An Efficient Method for Automated Breast Mass Segmentation and Classification in Digital Mammograms

Simultaneous detection and classification of breast masses in digital mammograms via a deep learning YOLO-based CAD system

Cancer remains a major cause of morbidity and mortality globally, with 1 in 5 of all new cancers arising in the breast. The introduction of mammography for the radiological diagnosis of breast abnormalities, significantly decreased their mortality rates. Accurate detection and classification of breast masses in mammograms is especially challenging for various reasons, including low contrast and the normal variations of breast tissue density. Various Computer-Aided Diagnosis (CAD) systems are being developed to assist radiologists with the accurate classification of breast abnormalities. In this study, subtraction of temporally sequential digital mammograms and machine learning are proposed for the automatic segmentation and classification of masses. The performance of the algorithm was evaluated on a dataset created especially for the purposes of this study, with 320 images from 80 patients (two time points and two views of each breast) with precisely annotated mass locations by two radiologists. Ninety-six features were extracted and ten classifiers were tested in a leave-one-patient-out and k-fold cross-validation process. Using Neural Networks, the detection of masses was 99.9% accurate. The classification accuracy of the masses as benign or suspicious increased from 92.6%, using the state-of-the-art temporal analysis, to 98%, using the proposed methodology. The improvement was statistically significant (p-value < 0.05). These results demonstrate the effectiveness of the subtraction of temporally consecutive mammograms for the diagnosis of breast masses. Clinical and Translational Impact Statement: The proposed algorithm has the potential to substantially contribute to the development of automated breast cancer Computer-Aided Diagnosis systems with significant impact on patient prognosis.

Classification of Breast Masses in Mammograms Using 2D Homomorphic Transform Features and Supervised Classifiers

In this paper, a novel approach for classification of breast masses is presented that quantifies the texture of masses without relying on accurate extraction of their contours. Two novel feature descriptors based on 2D extensions of the reverse arrangement (RA) and Mantel's tests were designed for this purpose. Measures of radial correlation and radial trend were extracted from the original gray-scale values as well as from the Gabor magnitude response of 146 regions of interest, including 120 benign masses and 26 malignant tumors. Four classifiers, Fisher-linear discriminant analysis, Bayesian, support vector machine, and an artificial neural network based on radial basis functions (ANN-RBF), were employed to predict the diagnosis, using stepwise logistic regression for feature selection and the leave-one-patient-out method for cross-validation. The ANN-RBF resulted in an area under the receiver operating characteristic curve of 0.93. The experimental results show the effectiveness of the proposed approach.

Breast cancer continues to be a significant public health problem in the world. Early detection is the key for improving breast cancer prognosis. The aim of the research presented here is in twofold. First stage of research involves machine learning techniques, which segments and extracts features from the mass of digital mammograms. Second level is on problem solving approach which includes classification of mass by performance based case base classifier. We study the application of these algorithms as a classification system in order to differentiate benign from malignant mass, obtained from MIAS database, and we compare the classifier with other classification techniques to test the accuracy.

Considering the importance of early diagnosis of breast cancer, a supervised patch‐wise texton‐based approach has been developed for the classification of mass abnormalities in mammograms. The proposed method is based on texture‐based classification of masses in mammograms and does not require segmentation of the mass region. In this approach, patches from filter bank responses are utilised for generating the texton dictionary. The methodology is evaluated on the publicly available Digital Database for Screening Mammography database. Using a naive Bayes classifier, a classification accuracy of 83% with an area under the receiver operating characteristic curve of 0.89 was obtained. Experimental results demonstrated that the patch‐wise texton‐based approach in conjunction with the naive Bayes classifier constructs an efficient and alternative approach for automatic mammographic mass classification.

YOLO Based Breast Masses Detection and Classification in Full-Field Digital Mammograms

The paper presents quantitative results of a preliminary study undertaken as part of Decision Support and Information Management System for Breast Cancer (DESIREE). DESIREE is a European-funded project to improve the management of primary breast cancer through image-based, guideline-based, experience-based, and case-based information systems. In this study we explore the use of ensemble deep learning for breast mass classification in mammograms. The proposed method is based on AlexNet with some modifications in order to adapt it to our classification problem. Subsequently, model selection is performed to select the best three results based on the highest validation accuracies during the validation phase. Finally, the prediction is based on the average probability of the models. Experimental evaluation shows that accuracy from individual models ranges between 75% and 77%, but combining the best models (ensemble networks) results in over 80% classification accuracy and aura under the curve.

