that CNNs have great potential for automatic breast cancer detection using mammograms and tomosynthesis

Automatic Breast Density Classification on Tomosynthesis Images

Breast cancer (BC) is the type of cancer that most greatly affects women globally hence its early detection is essential to guarantee an effective treatment. Although digital mammography (DM) is the main method of BC detection, it has low sensitivity with about 30% of positive cases undetected due to the superimposition of breast tissue when crossed by the X-ray beam. Digital breast tomosynthesis (DBT) does not share this limi tation, allowing the visualization of individual breast slices due to its image acquisition system. Consecutively, DBT was the object of this study as a means of determining one of the main risk factors for BC: breast density (BD). This thesis was aimed at developing an algorithm that, taking advantage of the 3D nature of DBT images, automatically clas sifies them in terms of BD. Thus, a quantitative, objective and reproducible classification was obtained, which will contribute to ascertain the risk of BC. The algorithm was developed in MATLAB and later transferred to a user interface that was compiled into an executable application. Using 350 images from the VICTRE database for the first classification phase – group 1 (ACR1+ACR2) versus group 2 (ACR3+ACR4), the highest AUC value of 0,9797 was obtained. In the classification within groups 1 and 2, the AUC obtained was 0,7461 and 0,6736, respectively. The algorithm attained an accuracy of 82% for these images. Sixteen exams provided by Hospital da Luz were also evaluated, with an overall accuracy of 62,5%. Therefore, a user-friendly and intuitive application was created that prioritizes the use of DBT as a diagnostic method and allows an objective classification of BD. This study is a first step towards preparing medical institutions for the compulsoriness of assessing BD, at a time when BC is still a very present pathology that shortens the lives of thousands of people

Multi-Modal Medical Imaging Analysis with Modern Neural Networks

Medical imaging is an important non-invasive tool for diagnostic and treatment purposes in medical practice. However, interpreting medical images is a time consuming and challenging task. Computer-aided diagnosis (CAD) tools have been used in clinical practice to assist medical practitioners in medical imaging analysis since the 1990s. Most of the current generation of CADs are built on conventional computer vision techniques, such as manually defined feature descriptors. Deep convolutional neural networks (CNNs) provide robust end-to-end methods that can automatically learn feature representations. CNNs are a promising building block of next-generation CADs. However, applying CNNs to medical imaging analysis tasks is challenging. This dissertation addresses three major issues that obstruct utilizing modern deep neural networks on medical image analysis tasks---lack of domain knowledge in architecture design, lack of labeled data in model training, and lack of uncertainty estimation in deep neural networks. We evaluated the proposed methods on six large, clinically-relevant datasets. The result shows that the proposed methods can significantly improve the deep neural network performance on medical imaging analysis tasks

Deep-Learning-Based Computer- Aided Systems for Breast Cancer Imaging: A Critical Review

