Decision Support System for Breast Cancer Detection Using Biomarker Indicators.

The most common type of cancer among women worldwide is breast cancer. Early detection of breast cancer is very important to reduce the fatality rate. For the hundreds of mammographic images scanned by a radiologist, only a few are cancerous. While detecting abnormalities, some of them may be missed, as the detection of suspicious and abnormal images is a recurrent mission that causes fatigue and eyestrain. In this paper, a computer-aided diagnosis system using the curvelet transform (CT) algorithm is proposed for interpreting mammograms to improve the decision making. The purpose of this study is to develop a method for the characterization of the mammography as both normal and abnormal regions, and to determine its diagnostic performance to differentiate between malignant and benign ones. The multiresolution CT that was recently derived is used to differentiate among 200 mammograms: 50 malignant, 50 benign, and 100 normal. A support vector machine and the k-nearest neighbor algorithm are used as classifiers to build the diagnostic model and are also used for the principal component analysis and linear discriminant analysis for further dimensional reduction and feature selection. A dataset from the Mammographic Image Analysis Society database is used for testing the method.

Breast cancer is one of the most leading causes of cancer deaths among women. Early detection of cancer increases the survival rate of the affected women. Machine learning approaches that are used for classification of breast cancer usually takes a lot of processing time during the training process. This paper attempts to propose a Machine Learning approach for breast cancer detection in mammograms, which does not depend on the number of training samples. The paper aims to develop a core vector machine-based diagnosis system for breast cancer detection using the date from MIAS. The main motivation behind using this system is to reduce the computational and memory requirement for large training data and to improve the classification accuracy. The proposed method has four stages: 1) Pre-processing is done to extract the breast region using global thresholding and enhancement using histogram equalization; 2) identification of potential mass using Otsu thresholding; 3) feature extraction using Laws Texture energy measures; and 4) mass detection is done using Core vector machine (CVM) classifier. Comparative analysis was done with different existing algorithms: Artificial Neural Network (ANN), Support Vector Machine (SVM), and Fuzzy Support Vector Machines (FSVM). The results illustrate that the proposed Core Vector Machine (CVM) classifier produced a promising result in terms of sensitivity (96.9%), misclassification rate (0.0443) and accuracy (95.89%). The time taken for training process is 0.0443, which is less when compared with other machine learning algorithms. Performance analysis shows that CVM classifier is superior to other classifiers like ANN, SVM and FSVM. The computational time of the CVM classifier during the training process was also analysed and found to be better than other discussed algorithms. The results achieved show that CVM classifier is the best algorithm for breast mass detection in mammograms.

The innovative knowledgebase system enables the healthcare system to address patient’s customized requirements. Developing and implementing this system with context-aware modifications is a challenge for developing countries, where it can change the healthcare delivery landscape from diagnosis to treatment. Although many studies have been conducted on the development of a knowledge-based system for early breast cancer detection using a rule-based approach, they lack contextual factors such as cultural aspects and socioeconomic features. This paper proposes a contextually aware machine learning (ML)-based knowledge base system for early breast cancer detection in the Pakistani context. Established risk and preventive breast cancer factors were identified from an extensive literature review and validated by academic and industry experts. Contextual factors were investigated with the assistance of field experts, and predictions from the ML algorithm were duly validated. The nested if-then rule, based on established risk and preventive factors, was combined with ML prediction to form the foundation of the proposed knowledgebase system. This research will improve the performance of healthcare systems in terms of accuracy and cost-effectiveness.

Breast cancer is the most common form of cancer in women. Its aggressive nature has made it one of the chief factors of high female mortality. Therefore, this has motivated research to achieve early diagnosis since it is the best strategy for patient survival. Currently, mammography is the gold standard for detecting breast cancer. However, it is expensive, unsuitable for dense breasts, and an invasive process that exposes the patient to radiation. Infrared thermography is gaining popularity as a screening modality for the early detection of breast cancer. It is a noninvasive and cost-effective modality that allows health practitioners to observe the temperature profile of the breast region for signs of cancerous tumors. Deep learning has emerged as a powerful computational tool for the early detection of breast cancer in radiology. As such, this study presents a review that shows existing work on deep learning-based Computer-aided Diagnosis (CADx) systems for breast cancer detection. In the same context, it reflects on classification utilizing breast thermograms. It first provides an overview of infrared thermography, details on available breast thermogram datasets, and then segmentation techniques applied to these thermograms. We also provide a brief overview of deep neural networks. Finally, it reviews works adopting Deep Neural Networks (DNNs) for breast thermogram classification.

