The rapid development of deep learning, a family of machine learning techniques, has spurred much interest in its application to medical imaging problems. Here, we develop a deep learning algorithm that can accurately detect breast cancer on screening mammograms using an "end-to-end" training approach that efficiently leverages training datasets with either complete clinical annotation or only the cancer status (label) of the whole image. In this approach, lesion annotations are required only in the initial training stage, and subsequent stages require only image-level labels, eliminating the reliance on rarely available lesion annotations. Our all convolutional network method for classifying screening mammograms attained excellent performance in comparison with previous methods. On an independent test set of digitized film mammograms from Digital Database for Screening Mammography (DDSM), the best single model achieved a per-image AUC of 0.88, and four-model averaging improved the AUC to 0.91 (sensitivity: 86.1%, specificity: 80.1%). On a validation set of full-field digital mammography (FFDM) images from the INbreast database, the best single model achieved a per-image AUC of 0.95, and four-model averaging improved the AUC to 0.98 (sensitivity: 86.7%, specificity: 96.1%). We also demonstrate that a whole image classifier trained using our end-to-end approach on the DDSM digitized film mammograms can be transferred to INbreast FFDM images using only a subset of the INbreast data for fine-tuning and without further reliance on the availability of lesion annotations. These findings show that automatic deep learning methods can be readily trained to attain high accuracy on heterogeneous mammography platforms, and hold tremendous promise for improving clinical tools to reduce false positive and false negative screening mammography results.
Department of Medicine I, LMU University Hospital, LMU Munich, Germany（慕尼黑大学医学部第一部门，LMU大学医院，慕尼黑，德国）；Lunit Inc.（Lunit公司）
Large annotated datasets are essential for training robust Computer-Aided Diagnosis (CAD) models for breast cancer detection or risk prediction. However, acquiring such datasets with fine-detailed annotation is both costly and time-consuming. Vision-Language Models (VLMs), such as CLIP, which are pre-trained on large image-text pairs, offer a promising solution by enhancing robustness and data efficiency in medical imaging tasks. This paper introduces a novel Multi-View Mammography and Language Model for breast cancer classification and risk prediction, trained on a dataset of paired mammogram…
A Lightweight CNN Integrated Compact Convolutional Transformer for Multi-Scale Feature Learning and reducing computational complexity for breast cancer mammography image detection and classification
Icahn School of Medicine at Mount Sinai（西奈山伊坎医学院）；Kaiser Permanente Northern California, Division of Research（北加州凯撒永久医疗集团研究部）
A major limitation in applying deep learning to artificial intelligence (AI) systems is the scarcity of high-quality curated datasets. We investigate strong augmentation based self-supervised learning (SSL) techniques to address this problem. Using breast cancer detection as an example, we first identify a mammogram-specific transformation paradigm and then systematically compare four recent SSL methods representing a diversity of approaches. We develop a method to convert a pretrained model from making predictions on uniformly tiled patches to whole images, and an attention-based pooling meth…
ETH Zürich（苏黎世联邦理工学院）；University Hospital Zürich（苏黎世大学医院）
Supervised deep learning relies on the assumption that enough training data is available, which presents a problem for its application to several fields, like medical imaging. On the example of a binary image classification task (breast cancer recognition), we show that pretraining a generative model for meaningful image augmentation helps enhance the performance of the resulting classifier. By augmenting the data, performance on downstream classification tasks could be improved even with a relatively small training set. We show that this "adversarial augmentation" yields promising results com…
Mammographic Breast Positioning Assessment via Deep Learning
Istanbul Technical University（伊斯坦布尔理工大学）；Acibadem Healthcare Group（阿西巴德姆医疗集团）；Acibadem Mehmet Ali Aydinlar University（阿西巴德姆穆罕默德·阿里·艾丁拉尔大学）；Sisli Hamidiye Etfal Training and Research Hospital（锡什利哈米迪耶埃特法尔培训与研究医院）
Transformer-Based Explainable Deep Learning for Breast Cancer Detection in Mammography: The MammoFormer Framework
Morgan State University（摩根州立大学）；Wrexham University（雷克瑟姆大学）；Federal University of Technology, Minna（明纳联邦理工大学）；Federal University of Education, Kano（卡诺联邦教育大学）
Deep Learning-Based Breast Cancer Detection in Mammography: A Multi-Center Validation Study in Thai Population
