1,586 research outputs found
A New Computer-Aided Diagnosis System with Modified Genetic Feature Selection for BI-RADS Classification of Breast Masses in Mammograms
Mammography remains the most prevalent imaging tool for early breast cancer
screening. The language used to describe abnormalities in mammographic reports
is based on the breast Imaging Reporting and Data System (BI-RADS). Assigning a
correct BI-RADS category to each examined mammogram is a strenuous and
challenging task for even experts. This paper proposes a new and effective
computer-aided diagnosis (CAD) system to classify mammographic masses into four
assessment categories in BI-RADS. The mass regions are first enhanced by means
of histogram equalization and then semiautomatically segmented based on the
region growing technique. A total of 130 handcrafted BI-RADS features are then
extrcated from the shape, margin, and density of each mass, together with the
mass size and the patient's age, as mentioned in BI-RADS mammography. Then, a
modified feature selection method based on the genetic algorithm (GA) is
proposed to select the most clinically significant BI-RADS features. Finally, a
back-propagation neural network (BPN) is employed for classification, and its
accuracy is used as the fitness in GA. A set of 500 mammogram images from the
digital database of screening mammography (DDSM) is used for evaluation. Our
system achieves classification accuracy, positive predictive value, negative
predictive value, and Matthews correlation coefficient of 84.5%, 84.4%, 94.8%,
and 79.3%, respectively. To our best knowledge, this is the best current result
for BI-RADS classification of breast masses in mammography, which makes the
proposed system promising to support radiologists for deciding proper patient
management based on the automatically assigned BI-RADS categories
A novel therapy for breast cancer: implications for treatment access
In 2016, there were 250,000 new cases of invasive cancer and 60,000 of ductal carcinoma in situ. Mammograms are used to screen for cases of disease, but the literature shows that mammograms are highly dependent on patient characteristics and do not majorly impact mortality rates from invasive cancer. Additionally, they are prone to false-positives, false-negatives, and overdiagnosis in cases of in situ cancer, with overdiagnosis exposing patients to the side effects of treatment. Better screening tests are needed, and a potential solution can be to extend molecular screening methods often used in advanced stage 1 and higher cancers to stage 0 ductal carcinoma in situ cases. This new test would prevent overdiagnosis, be more accurate, and prevent unnecessary screening as well as be in line with the future of cancer care in the US
Breast Cancer: Modelling and Detection
This paper reviews a number of the mathematical models used in cancer modelling and then chooses a specific cancer, breast carcinoma, to illustrate how the modelling can be used in aiding detection. We then discuss mathematical models that underpin mammographic image analysis, which complements models of tumour growth and facilitates diagnosis and treatment of cancer. Mammographic images are notoriously difficult to interpret, and we give an overview of the primary image enhancement technologies that have been introduced, before focusing on a more detailed description of some of our own recent work on the use of physics-based modelling in mammography. This theoretical approach to image analysis yields a wealth of information that could be incorporated into the mathematical models, and we conclude by describing how current mathematical models might be enhanced by use of this information, and how these models in turn will help to meet some of the major challenges in cancer detection
High-resolution synthesis of high-density breast mammograms: Application to improved fairness in deep learning based mass detection
Computer-aided detection systems based on deep learning have shown good
performance in breast cancer detection. However, high-density breasts show
poorer detection performance since dense tissues can mask or even simulate
masses. Therefore, the sensitivity of mammography for breast cancer detection
can be reduced by more than 20% in dense breasts. Additionally, extremely dense
cases reported an increased risk of cancer compared to low-density breasts.
This study aims to improve the mass detection performance in high-density
breasts using synthetic high-density full-field digital mammograms (FFDM) as
data augmentation during breast mass detection model training. To this end, a
total of five cycle-consistent GAN (CycleGAN) models using three FFDM datasets
were trained for low-to-high-density image translation in high-resolution
mammograms. The training images were split by breast density BI-RADS
categories, being BI-RADS A almost entirely fatty and BI-RADS D extremely dense
breasts. Our results showed that the proposed data augmentation technique
improved the sensitivity and precision of mass detection in high-density
breasts by 2% and 6% in two different test sets and was useful as a domain
adaptation technique. In addition, the clinical realism of the synthetic images
was evaluated in a reader study involving two expert radiologists and one
surgical oncologist.Comment: 9 figures, 3 table
Can high-frequency ultrasound predict metastatic lymph nodes in patients with invasive breast cancer?
Aim
To determine whether high-frequency ultrasound can predict the presence of metastatic axillary lymph nodes, with a high specificity and positive predictive value, in patients with invasive breast cancer. The clinical aim is to identify patients with axillary disease requiring surgery who would not normally, on clinical grounds, have an axillary dissection, so potentially improving outcome and survival rates.
Materials and methods
The ipsilateral and contralateral axillae of 42 consecutive patients with invasive breast cancer were scanned prior to treatment using a B-mode frequency of 13 MHz and a Power Doppler frequency of 7 MHz. The presence or absence of an echogenic centre for each lymph node detected was recorded, and measurements were also taken to determine the L/S ratio and the widest and narrowest part of the cortex. Power Doppler was also used to determine vascularity. The contralateral axilla was used as a control for each patient.
Results
In this study of patients with invasive breast cancer, ipsilateral lymph nodes with a cortical bulge ≥3 mm and/or at least two lymph nodes with absent echogenic centres indicated the presence of metastatic axillary lymph nodes (10 patients). The sensitivity and specificity were 52.6% and 100%, respectively, positive and negative predictive values were 100% and 71.9%, respectively, the P value was 0.001 and the Kappa score was 0.55.\ud
Conclusion
This would indicate that high-frequency ultrasound can be used to accurately predict metastatic lymph nodes in a proportion of patients with invasive breast cancer, which may alter patient management
Detecting and classifying lesions in mammograms with Deep Learning
In the last two decades Computer Aided Diagnostics (CAD) systems were
developed to help radiologists analyze screening mammograms. The benefits of
current CAD technologies appear to be contradictory and they should be improved
to be ultimately considered useful. Since 2012 deep convolutional neural
networks (CNN) have been a tremendous success in image recognition, reaching
human performance. These methods have greatly surpassed the traditional
approaches, which are similar to currently used CAD solutions. Deep CNN-s have
the potential to revolutionize medical image analysis. We propose a CAD system
based on one of the most successful object detection frameworks, Faster R-CNN.
The system detects and classifies malignant or benign lesions on a mammogram
without any human intervention. The proposed method sets the state of the art
classification performance on the public INbreast database, AUC = 0.95 . The
approach described here has achieved the 2nd place in the Digital Mammography
DREAM Challenge with AUC = 0.85 . When used as a detector, the system reaches
high sensitivity with very few false positive marks per image on the INbreast
dataset. Source code, the trained model and an OsiriX plugin are availaible
online at https://github.com/riblidezso/frcnn_cad
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