[EN] This paper provides a critical review of the literature on deep learning applications in breast tumor diagnosis using ultrasound and mammography images. It also summarizes recent advances in computer-aided diagnosis/detection (CAD) systems, which make use of new deep learning methods to automatically recognize breast images and improve the accuracy of diagnoses made by radiologists. This review is based upon published literature in the past decade (January 2010-January 2020), where we obtained around 250 research articles, and after an eligibility process, 59 articles were presented in more detail. The main findings in the classification process revealed that new DL-CAD methods are useful and effective screening tools for breast cancer, thus reducing the need for manual feature extraction. The breast tumor research community can utilize this survey as a basis for their current and future studies.This project has been co-financed by the Spanish Government Grant PID2019-107790RB-C22, "Software development for a continuous PET crystal systems applied to breast cancer".Jiménez-Gaona, Y.; Rodríguez Álvarez, MJ.; Lakshminarayanan, V. (2020). Deep-Learning-Based Computer- Aided Systems for Breast Cancer Imaging: A Critical Review. Applied Sciences. 10(22):1-29. https://doi.org/10.3390/app10228298S1291022Jemal, A., Bray, F., Center, M. M., Ferlay, J., Ward, E., & Forman, D. (2011). Global cancer statistics. CA: A Cancer Journal for Clinicians, 61(2), 69-90. doi:10.3322/caac.20107Gao, F., Chia, K.-S., Ng, F.-C., Ng, E.-H., & Machin, D. (2002). Interval cancers following breast cancer screening in Singaporean women. International Journal of Cancer, 101(5), 475-479. doi:10.1002/ijc.10636Munir, K., Elahi, H., Ayub, A., Frezza, F., & Rizzi, A. (2019). Cancer Diagnosis Using Deep Learning: A Bibliographic Review. Cancers, 11(9), 1235. doi:10.3390/cancers11091235Nahid, A.-A., & Kong, Y. (2017). Involvement of Machine Learning for Breast Cancer Image Classification: A Survey. Computational and Mathematical Methods in Medicine, 2017, 1-29. doi:10.1155/2017/3781951Ramadan, S. Z. (2020). Methods Used in Computer-Aided Diagnosis for Breast Cancer Detection Using Mammograms: A Review. Journal of Healthcare Engineering, 2020, 1-21. doi:10.1155/2020/9162464CHAN, H.-P., DOI, K., VYBRONY, C. J., SCHMIDT, R. A., METZ, C. E., LAM, K. L., … MACMAHON, H. (1990). Improvement in Radiologists?? Detection of Clustered Microcalcifications on Mammograms. Investigative Radiology, 25(10), 1102-1110. doi:10.1097/00004424-199010000-00006Olsen, O., & Gøtzsche, P. C. (2001). Cochrane review on screening for breast cancer with mammography. The Lancet, 358(9290), 1340-1342. doi:10.1016/s0140-6736(01)06449-2Mann, R. M., Kuhl, C. K., Kinkel, K., & Boetes, C. (2008). Breast MRI: guidelines from the European Society of Breast Imaging. European Radiology, 18(7), 1307-1318. doi:10.1007/s00330-008-0863-7Jalalian, A., Mashohor, S. B. T., Mahmud, H. R., Saripan, M. I. B., Ramli, A. R. B., & Karasfi, B. (2013). Computer-aided detection/diagnosis of breast cancer in mammography and ultrasound: a review. Clinical Imaging, 37(3), 420-426. doi:10.1016/j.clinimag.2012.09.024Sarno, A., Mettivier, G., & Russo, P. (2015). Dedicated breast computed tomography: Basic aspects. Medical Physics, 42(6Part1), 2786-2804. doi:10.1118/1.4919441Njor, S., Nyström, L., Moss, S., Paci, E., Broeders, M., Segnan, N., & Lynge, E. (2012). Breast Cancer Mortality in Mammographic Screening in Europe: A Review of Incidence-Based Mortality Studies. Journal of Medical Screening, 19(1_suppl), 33-41. doi:10.1258/jms.2012.012080Morrell, S., Taylor, R., Roder, D., & Dobson, A. (2012). Mammography screening and breast cancer mortality in Australia: an