Improvement of mass detection in mammogram using multi-view information

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.

Mammography is the most effective procedure for an early detection of the breast abnormalities. Masses are a type of abnormality, which are very difficult to be visually detected on mammograms. In this paper an efficient method for detection of masses in mammograms is implemented. The proposed mass detector consists of two major steps. In the first step, several suspicious regions are extracted from the mammograms using an adaptive thresholding technique. In the second step, false positives originating by the previous stage are reduced by a machine learning approach. All modules of the mass detector were assessed on mini-MIAS database. In addition, the algorithm was tested on INBreast database for more validation. According to FROC analysis, our mass detection algorithm outperforms other competing methods. We should not just insist on sensitivity in the segmentation phase because if we forgot FP rate, and our goal was just higher sensitivity, then the learning algorithm would be biased more toward false positives and the sensitivity would decrease dramatically in the false positive reduction phase. Therefore, we should consider the mass detection problem as a cost sensitive problem because misclassification costs are not the same in this type of problems.

Detection of suspicious masses in mammograms play a vital role in early diagnosis of breast cancer, to reduce the death rate among women. The presence of masses and calcification’s in mammograms is distinguishing signs for breast cancer diagnosis. But in some cases, due to contrast variation, fuzzy boundaries and presence of noise in mammograms, segmentation and detection of masses is challenging assignment. This paper presents a new segmentation approach to detect masses in mammographic images. The proposed approach consist of artifacts elimination and pectoral region extraction, suspicious mass enhancement using dual morphological operation technique and finally, extraction of Regions of Interest (ROIs) from background using scaled Reyni entropy. The proposed system has been tested on two data-sets i.e. mini- Mammographic Image Analysis Society (mini-MIAS) and Digital Database for Screening Mammography (DDSM), over 50 and 90 mammograms respectively. Performance achieved with proposed system in terms of True Positive Fraction (TPF) yields 93.2% and 93.9% respectively, at the rate of 1.48 and 0.74 average False Positive per Image (FP/I), tested on both Cranio-Caudal (CC) and Medio-Lateral Oblique (MLO) views. The obtained experimental results demonstrates that proposed method gives improved results for mass detection and can be useful for radiologists in diagnosis of breast cancer at early stage.

For the purpose of accurate and efficient mass detection in full-field digital mammograms, weproposeamethodfor automated mass detection that consists oftwostages: suspicious region localization and false-positive (FP) reduction, by classifying these regions into mass and non-mass regions (normal tissues). In the first stage, the density of the wavelet coefficients based on Quincunx Lifting Scheme (DWC-QLS) is used to find suspicious regions (regions of interest, ROIs) in full mammograms. In the second stage, a patch-based CNN classifier is developed as an FP reduction to classify the suspicious regions. The main aim of this stage is to reduce the false-positive suspicious regions while keeping the true-positive suspicious regions. To further improve the performance of the FP reduction, the effectiveness of different transfer learning strategies is further explored and the best fine-tuning strategy in training InceptionV3 model is determined experimentally. The experimental results show that the proposed method can achieve an overall performance of 0.98 TPR @1.43 FPI on the INbreast database. In addition, the suggested segmentation method detects the mass location with 100% sensitivity and average of 5.4 false positives per image. Based on the obtained results,the introduced method was able to successfully detectand classify suspicious regions in digital mammograms and provide better TPR and FPI results in comparison with other state-of-the-art method.

Computer-aided diagnosis (CAD) systems in mammography have been developed and investigated for several years and recently they have left the research stage to enter the clinical stage. The purpose of this article is to review the present situation of mammography for breast cancer detection and the role played by CAD systems. Results from the recent literature show that CAD systems have the potential to improve the sensitivities of radiologists in the detection of malignant clustered microcalcifications and masses, while keeping specificities at acceptable levels. This leads to the conclusion that CAD systems can be incorporated into clinical practice as a double reading option to radiologists. However, some issues have yet to be tackled for CAD systems to gain better acceptance and more widespread use worldwide.