Perceptra Co., Ltd（Perceptra公司）；Institute of Field Robotics（现场机器人研究所）；King Mongkut’s University of Technology Thonburi（技术师范大学）；Mahidol University（玛希多大学）；Siriraj Hospital（Siriraj医院）；Khonkaen University（孔卡恩大学）
Peking University（北京大学）；Beijing Institute of Big Data Research（北京大数据研究院）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
Breast cancer is one of the most common cancers in women worldwide, and early detection can significantly reduce the mortality rate of breast cancer. It is crucial to take multi-scale information of tissue structure into account in the detection of breast cancer. And thus, it is the key to design an accurate computer-aided detection (CAD) system to capture multi-scale contextual features in a cancerous tissue. In this work, we present a novel graph convolutional neural network for histopathological image classification of breast cancer. The new method, named multi-scale graph wavelet neural ne…
Breast cancer is the most frequently reported cancer type among the women around the globe and beyond that it has the second highest female fatality rate among all cancer types. Despite all the progresses made in prevention and early intervention, early prognosis and survival prediction rates are still unsatisfactory. In this paper, we propose a novel type of perceptron called L-Perceptron which outperforms all the previous supervised learning methods by reaching 97.42 \% and 98.73 \% in terms of accuracy and sensitivity, respectively in Wisconsin Breast Cancer dataset. Experimental results on…
Universidad Técnica Particular de Loja（洛哈技术大学）；Universitat Politécnica de Valencia（瓦伦西亚理工大学）；University of Waterloo（滑铁卢大学）
Breast cancer is the most common invasive cancer in women, and the second main cause of death. Breast cancer screening is an efficient method to detect indeterminate breast lesions early. The common approaches of screening for women are tomosynthesis and mammography images. However, the traditional manual diagnosis requires an intense workload by pathologists, who are prone to diagnostic errors. Thus, the aim of this study is to build a deep convolutional neural network method for automatic detection, segmentation, and classification of breast lesions in mammography images. Based on deep learn…
The Deep Convolutional Neural Network (DCNN) is one of the most powerful and successful deep learning approaches. DCNNs have already provided superior performance in different modalities of medical imaging including breast cancer classification, segmentation, and detection. Breast cancer is one of the most common and dangerous cancers impacting women worldwide. In this paper, we have proposed a method for breast cancer classification with the Inception Recurrent Residual Convolutional Neural Network (IRRCNN) model. The IRRCNN is a powerful DCNN model that combines the strength of the Inception…
Traditional breast cancer image classification methods require manual extraction of features from medical images, which not only require professional medical knowledge, but also have problems such as time-consuming and labor-intensive and difficulty in extracting high-quality features. Therefore, the paper proposes a computer-based feature fusion Convolutional neural network breast cancer image classification and detection method. The paper pre-trains two convolutional neural networks with different structures, and then uses the convolutional neural network to automatically extract the charact…
Deep Learning in Breast Cancer Imaging: A Decade of Progress and Future Directions
The Hong Kong University of Science and Technology（香港科技大学）；Stanford University School of Medicine（斯坦福大学医学院）；The Chinese University of Hong Kong（香港中文大学）；The University of Hong Kong（香港大学）；HKUST Shenzhen-Hong Kong Collaborative Innovation Research Institute（香港科技大学深圳-香港协同创新研究院）
Neuromation；Massachusetts Institute of Technology（麻省理工学院）；Lyft Inc.（Lyft公司）；University of Michigan（密歇根大学）
Breast cancer is one of the main causes of cancer death worldwide. Early diagnostics significantly increases the chances of correct treatment and survival, but this process is tedious and often leads to a disagreement between pathologists. Computer-aided diagnosis systems showed potential for improving the diagnostic accuracy. In this work, we develop the computational approach based on deep convolution neural networks for breast cancer histology image classification. Hematoxylin and eosin stained breast histology microscopy image dataset is provided as a part of the ICIAR 2018 Grand Challenge…