aggregate cohort study. Journal of Medical Screening, 19(1), 26-34. doi:10.1258/jms.2012.011127Marmot, M. G., Altman, D. G., Cameron, D. A., Dewar, J. A., Thompson, S. G., & Wilcox, M. (2013). The benefits and harms of breast cancer screening: an independent review. British Journal of Cancer, 108(11), 2205-2240. doi:10.1038/bjc.2013.177Pisano, E. D., Gatsonis, C., Hendrick, E., Yaffe, M., Baum, J. K., Acharyya, S., … Rebner, M. (2005). Diagnostic Performance of Digital versus Film Mammography for Breast-Cancer Screening. New England Journal of Medicine, 353(17), 1773-1783. doi:10.1056/nejmoa052911Carney, P. A., Miglioretti, D. L., Yankaskas, B. C., Kerlikowske, K., Rosenberg, R., Rutter, C. M., … Ballard-Barbash, R. (2003). Individual and Combined Effects of Age, Breast Density, and Hormone Replacement Therapy Use on the Accuracy of Screening Mammography. Annals of Internal Medicine, 138(3), 168. doi:10.7326/0003-4819-138-3-200302040-00008Woodard, D. B., Gelfand, A. E., Barlow, W. E., & Elmore, J. G. (2007). Performance assessment for radiologists interpreting screening mammography. Statistics in Medicine, 26(7), 1532-1551. doi:10.1002/sim.2633Cole, E. B., Pisano, E. D., Kistner, E. O., Muller, K. E., Brown, M. E., Feig, S. A., … Braeuning, M. P. (2003). Diagnostic Accuracy of Digital Mammography in Patients with Dense Breasts Who Underwent Problem-solving Mammography: Effects of Image Processing and Lesion Type. Radiology, 226(1), 153-160. doi:10.1148/radiol.2261012024Boyd, N. F., Guo, H., Martin, L. J., Sun, L., Stone, J., Fishell, E., … Yaffe, M. J. (2007). Mammographic Density and the Risk and Detection of Breast Cancer. New England Journal of Medicine, 356(3), 227-236. doi:10.1056/nejmoa062790Bird, R. E., Wallace, T. W., & Yankaskas, B. C. (1992). Analysis of cancers missed at screening mammography. Radiology, 184(3), 613-617. doi:10.1148/radiology.184.3.1509041Kerlikowske, K. (2000). Performance of Screening Mammography among Women with and without a First-Degree Relative with Breast Cancer. Annals of Internal Medicine, 133(11), 855. doi:10.7326/0003-4819-133-11-200012050-00009Nunes, F. L. S., Schiabel, H., & Goes, C. E. (2006). Contrast Enhancement in Dense Breast Images to Aid Clustered Microcalcifications Detection. Journal of Digital Imaging, 20(1), 53-66. doi:10.1007/s10278-005-6976-5Dinnes, J., Moss, S., Melia, J., Blanks, R., Song, F., & Kleijnen, J. (2001). Effectiveness and cost-effectiveness of double reading of mammograms in breast cancer screening: findings of a systematic review. The Breast, 10(6), 455-463. doi:10.1054/brst.2001.0350Robinson, P. J. (1997). Radiology’s Achilles’ heel: error and variation in the interpretation of the Röntgen image. The British Journal of Radiology, 70(839), 1085-1098. doi:10.1259/bjr.70.839.9536897Rangayyan, R. M., Ayres, F. J., & Leo Desautels, J. E. (2007). A review of computer-aided diagnosis of breast cancer: Toward the detection of subtle signs. Journal of the Franklin Institute, 344(3-4), 312-348. doi:10.1016/j.jfranklin.2006.09.003Vyborny, C. J., Giger, M. L., & Nishikawa, R. M. (2000). COMPUTER-AIDED DETECTION AND DIAGNOSIS OF BREAST CANCER. Radiologic Clinics of North America, 38(4), 725-740. doi:10.1016/s0033-8389(05)70197-4Giger, M. L. (2018). Machine Learning in Medical Imaging. Journal of the American College of Radiology, 15(3), 512-520. doi:10.1016/j.jacr.2017.12.028Xu, Y., Wang, Y., Yuan, J., Cheng, Q., Wang, X., & Carson, P. L. (2019). Medical breast ultrasound image segmentation by machine learning. Ultrasonics, 91, 1-9. doi:10.1016/j.ultras.2018.07.006Shan, J., Alam, S. K., Garra, B., Zhang, Y., & Ahmed, T. (2016). Computer-Aided Diagnosis for Breast Ultrasound Using Computerized BI-RADS Features and Machine Learning Methods. Ultrasound in Medicine & Biology, 42(4), 980-988. doi:10.1016/j.ultrasmedbio.2015.11.016Zhang, Q., Xiao, Y., Dai, W., Suo, J., Wang, C., Shi, J., & Zheng, H. (2016). Deep learning based classification of breast tumors with shear-wave elastography. Ultrasonics, 72, 150-157. doi:10.1016/j.ultras.2016.08.004Cheng, J.