In the developing world, cancer death is one of the major problems for humankind. Even though there are many ways to prevent it before happening, some cancer types still do not have any treatment. One of the most common cancer types is breast cancer, and early diagnosis is the most important thing in its treatment. Accurate diagnosis is one of the most important processes in breast cancer treatment. In the literature, there are many studies about predicting the type of breast tumors. In this research paper, data about breast cancer tumors from Dr. William H. Walberg of the University of Wisconsin Hospital were used for making predictions on breast tumor types. Data visualization and machine learning techniques including logistic regression, k-nearest neighbors, support vector machine, naïve Bayes, decision tree, random forest, and rotation forest were applied to this dataset. R, Minitab, and Python were chosen to be applied to these machine learning techniques and visualization. The paper aimed to make a comparative analysis using data visualization and machine learning applications for breast cancer detection and diagnosis. Diagnostic performances of applications were comparable for detecting breast cancers. Data visualization and machine learning techniques can provide significant benefits and impact cancer detection in the decision-making process. In this paper, different machine learning and data mining techniques for the detection of breast cancer were proposed. Results obtained with the logistic regression model with all features included showed the highest classification accuracy (98.1%), and the proposed approach revealed the enhancement in accuracy performances. These results indicated the potential to open new opportunities in the detection of breast cancer.

This work intends to an integration of implementing an automated diagnostic systems for breast cancer detection using Artificial Neural Network (ANN) in FPGA. In the world, breast cancer is the fifth most common cause of cancer death. So better classification system is needed for diagnosing breast cancer disease. In this work, the training and testing of the Multilayer Perceptron Neural Network (MLPNN) with Back Propagation Network (BPN) is done with the attributes of the record of the Wisconsin Breast Cancer Database (WBCD). The neural network lacks the flexibility during off line training. In order to overcome the flexibility, it is necessary to train and test the network on on-chip neural network using FPGA. The purpose is to determine the cancer of patients either having benign or malignant through an FPGA based implementation of smart instrument. In order to implement the hardware, VERILOG coding is done for ANN and synthesized by Xilinx family XC5VLX50TFFT1136 FPGA Virtex 5 board using XILINX ISE tool to get the netlist of ANN. Finally the netlist is mapped to FPGA and the hardware functionality is verified. The correct classification rate of proposed system is 90.83%.

A time‐domain microwave imaging system with improved image quality is presented for early detection of breast cancer. The time‐domain system has the advantage of short scan time compared with the frequency‐domain system but suffers from low signal‐to‐noise ratio (SNR) due to high attenuation of the RF signal within the breast tissue. Signal averaging of repeated measurements can improve the SNR, but this method also smears the signal peaks due to the signal‐averaged jitter, which adversely affects the reconstructed image quality. An image enhancement method using Gaussian bandpass filtering (BPF) is proposed for a time‐domain imaging system. The results from the proposed method were compared with those from the deconvolution method, which is typically used to remove the effects of signal‐averaged timing jitter in short pulse measurements. Simulation results with a 3D hemispherical homogeneous breast model containing tumour cells revealed improvement of the reconstructed image quality with the proposed method in the presence of timing jitter. The signal‐to‐mean ratio was increased from 6.46 to 14.15 with BPF, whereas deconvolution resulted in an increase to 9.36. Simulation results with a non‐homogeneous realistic breast model also showed image enhancement with the proposed method.

Most of the currently established techniques for breast cancer have inherent disadvantages, such as destructive effects, image accuracy, and others. In addition, mammography and nuclear methods have a potential for producing harmful ionization effects in humans. Another technique for breast cancer detection is microwave imaging radar, which has the advantage of a less hazardous modality and is a non-destructive method. However, the weakness of the received backscattered signal is a major concern for this technique. Furthermore, there is a limitation to the size of tumour that can be detected. Therefore, this study analyzes the feasibility of ultra wideband (UWB) and microwave forward scattering radar (FSR) system for breast cancer detection. Two parameters which are UWB FSR radar cross section (UWB FS RCS) and received Doppler frequency profile were investigated. The results had shown a significant difference in terms of RCS amplitude of more than 2 dBm2 between normal and cancerous breast which can be used as a clue to detect the presence of tumor. The simulation shows a cancerous breast having Doppler frequency higher than the Doppler value in normal breast. Key words: Early breast cancer detection, ultra wideband (UWB) radar imaging.