Multi-instance multi-label (MIML) learning is a challenging problem in many aspects. Such learning approaches might be useful for many medical diagnosis applications including breast cancer detection and classification. In this study subset of digiPATH dataset (whole slide digital breast cancer histopathology images) are used for training and evaluation of six state-of-the-art MIML methods. At the end, performance comparison of these approaches are given by means of effective evaluation metrics. It is shown that MIML-kNN achieve the best performance that is %65.3 average precision, where most …
Umm Al-Qura University（乌姆·库拉大学）；King Abdulaziz University（阿卜杜勒阿齐兹国王大学）；University of Tabuk（塔布克大学）；King Faisal Specialist Hospital and Research Center（费萨尔国王专科医院和研究中心）；University of Nevada（内华达大学）
Breast cancer is the most common cancer in the world and the second most common type of cancer that causes death in women. The timely and accurate diagnosis of breast cancer using histopathological images is crucial for patient care and treatment. Pathologists can make more accurate diagnoses with the help of a novel approach based on image processing. This approach is an ensemble model of two types of pre-trained vision transformer models, namely, Vision Transformer and Data-Efficient Image Transformer. The proposed ensemble model classifies breast cancer histopathology images into eight clas…
Jalpaiguri Government Engineering College（贾尔派古里政府工程学院）
Invasive ductal carcinoma (IDC), which is also sometimes known as the infiltrating ductal carcinoma, is the most regular form of breast cancer. It accounts for about 80% of all breast cancers. According to the American Cancer Society, more than 180,000 women in the United States are diagnosed with invasive breast cancer each year. The survival rate associated with this form of cancer is about 77% to 93% depending on the stage at which they are being diagnosed. The invasiveness and the frequency of the occurrence of these disease makes it one of the difficult cancers to be diagnosed. Our propos…
University of Pennsylvania（宾夕法尼亚大学）；Mayo Clinic（梅奥诊所）
Breast density is an important risk factor for breast cancer that also affects the specificity and sensitivity of screening mammography. Current federal legislation mandates reporting of breast density for all women undergoing breast screening. Clinically, breast density is assessed visually using the American College of Radiology Breast Imaging Reporting And Data System (BI-RADS) scale. Here, we introduce an artificial intelligence (AI) method to estimate breast percentage density (PD) from digital mammograms. Our method leverages deep learning (DL) using two convolutional neural network arch…
DeepHealth, Inc.（深健公司）；Rhode Island Hospital（罗德岛医院）；Brown University（布朗大学）；Henan Provincial People’s Hospital（河南省人民医院）；Medford Radiology Group（梅德福放射学集团）；University of Massachusetts Medical School（马萨诸塞大学医学院）
Breast cancer remains a global challenge, causing over 1 million deaths globally in 2018. To achieve earlier breast cancer detection, screening x-ray mammography is recommended by health organizations worldwide and has been estimated to decrease breast cancer mortality by 20-40%. Nevertheless, significant false positive and false negative rates, as well as high interpretation costs, leave opportunities for improving quality and access. To address these limitations, there has been much recent interest in applying deep learning to mammography; however, obtaining large amounts of annotated data p…
Institute of Big Data（大数据研究所）；VinUniversity（文大大学）；Hospital 108（108医院）；Hanoi Medical University Hospital（河内医科大学医院）；Yale University（耶鲁大学）
Mammography, or breast X-ray, is the most widely used imaging modality to detect cancer and other breast diseases. Recent studies have shown that deep learning-based computer-assisted detection and diagnosis (CADe or CADx) tools have been developed to support physicians and improve the accuracy of interpreting mammography. However, most published datasets of mammography are either limited on sample size or digitalized from screen-film mammography (SFM), hindering the development of CADe and CADx tools which are developed based on full-field digital mammography (FFDM). To overcome this challeng…
Breast cancer is in the most common malignant tumor in women. It accounted for 30% of new malignant tumor cases. Although the incidence of breast cancer remains high around the world, the mortality rate has been continuously reduced. This is mainly due to recent developments in molecular biology technology and improved level of comprehensive diagnosis and standard treatment. Early detection by mammography is an integral part of that. The most common breast abnormalities that may indicate breast cancer are masses and calcifications. Previous detection approaches usually obtain relatively high s…