-Z., Ni, D., Chou, Y.-H., Qin, J., Tiu, C.-M., Chang, Y.-C., … Chen, C.-M. (2016). Computer-Aided Diagnosis with Deep Learning Architecture: Applications to Breast Lesions in US Images and Pulmonary Nodules in CT Scans. Scientific Reports, 6(1). doi:10.1038/srep24454Shin, S. Y., Lee, S., Yun, I. D., Kim, S. M., & Lee, K. M. (2019). Joint Weakly and Semi-Supervised Deep Learning for Localization and Classification of Masses in Breast Ultrasound Images. IEEE Transactions on Medical Imaging, 38(3), 762-774. doi:10.1109/tmi.2018.2872031Wang, J., Ding, H., Bidgoli, F. A., Zhou, B., Iribarren, C., Molloi, S., & Baldi, P. (2017). Detecting Cardiovascular Disease from Mammograms With Deep Learning. IEEE Transactions on Medical Imaging, 36(5), 1172-1181. doi:10.1109/tmi.2017.2655486Kooi, T., Litjens, G., van Ginneken, B., Gubern-Mérida, A., Sánchez, C. I., Mann, R., … Karssemeijer, N. (2017). Large scale deep learning for computer aided detection of mammographic lesions. Medical Image Analysis, 35, 303-312. doi:10.1016/j.media.2016.07.007Debelee, T. G., Schwenker, F., Ibenthal, A., & Yohannes, D. (2019). Survey of deep learning in breast cancer image analysis. Evolving Systems, 11(1), 143-163. doi:10.1007/s12530-019-09297-2Keen, J. D., Keen, J. M., & Keen, J. E. (2018). Utilization of Computer-Aided Detection for Digital Screening Mammography in the United States, 2008 to 2016. Journal of the American College of Radiology, 15(1), 44-48. doi:10.1016/j.jacr.2017.08.033Henriksen, E. L., Carlsen, J. F., Vejborg, I. M., Nielsen, M. B., & Lauridsen, C. A. (2018). The efficacy of using computer-aided detection (CAD) for detection of breast cancer in mammography screening: a systematic review. Acta Radiologica, 60(1), 13-18. doi:10.1177/0284185118770917Gao, Y., Geras, K. J., Lewin, A. A., & Moy, L. (2019). New Frontiers: An Update on Computer-Aided Diagnosis for Breast Imaging in the Age of Artificial Intelligence. American Journal of Roentgenology, 212(2), 300-307. doi:10.2214/ajr.18.20392Pacilè, S., Lopez, J., Chone, P., Bertinotti, T., Grouin, J. M., & Fillard, P. (2020). Improving Breast Cancer Detection Accuracy of Mammography with the Concurrent Use of an Artificial Intelligence Tool. Radiology: Artificial Intelligence, 2(6), e190208. doi:10.1148/ryai.2020190208Huynh, B. Q., Li, H., & Giger, M. L. (2016). Digital mammographic tumor classification using transfer learning from deep convolutional neural networks. Journal of Medical Imaging, 3(3), 034501. doi:10.1117/1.jmi.3.3.034501Yap, M. H., Pons, G., Marti, J., Ganau, S., Sentis, M., Zwiggelaar, R., … Marti, R. (2018). Automated Breast Ultrasound Lesions Detection Using Convolutional Neural Networks. IEEE Journal of Biomedical and Health Informatics, 22(4), 1218-1226. doi:10.1109/jbhi.2017.2731873Moon, W. K., Lee, Y.-W., Ke, H.-H., Lee, S. H., Huang, C.-S., & Chang, R.