Population-based screening programs for the early detection of breast cancer have significantly reduced mortality in women, but they are resource intensive in terms of time, cost, and workload and still have limitations mainly due to the use of 2D imaging techniques, which may cause overlapping of tissues, and interobserver variability. Artificial intelligence (AI) systems may be a valuable tool to assist radiologist when reading and classifying mammograms based on the malignancy of the detected lesions. However, there are several factors that can influence the outcome of a mammogram and thus also the detection capability of an AI system. The aim of our work is to analyze the robustness of the diagnostic ability of an AI system designed for breast cancer detection. Mammograms from a population-based screening program were scored with the AI system. The sensitivity and specificity by means of the area under the receiver operating characteristic (ROC) curve were obtained as a function of the mammography unit manufacturer, demographic characteristics, and several factors that may affect the image quality (age, breast thickness and density, compression applied, beam quality, and delivered dose). The area under the curve (AUC) from the scoring ROC curve was 0.92 (95% confidence interval = 0.89 - 0.95). It showed no dependence with any of the parameters considered, as the differences in the AUC for different interval values were not statistically significant. The results suggest that the AI system analyzed in our work has a robust diagnostic capability, and that its accuracy is independent of the studied parameters.

Thank you very much for joining EUSOBI 2021 ONLINE and celebrating the Breast Cancer Awareness Month with us! This year we had a terrific programme and we are indebted to Dr. Ritse Mann and his Programme Committee for all their hard work in putting this together. We had a wonderful selection of international speakers who gave the latest updates in all your favourite topics and ensured that you are kept up to date with the latest developments in breast imaging. A special focus was given to the interactivity of this year’s programme, by adding expert discussions and concluding with the first virtual edition of our famous Breast Interpretation Quiz. Thanks to all of you who submitted abstracts and therefore having been an important part of this scientific event. We are also very grateful for the support of our industry partners who are listed here: https://www.eusobi.org/congress-sponsors-2/ Most of them have contributed to the extension of our scientific programme by offering interesting sessions and workshops. Have a look by scrolling through all sessions. All sessions have been recorded and are available on-demand.

Breast cancer is one of the most prevalent and chronic disease that affect women. To overcome this disease, effective medical treatment is required. Early detection of the disease plays an important role for suitable medication and survival of patient. To identify the breast cancer in the patients, standard imaging technique mammography is used. Due to the subtle and varied nature of cancer tissues interpreting mammogram images can be a challenge to doctors. Machine learning (ML) and Deep Learning (DL) techniques offer promising solutions that provide efficient breast cancer detection from mammograms. In this review paper a comprehensive review of ML and DL algorithms and their applications in mammogram image analysis are presented. Various supervised and unsupervised learning techniques, such as convolutional neural networks (CNNs), support vector machines (SVMs), random forests, and other popular ML and DL models are discussed in paper. The integration of these DL methods that are efficiently used in image preprocessing techniques, feature extraction, and classification strategies. The overall survey focusses on various performance metrics, datasets, and benchmarks used in existing studies. Further the strengths and limitations of different approaches used by various researchers are identified. By understating current research trends this paper aims to contribute to the ongoing development of more accurate and reliable breast cancer detection systems using advanced ML techniques.

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.

Computer-Aided Mass Detection Based on Ipsilateral Multiview Mammograms

Relation between chemotherapy dose, oestrogen receptor expression, and body-mass index

<i>Objective:</i> This paper assesses the diagnostic performance of deep learning methods for tumour detection in breast microwave sensing (BMS). <i>Methods:</i> A convolutional neural network (CNN) was used to predict the presence of a cancerous lesion in data from experimental scans of MRI-derived phantoms. An experimental dataset containing data from 1257 scans was used. The CNN was compared to a similarly sized dense neural network (DNN) and logistic regression classifier. <i>Results:</i> The CNN was able to exploit the sinogram data structure to achieve diagnostic performance significantly better than random classification, while neither the DNN nor logistic regression classifiers could generalize to unseen test data. The area under the curve of the receiver operating characteristic curve of the CNN classifier was estimated to be between (78 <inline-formula><tex-math notation="LaTeX">$\pm$</tex-math></inline-formula> 3)&#x0025; and (90 <inline-formula><tex-math notation="LaTeX">$\pm$</tex-math></inline-formula> 3)&#x0025;, where the upper estimate was obtained when the testing set was constrained to consist of phantoms with breast volumes that are within the volume bounds of the training set and when the tumour was located at the same vertical position as the system antennas. <i>Conclusion:</i> The results obtained in this investigation demonstrate the potential of combining deep learning and BMS systems for breast cancer detection. <i>Impact:</i> This paper provides an estimate of the diagnostic performance of an air-based BMS system using deep learning methods for automatic tumour detection on a sizable experimental dataset. The performance was found to be comparable to that of AI-assisted mammography and marks a first step toward larger-scale investigations in BMS.