Towards improved breast mass detection using dual-view mammogram matching.

Breast cancer can be effectively detected and diagnosed using the technology of digital mammography. However, although this technology has been rapidly developing recently, suspicious regions cannot be detected in some cases by radiologists, because of the noise or inappropriate mammogram contrast. This study presents a classification of segmented region of interests (ROIs) as either benign or malignant to serve as a second eye of the radiologists. Our study consists of three steps. In the first step, spherical wavelet transform (SWT) is applied to the original ROIs. In the second step, shape, boundary and grey level based features of wavelet (detail) and scaling (approximation) coefficients are extracted. Finally, in the third step, malignant/benign classification of the masses is implemented by giving the feature matrices to a support vector machine system. The proposed system achieves 91.4% and 90.1% classification accuracy using the dataset acquired from the hospital of Istanbul University in Turkey and the free Mammographic Image Analysis Society, respectively. Furthermore, discrete wavelet transform, which produces 83.3% classification accuracy, is applied to the coefficients to make a comparison with the SWT method.

Breast cancer is the second most common type of cancer in the world. Several computer-aided detection and diagnosis systems have been used to assist health experts and to indicate suspect areas that would be difficult to perceive by the human eye; this approach has aided in the detection and diagnosis of cancer. The present work proposes a method for the automatic detection of masses in digital mammograms by using quality threshold (QT), a correlogram function, and the support vector machine (SVM). This methodology comprises the following steps: The first step is to perform preprocessing with a low-pass filter, which increases the scale of the contrast, and the next step is to use an enhancement to the wavelet transform with a linear function. After the preprocessing is segmentation using QT; then, we perform post-processing, which involves the selection of the best mass candidates. This step is performed by analyzing the shape descriptors through the SVM. For the stage that involves the extraction of texture features, we used Haralick descriptors and a correlogram function. In the classification stage, the SVM was again used for training, validation, and final test. The results were as follows: sensitivity 92.31 %, specificity 82.2 %, accuracy 83.53 %, mean rate of false positives per image 1.12, and area under the receiver operating characteristic (ROC) curve 0.8033. Breast cancer is notable for presenting the highest mortality rate in addition to one of the smallest survival rates after diagnosis. An early diagnosis means a considerable increase in the survival chance of the patients. The methodology proposed herein contributes to the early diagnosis and survival rate and, thus, proves to be a useful tool for specialists who attempt to anticipate the detection of masses.

We introduce a computer-assisted detection (CAD) system for the automated detection of breast masses in screening mammograms. The system targets the directional behavior of the neighborhood pixels surrounding a reference image pixel. The underlying hypothesis is that in the presence of a mass the directional properties of the breast tissue surrounding the mass should be altered. The hypothesis was tested using a database of 1,337 mammographic regions of interest (ROIs) extracted from DDSM mammograms. There were 681 ROIs containing a biopsy-proven mass centered in the ROI (340 malignant, 341 benign) and 656 ROIs depicting normal breast parenchyma. Initially, eight main directional propagations were identified and modeled given the center of the ROI as the reference pixel. Subsequently, eight novel morphological features were extracted for each direction. The features were designed to characterize the disturbance occurring in normal breast parenchyma due to the presence of a mass. Finally, the extracted features were merged using a back propagation neural network (BPANN). The network served as a non linear classifier trained to determine the presence of a mass centered at the reference image pixel. The BPANN was trained and tested using a leave-one-out sampling scheme. Its performance was evaluated with Receiver Operating Characteristics (ROC) analysis. Our CAD system showed an ROC area index of Az=0.88±0.01 for discriminating mass vs. normal ROIs. Detection performance was robust for both malignant (Az=0.88±0.01) and benign masses (Az=0.87±0.01). Thus, the proposed directional neighborhood analysis (DNA) can be applied effectively to identify suspicious masses in screening mammograms.