-F. (2020). Computer‐aided diagnosis of breast ultrasound images using ensemble learning from convolutional neural networks. Computer Methods and Programs in Biomedicine, 190, 105361. doi:10.1016/j.cmpb.2020.105361LeCun, Y., Bengio, Y., & Hinton, G. (2015). Deep learning. Nature, 521(7553), 436-444. doi:10.1038/nature14539Miotto, R., Wang, F., Wang, S., Jiang, X., & Dudley, J. T. (2017). Deep learning for healthcare: review, opportunities and challenges. Briefings in Bioinformatics, 19(6), 1236-1246. doi:10.1093/bib/bbx044Shin, H.-C., Roth, H. R., Gao, M., Lu, L., Xu, Z., Nogues, I., … Summers, R. M. (2016). Deep Convolutional Neural Networks for Computer-Aided Detection: CNN Architectures, Dataset Characteristics and Transfer Learning. IEEE Transactions on Medical Imaging, 35(5), 1285-1298. doi:10.1109/tmi.2016.2528162Lee, J.-G., Jun, S., Cho, Y.-W., Lee, H., Kim, G. B., Seo, J. B., & Kim, N. (2017). Deep Learning in Medical Imaging: General Overview. Korean Journal of Radiology, 18(4), 570. doi:10.3348/kjr.2017.18.4.570Suzuki, K. (2017). Overview of deep learning in medical imaging. Radiological Physics and Technology, 10(3), 257-273. doi:10.1007/s12194-017-0406-5Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery, 8(5), 336-341. doi:10.1016/j.ijsu.2010.02.007Khan, K. S., Kunz, R., Kleijnen, J., & Antes, G. (2003). Five Steps to Conducting a Systematic Review. Journal of the Royal Society of Medicine, 96(3), 118-121. doi:10.1177/014107680309600304Han, S., Kang, H.-K., Jeong, J.-Y., Park, M.-H., Kim, W., Bang, W.-C., & Seong, Y.-K. (2017). A deep learning framework for supporting the classification of breast lesions in ultrasound images. Physics in Medicine & Biology, 62(19), 7714-7728. doi:10.1088/1361-6560/aa82ecMoreira, I. C., Amaral, I., Domingues, I., Cardoso, A., Cardoso, M. J., & Cardoso, J. S. (2012). INbreast. Academic Radiology, 19(2), 236-248. doi:10.1016/j.acra.2011.09.014Abdelhafiz, D., Yang, C., Ammar, R., & Nabavi, S. (2019). Deep convolutional neural networks for mammography: advances, challenges and applications. BMC Bioinformatics, 20(S11). doi:10.1186/s12859-019-2823-4Byra, M., Jarosik, P., Szubert, A., Galperin, M., Ojeda-Fournier, H., Olson, L., … Andre, M. (2020). Breast mass segmentation in ultrasound with selective kernel U-Net convolutional neural network. Biomedical Signal Processing and Control, 61, 102027. doi:10.1016/j.bspc.2020.102027Jiao, Z., Gao, X., Wang, Y., & Li, J. (2016). A deep feature based framework for breast masses classification. Neurocomputing, 197, 221-231. doi:10.1016/j.neucom.2016.02.060Arevalo, J., González, F. A., Ramos-Pollán, R., Oliveira, J. L., & Guevara Lopez, M. A. (2016). Representation learning for mammography mass lesion classification with convolutional neural networks. Computer Methods and Programs in Biomedicine, 127, 248-257. doi:10.1016/j.cmpb.2015.12.014Peng, W., Mayorga, R. V., & Hussein, E. M. A. (2016). An automated confirmatory system for analysis of mammograms. Computer Methods and Programs in Biomedicine, 125, 134-144. doi:10.1016/j.cmpb.2015.09.019Al-Dhabyani, W., Gomaa, M., Khaled, H., & Fahmy, A. (2020). Dataset of breast ultrasound images. Data in Brief, 28, 104863. doi:10.1016/j.dib.2019.104863Piotrzkowska-Wróblewska, H., Dobruch-Sobczak, K., Byra, M., & Nowicki, A. (2017). Open access database of raw ultrasonic signals acquired from malignant and benign breast lesions. Medical Physics, 44(11), 6105-6109. doi:10.1002/mp.12538Fujita, H. (2020). AI-based computer-aided diagnosis (AI-CAD): the latest review to read first. Radiological Physics and Technology, 13(1), 6-19. doi:10.1007/s12194-019-00552-4Sengupta, S., Singh, A., Leopold, H. A., Gulati, T., & Lakshminarayanan, V. (2020). Ophthalmic diagnosis using deep learning with fundus images – A critical review. Artificial Intelligence in