Purpose: To develop a Breast Imaging Reporting and Data System (BI-RADS) breast density deep learning (DL) model in a multi-site setting for synthetic two-dimensional mammography (SM) images derived from digital breast tomosynthesis exams using full-field digital mammography (FFDM) images and limited SM data. Materials and Methods: A DL model was trained to predict BI-RADS breast density using FFDM images acquired from 2008 to 2017 (Site 1: 57492 patients, 187627 exams, 750752 images) for this retrospective study. The FFDM model was evaluated using SM datasets from two institutions (Site 1: 38…
Hangzhou Hikvision Digital Technology Co., Ltd.（杭州海康威视数字技术股份有限公司）
Background and Objective: Accurate detection of breast masses in mammography images is critical to diagnose early breast cancer, which can greatly improve the patients survival rate. However, it is still a big challenge due to the heterogeneity of breast masses and the complexity of their surrounding environment.Methods: To address these problems, we propose a one-stage object detection architecture, called Breast Mass Detection Network (BMassDNet), based on anchor-free and feature pyramid which makes the detection of breast masses of different sizes well adapted. We introduce a truncation nor…
A novel hierarchical model is introduced to solve a general problem of detecting groups of similar objects. Under this model, detection of groups is performed in hierarchically organized layers while each layer represents a scope for target objects. The processing of these layers involves sequential extraction of appearance features for an individual object, consistency measurement features for nearby objects, and finally the distribution features for all objects within the group. Using the concept of scope-based normalization, the extracted features not only enhance local contrast of an indiv…
Deep learning can promote the mammography-based computer-aided diagnosis (CAD) for breast cancers, but it generally suffers from the small sample size problem. Self-supervised learning (SSL) has shown its effectiveness in medical image analysis with limited training samples. However, the network model sometimes cannot be well pre-trained in the conventional SSL framework due to the limitation of the pretext task and fine-tuning mechanism. In this work, a Task-driven Self-supervised Bi-channel Networks (TSBN) framework is proposed to improve the performance of classification model the mammograp…
Lesion-Aware Generative Artificial Intelligence for Virtual Contrast-Enhanced Mammography in Breast Cancer
Unit of Computer Systems and Bioinformatics, Department of Engineering, University Campus Bio-Medico of Rome（罗马大学生物医学校园计算机系统与生物信息学单位）；Department of Radiology, Fondazione Policlinico Campus Bio-Medico（生物医学校园放射科）；Department of Radiology, Università Campus Bio-Medico di Roma（罗马大学生物医学校园放射科）；Department of Radiation Sciences, Radiation Physics, Biomedical Engineering, Umeå University（乌梅大学辐射科学、辐射物理、生物医学工程部门）
School of Electrical Engineering, Tel-Aviv University（特拉维夫大学电气工程学院）；The Manuel and Raquel Klachky Chair of Image Processing, School of Electrical Engineering, Tel-Aviv University（特拉维夫大学电气工程学院 Manuel and Raquel Klachky 图像处理教授职位）；Diagnostic Imaging, Sheba Medical Center, affiliated to the Sackler School of Medicine, Tel-Aviv University（舍巴医疗中心诊断影像科，隶属于特拉维夫大学萨克勒医学院）
Mammography and ultrasound are extensively used by radiologists as complementary modalities to achieve better performance in breast cancer diagnosis. However, existing computer-aided diagnosis (CAD) systems for the breast are generally based on a single modality. In this work, we propose a deep-learning based method for classifying breast cancer lesions from their respective mammography and ultrasound images. We present various approaches and show a consistent improvement in performance when utilizing both modalities. The proposed approach is based on a GoogleNet architecture, fine-tuned for o…
University of Girona（赫罗纳大学）；Parc Tauli Hospital Universitari（帕克陶利大学医院）；Institut d’Investigacio i Innovacio Parc Tauli (I3PT)（帕克陶利研究与创新研究所（I3PT））
Early detection of breast cancer has a major contribution to curability, and using mammographic images, this can be achieved non-invasively. Supervised deep learning, the dominant CADe tool currently, has played a great role in object detection in computer vision, but it suffers from a limiting property: the need of a large amount of labelled data. This becomes stricter when it comes to medical datasets which require high-cost and time-consuming annotations. Furthermore, medical datasets are usually imbalanced, a condition that often hinders classifiers performance. The aim of this paper is to…
Lovely Professional University（洛弗利专业大学）；Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）；Maharaja Agrasen Institute of Technology（马哈拉贾·阿格拉森技术学院）；University of Economics Ho Chi Minh City（胡志明市经济大学）