Computer-Aided Diagnosis (CAD) systems provide a second opinion to health professionals about the possible existence of an anomaly. Evaluation of CAD systems is a challenge and most of the traditional metrics requires the constant participation of experts. This paper presents an approach for evaluating CAD systems using concepts of Content-Based Image Retrieval and graphical oracles. After implementing feature descriptors and selecting three similarity functions, two metrics are proposed to measure the efficiency of CAD systems. A case study was conducted considering three simulated CAD systems to detect masses and calcifications in mammographic images. The results indicated that the our approach is as robust as traditional metrics with respect to performance evaluation. However, our approach is more flexible than traditional metrics because evaluators can choose the more adequate features to assess a particular CAD system.

Glaucoma is a group of eye diseases that cause an irreparable decrease in the view field which is the second most common and leading causes of blindness among retinal diseases. Computer aided diagnosis (CAD) system is an emerging field in medical informatics which has high importance for providing prognosis of diseases. Research efforts have reported with increasing confirmation that the twin support vector machines (TWSVM) have greater accurate diagnosis ability. The goal of TWSVM is to construct two non-parallel planes for each class such that each hyper-plane is closer to one of two classes and as far as possible from the other one. In this paper, we propose a new CAD system for glaucoma diagnosis using TWSVM and three heterogeneous families of feature extraction. In this work, we have used 169 images to classify into normal and glaucoma classes. The performance of the method is evaluated using classification accuracy, sensitivity, specificity and receiver operating characteristic (ROC) curves. The results show that the highest classification accuracy (98,53%) is obtained for the TWSVM using Gaussian kernel function, and this is very promising compared to the SVM results.

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

The analysis of mammograms is a difficult task due to the subtle appearance of some lesions. Computer-aided diagnosis (CAD) have been shown to improve the sensitivity of detection of masses and calcifications; however, there is a need for dedicated methods to detect architectural distortion in the absence of a central mass. Improvement in the detection of architectural distortion may be expected to result in better prognosis for patients with early stages of breast cancer. By employing the concept of phase portraits, a method to characterize architectural distortion in mammograms using texture orientation fields is presented. The results obtained show that the proposed technique can achieve good discrimination between architectural distortion and other parenchymal patterns. Such a technique would be applicable, in a CAD system, to images that have cleared the stages of detection of calcifications and masses with no positive findings.

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

Mammography is a gold standard imaging modality and is widely used for breast cancer screening. With recent advances in the field of deep learning, the use of deep convolution neural networks (CNNs) in medical image analysis has become very encouraging. The aim of this study is to exploit CNNs for mass detection in mammograms using pre-trained networks. We use the resnet-50 CNN architecture pre-trained with the ImageNet database to perform mass detection on two publicly available image datasets: CBIS-DDSM and INbreast. We demonstrate that the CNN model pretrained using natural image database (ImageNet) can be effectively finetuned to yield better results, compared to randomly initialized models. Further, the benefit of applying transfer learning on a smaller dataset is demonstrated by using the best model obtained from CBIS-DDSM training to finetune on the INbreast database. We analyzed the adaptability of the CNN’s last fully connected (FC) layer and the all convolutional layers to detect masses. The results showed a testing accuracy of 0.92 and an area under the receiver operating characteristic curve (AUC) of 0.98 for the model finetuned on all convolutional layers, while testing accuracy of 0.86 and AUC=0.93 when the model is trained only on the last FC layer.

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.