Medicine, 102, 101758. doi:10.1016/j.artmed.2019.101758Ganesan, K., Acharya, U. R., Chua, K. C., Min, L. C., & Abraham, K. T. (2013). Pectoral muscle segmentation: A review. Computer Methods and Programs in Biomedicine, 110(1), 48-57. doi:10.1016/j.cmpb.2012.10.020Huang, Q., Luo, Y., & Zhang, Q. (2017). Breast ultrasound image segmentation: a survey. International Journal of Computer Assisted Radiology and Surgery, 12(3), 493-507. doi:10.1007/s11548-016-1513-1Noble, J. A., & Boukerroui, D. (2006). Ultrasound image segmentation: a survey. IEEE Transactions on Medical Imaging, 25(8), 987-1010. doi:10.1109/tmi.2006.877092Kallergi, M., Woods, K., Clarke, L. P., Qian, W., & Clark, R. A. (1992). Image segmentation in digital mammography: Comparison of local thresholding and region growing algorithms. Computerized Medical Imaging and Graphics, 16(5), 323-331. doi:10.1016/0895-6111(92)90145-yTsantis, S., Dimitropoulos, N., Cavouras, D., & Nikiforidis, G. (2006). A hybrid multi-scale model for thyroid nodule boundary detection on ultrasound images. Computer Methods and Programs in Biomedicine, 84(2-3), 86-98. doi:10.1016/j.cmpb.2006.09.006Ilesanmi, A. E., Idowu, O. P., & Makhanov, S. S. (2020). Multiscale superpixel method for segmentation of breast ultrasound. Computers in Biology and Medicine, 125, 103879. doi:10.1016/j.compbiomed.2020.103879Chen, D.-R., Chang, R.-F., Kuo, W.-J., Chen, M.-C., & Huang, Y. .-L. (2002). Diagnosis of breast tumors with sonographic texture analysis using wavelet transform and neural networks. Ultrasound in Medicine & Biology, 28(10), 1301-1310. doi:10.1016/s0301-5629(02)00620-8Cheng, H. D., Shan, J., Ju, W., Guo, Y., & Zhang, L. (2010). Automated breast cancer detection and classification using ultrasound images: A survey. Pattern Recognition, 43(1), 299-317. doi:10.1016/j.patcog.2009.05.012Chan, H.-P., Wei, D., Helvie, M. A., Sahiner, B., Adler, D. D., Goodsitt, M. M., & Petrick, N. (1995). Computer-aided classification of mammographic masses and normal tissue: linear discriminant analysis in texture feature space. Physics in Medicine and Biology, 40(5), 857-876. doi:10.1088/0031-9155/40/5/010Tanaka, T., Torii, S., Kabuta, I., Shimizu, K., & Tanaka, M. (2007). Pattern Classification of Nevus with Texture Analysis. IEEJ Transactions on Electrical and Electronic Engineering, 3(1), 143-150. doi:10.1002/tee.20246Singh, B., Jain, V. K., & Singh, S. (2014). Mammogram Mass Classification Using Support Vector Machine with Texture, Shape Features and Hierarchical Centroid Method. Journal of Medical Imaging and Health Informatics, 4(5), 687-696. doi:10.1166/jmihi.2014.1312Pal, N. R., Bhowmick, B., Patel, S. K., Pal, S., & Das, J. (2008). A multi-stage neural network aided system for detection of microcalcifications in digitized mammograms. Neurocomputing, 71(13-15), 2625-2634. doi:10.1016/j.neucom.2007.06.015Ayer, T., Chen, Q., & Burnside, E. S. (2013). Artificial Neural Networks in Mammography Interpretation and Diagnostic Decision Making. Computational and Mathematical Methods in Medicine, 2013, 1-10. doi:10.1155/2013/832509Sumbaly, R., Vishnusri, N., & Jeyalatha, S. (2014). Diagnosis of Breast Cancer using Decision Tree Data Mining Technique. International Journal of Computer Applications, 98(10), 16-24. doi:10.5120/17219-7456Landwehr, N., Hall, M., & Frank, E. (2005). Logistic Model Trees. Machine Learning, 59(1-2), 161-205. doi:10.1007/s10994-005-0466-3Abdel-Zaher, A. M., & Eldeib, A. M. (2016). Breast cancer classification using deep belief networks. Expert Systems with Applications, 46, 139-144. doi:10.1016/j.eswa.2015.10.015Nishikawa, R. M., Giger, M. L., Doi, K., Metz, C. E., Yin, F.