We have previously evaluated the effects of computer-aided diagnosis (CAD) on radiologists' characterization of malignant and benign breast masses in single-view serial mammograms. In this study, we conducted observer performance experiments with ROC methodology in which the radiologists read the serial mammograms in two-views (CC and MLO) without and with CAD. 47 temporal pairs of two-view serial mammograms (27 malignant and 20 benign) containing masses were chosen from 39 patient files and digitized. The corresponding masses on each temporal pair were analyzed by the CAD program. For this data set, the computer classifier achieved a test Az value of 0.90. Five MQSA radiologists assessed the two-view temporal pairs and provided estimates of the likelihood of malignancy without and then with CAD. For the five radiologists, the average Az was 0.81 (range: 0.72-0.88) without CAD and improved to 0.88 (range: 0.86-0.90) with CAD. The improvement was statistically significant (p=0.038). In comparison, the test Az value of the computer classifier for single view analysis was 0.87. The average Az of the radiologists for reading the single view temporal pairs without CAD was 0.78 (range: 0.73-0.83) and was improved significantly (p=0.002) to 0.84 (range: 0.77-0.88) with CAD. CAD using interval change analysis can significantly improve radiologists' accuracy in classification of masses. Classification based on information from two-views is more accurate than that based on single view for both the radiologists and the computer classifier. CAD can further improve radiologists' performance even in two-view reading.

Although the computer-aided diagnosis (CAD) system can be applied for classifying the breast masses, the effects of this method on improvement of the radiologist' accuracy for distinguishing malignant from benign lesions still remain unclear. This study provided a novel method to classify breast masses by integrating the intelligence of human and machine. In this research, 224 breast masses were selected in mammography from database of DDSM with Breast Imaging Reporting and Data System (BI-RADS) categories. Three observers (a senior and a junior radiologist, as well as a radiology resident) were employed to independently read and classify these masses utilizing the Positive Predictive Values (PPV) for each BI-RADS category. Meanwhile, a CAD system was also implemented for classification of these breast masses between malignant and benign. To combine the decisions from the radiologists and CAD, the fusion method of the Multi-Agent was provided. Significant improvements are observed for the fusion system over solely radiologist or CAD. The area under the receiver operating characteristic curve (AUC) of the fusion system increased by 9.6%, 10.3% and 21% compared to that of radiologists with senior, junior and resident level, respectively. In addition, the AUC of this method based on the fusion of each radiologist and CAD are 3.5%, 3.6% and 3.3% higher than that of CAD alone. Finally, the fusion of the three radiologists with CAD achieved AUC value of 0.957, which was 5.6% larger compared to CAD. Our results indicated that the proposed fusion method has better performance than radiologist or CAD alone.

High false-positive recall rate is an important clinical issue that reduces efficacy of screening mammography. Aiming to help improve accuracy of classification between the benign and malignant breast masses and then reduce false-positive recalls, we developed and tested a new computer-aided diagnosis (CAD) scheme for mass classification using a database including 600 verified mass regions. The mass regions were segmented from regions of interest (ROIs) with a fixed size of 512×512 pixels. The mass regions were first segmented by an automated scheme, with manual corrections to the mass boundary performed if there was noticeable segmentation error. We randomly divided the 600 ROIs into 400 ROIs (200 malignant and 200 benign) for training, and 200 ROIs (100 malignant and 100 benign) for testing. We computed and analyzed 124 shape, texture, contrast, and spiculation based features in this study. Combining with previously computed 27 regional and shape based features for each of the ROIs in our database, we built an initial image feature pool. From this pool of 151 features, we extracted 13 features by applying the Sequential Forward Floating Selection algorithm on the ROIs in the training dataset. We then trained a multilayer perceptron model using these 13 features, and applied the trained model to the ROIs in the testing dataset. Receiver operating characteristic (ROC) analysis was used to evaluate classification accuracy. The area under the ROC curve was 0.8814±0.025 for the testing dataset. The results show a higher CAD mass classification performance, which needs to be validated further in a more comprehensive study.