To investigate the value of computer-aided diagnosis (CAD) system in assessing thyroid nodules concurrent with Hashimoto's thyroiditis (HT). Totally 148 patients with 193 thyroid nodules were enrolled. A radiologist assessed the nodules using a thyroid ultrasound CAD system. Additionally, the nodules were evaluated by one experienced radiologist alone, and one training radiologist without and with CAD assistance. The diagnostic performance was compared between the CAD system and the experienced radiologist, and the training radiologist without and with CAD assistance. The CAD system demonstrated a similar sensitivity to that of the experienced radiologist in diagnosing thyroid cancers (89.8% versus 92.4%, P > .05). The specificity and accuracy of the CAD system were lower than that of the experienced radiologist in assessing the nodules with diffusedly altered glands (specificity, 60.0% versus 81.7%, P=.007; accuracy, 77.5% versus 88.1%, P=.011). With CAD assistance, the training radiologist had improved sensitivity and accuracy that increased to 87.9% and 86.8% in classifying nodules with sonographically evident HT (both P=.012). The CAD system has comparable sensitivity, but lower specificity compared with the experienced radiologist in diagnosing thyroid malignancies concurrent with HT. For a radiologist with less experience, the CAD system can help improve the diagnostic performance by increasing sensitivity and accuracy in assessing thyroid nodules with diffusely altered parenchyma.

Digital breast tomosynthesis (DBT) is an emerging breast cancer screening and diagnostic modality that uses quasi-three-dimensional breast images to provide detailed assessments of the dense tissue within the breast. In this study, a framework of a 3D-Mask region-based convolutional neural network (3D-Mask RCNN) computer-aided diagnosis (CAD) system was developed for mass detection and segmentation with a comparative analysis of performance on patient subgroups with different clinicopathological characteristics. To this end, 364 samples of DBT data were used and separated into a training dataset (n = 201) and a testing dataset (n = 163). The detection and segmentation results were evaluated on the testing set and on subgroups of patients with different characteristics, including different age ranges, lesion sizes, histological types, lesion shapes and breast densities. The results of our 3D-Mask RCNN framework were compared with those of the 2D-Mask RCNN and Faster RCNN methods. For lesion-based mass detection, the sensitivity of 3D-Mask RCNN-based CAD was 90% with 0.8 false positives (FPs) per lesion, whereas the sensitivity of the 2D-Mask RCNN- and Faster RCNN-based CAD was 90% at 1.3 and 2.37 FPs/lesion, respectively. For breast-based mass detection, the 3D-Mask RCNN generated a sensitivity of 90% at 0.83 FPs/breast, and this framework is better than the 2D-Mask RCNN and Faster RCNN, which generated a sensitivity of 90% with 1.24 and 2.38 FPs/breast, respectively. Additionally, the 3D-Mask RCNN achieved significantly (p < 0.05) better performance than the 2D methods on subgroups of samples with characteristics of ages ranged from 40 to 49 years, malignant tumors, spiculate and irregular masses and dense breast, respectively. Lesion segmentation using the 3D-Mask RCNN achieved an average precision (AP) of 0.934 and a false negative rate (FNR) of 0.053, which are better than those achieved by the 2D methods. The results suggest that the 3D-Mask RCNN CAD framework has advantages over 2D-based mass detection on both the whole data and subgroups with different characteristics.

ObjectiveWe wanted to investigate the usefulness of a computer-aided diagnosis (CAD) system in assisting radiologists to diagnosis malignant solitary pulmonary nodules (SPNs), as compared with diagnosing SPNs with using direct personal drawing.Materials and MethodsForty patients with SPNs were analyzed. After the pre-contrast scan was performed, an additional ten series of post-contrast images were obtained at 20-second intervals. Two investigators measured the attenuation values of the SPNs: a radiologist who drew the regions of interest (ROIs), and a technician who used a CAD system. The Bland and Altman plots were used to compare the net enhancement between a CAD system and direct personal drawing. The diagnostic characteristics of the malignant SPNs were calculated by considering the CAD and direct personal drawing and with using Fisher's exact test.ResultsOn the Bland and Altman plot, the net enhancement difference between the CAD system and direct personal drawing was not significant (within ± 2 standard deriation). The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of diagnosing malignant SPNs using CAD was 92%, 85%, 75%, 96% and 88%, respectively. The sensitivity, specificity, PPV, NPV and accuracy of diagnosing malignant SPNs using direct drawing was 92%, 89%, 79%, 92% and 88%, respectively.ConclusionThe CAD system was a useful tool for diagnosing malignant SPNs.