-F., Vyborny, C. J., & Schmidt, R. A. (1994). Effect of case selection on the performance of computer-aided detection schemes. Medical Physics, 21(2), 265-269. doi:10.1118/1.597287Guo, R., Lu, G., Qin, B., & Fei, B. (2018). Ultrasound Imaging Technologies for Breast Cancer Detection and Management: A Review. Ultrasound in Medicine & Biology, 44(1), 37-70. doi:10.1016/j.ultrasmedbio.2017.09.012Kang, C.-C., Wang, W.-J., & Kang, C.-H. (2012). Image segmentation with complicated background by using seeded region growing. AEU - International Journal of Electronics and Communications, 66(9), 767-771. doi:10.1016/j.aeue.2012.01.011Prabusankarlal, K. M., Thirumoorthy, P., & Manavalan, R. (2014). Computer Aided Breast Cancer Diagnosis Techniques in Ultrasound: A Survey. Journal of Medical Imaging and Health Informatics, 4(3), 331-349. doi:10.1166/jmihi.2014.1269Abdallah, Y. M., Elgak, S., Zain, H., Rafiq, M., A. Ebaid, E., & A. Elnaema, A. (2018). Breast cancer detection using image enhancement and segmentation algorithms. Biomedical Research, 29(20). doi:10.4066/biomedicalresearch.29-18-1106K.U, S., & S, G. R. (2016). Objective Quality Assessment of Image Enhancement Methods in Digital Mammography - A Comparative Study. Signal & Image Processing : An International Journal, 7(4), 01-13. doi:10.5121/sipij.2016.7401Pizer, S. M., Amburn, E. P., Austin, J. D., Cromartie, R., Geselowitz, A., Greer, T., … Zuiderveld, K. (1987). Adaptive histogram equalization and its variations. Computer Vision, Graphics, and Image Processing, 39(3), 355-368. doi:10.1016/s0734-189x(87)80186-xPisano, E. D., Zong, S., Hemminger, B. M., DeLuca, M., Johnston, R. E., Muller, K., … Pizer, S. M. (1998). Contrast Limited Adaptive Histogram Equalization image processing to improve the detection of simulated spiculations in dense mammograms. Journal of Digital Imaging, 11(4), 193-200. doi:10.1007/bf03178082Wan, J., Yin, H., Chong, A.-X., & Liu, Z.-H. (2020). Progressive residual networks for image super-resolution. Applied Intelligence, 50(5), 1620-1632. doi:10.1007/s10489-019-01548-8Umehara, K., Ota, J., & Ishida, T. (2017). Super-Resolution Imaging of Mammograms Based on the Super-Resolution Convolutional Neural Network. Open Journal of Medical Imaging, 07(04), 180-195. doi:10.4236/ojmi.2017.74018Dong, C., Loy, C. C., He, K., & Tang, X. (2016). Image Super-Resolution Using Deep Convolutional Networks. IEEE Transactions on Pattern Analysis and Machine Intelligence, 38(2), 295-307. doi:10.1109/tpami.2015.2439281Jiang, Y., & Li, J. (2020). Generative Adversarial Network for Image Super-Resolution Combining Texture Loss. Applied Sciences, 10(5), 1729. doi:10.3390/app10051729Schultz, R. R., & Stevenson, R. L. (1994). A Bayesian approach to image expansion for improved definition. IEEE Transactions on Image Processing, 3(3), 233-242. doi:10.1109/83.287017Lei Zhang, & Xiaolin Wu. (2006). An edge-guided image interpolation algorithm via directional filtering and data fusion. IEEE Transactions on Image Processing, 15(8), 2226-2238. doi:10.1109/tip.2006.877407Shorten, C., & Khoshgoftaar, T. M. (2019). A survey on Image Data Augmentation for Deep Learning. Journal of Big Data, 6(1). doi:10.1186/s40537-019-0197-0Weiss, K., Khoshgoftaar, T. M., & Wang, D. (2016). A survey of transfer learning. Journal of Big Data, 3(1). doi:10.1186/s40537-016-0043-6Ling Shao, Fan Zhu, & Xuelong Li. (2015). Transfer Learning for Visual Categorization: A Survey. IEEE Transactions on Neural Networks and Learning Syste