Breast cancer is a common cancer for women. Early detection of breast cancer can considerably increase the survival rate of women. This paper mainly focuses on transfer learning process to detect breast cancer. Modified VGG (MVGG), residual network, mobile network is proposed and implemented in this paper. DDSM dataset is used in this paper. Experimental results show that our proposed hybrid transfers learning model (Fusion of MVGG16 and ImageNet) provides an accuracy of 88.3% where the number of epoch is 15. On the other hand, only modified VGG 16 architecture (MVGG 16) provides an accuracy 8…
Computer-aided breast cancer diagnosis in mammography is a challenging problem, stemming from mammographical data scarcity and data entanglement. In particular, data scarcity is attributed to the privacy and expensive annotation. And data entanglement is due to the high similarity between benign and malignant masses, of which manifolds reside in lower dimensional space with very small margin. To address these two challenges, we propose a deep learning framework, named Contrastive Identifier Network (\textsc{COIN}), which integrates adversarial augmentation and manifold-based contrastive learni…
Mammography-based screening has helped reduce the breast cancer mortality rate, but has also been associated with potential harms due to low specificity, leading to unnecessary exams or procedures, and low sensitivity. Digital breast tomosynthesis (DBT) improves on conventional mammography by increasing both sensitivity and specificity and is becoming common in clinical settings. However, deep learning (DL) models have been developed mainly on conventional 2D full-field digital mammography (FFDM) or scanned film images. Due to a lack of large annotated DBT datasets, it is difficult to train a …
Institute of Computing Technology, Chinese Academy of Sciences（中国科学院计算技术研究所）；Tianjin Medical University Cancer Institute and Hospital（天津医科大学肿瘤医院）
Deep learning object detection algorithm has been widely used in medical image analysis. Currently all the object detection tasks are based on the data annotated with object classes and their bounding boxes. On the other hand, medical images such as mammography usually contain normal regions or objects that are similar to the lesion region, and may be misclassified in the testing stage if they are not taken care of. In this paper, we address such problem by introducing a novel top likelihood loss together with a new sampling procedure to select and train the suspected target regions, as well a…
Visualizing the Invisible: Enhancing Radiologist Performance in Breast Mammography via Task-Driven Chromatic Encoding
Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（深圳先进技术研究院，中国科学院）；Shenzhen University（深圳大学）；Shenzhen University of Advanced Technology（深圳大学先进技术学院）
A Multi-Modal AI System for Screening Mammography: Integrating 2D and 3D Imaging to Improve Breast Cancer Detection in a Prospective Clinical Study
Vilcek Institute of Graduate Biomedical Sciences, NYU Grossman School of Medicine（NYU Grossman医学院Vilcek研究生生物医学科学研究所）；NYU Grossman School of Medicine（NYU Grossman医学院）；Center for Data Science, New York University（纽约大学数据科学中心）；Emory University（埃默里大学）；Visage Imaging, Inc.（Visage成像公司）
Standard breast cancer screening involves the acquisition of two mammography X-ray projections for each breast. Typically, a comparison of both views supports the challenging task of tumor detection and localization. We introduce a deep learning, patch-based Siamese network for lesion matching in dual-view mammography. Our locally-fitted approach generates a joint patch pair representation and comparison with a shared configuration between the two views. We performed a comprehensive set of experiments with the network on standard datasets, among them the large Digital Database for Screening Ma…
Bias and Generalizability of Foundation Models across Datasets in Breast Mammography
University Hospital Bonn（波恩大学医院）；Technical University of Munich（慕尼黑技术大学）；Lebanese Hospital Geitaoui（黎巴嫩Geitaoui医院）；Helmholtz AI, Helmholtz Munich（海德堡人工智能，海德堡慕尼黑）
MammoExpert: Benchmarking Chain-of-Thought Reasoning in Mammography Diagnosis
State Key Laboratory of General Artificial Intelligence, School of Intelligence Science and Technology, Peking University（北京大学智能科学与技术学院通用人工智能国家重点实验室）；School of Computer Science and Engineer, Beijing University of Aeronautics and Astronautics（北京航空航天大学计算机科学与工程学院）；Center for Data Science, Peking University（北京大学数据科学中心）；Yizhun co. ltd（医准有限公司）；International School, Beijing University of Post and Telecommunications（北京邮电大学国际学院）；School of Public Health, University of Michigan, Ann Arbor（密歇根大学安娜堡分校公共卫生学院）；Future Technology College, Xi'an Jiaotong University（西安交通大学未来技术学院）；Peking University（北京大学）
Instituto Tecnológico y de Estudios Superiores de Monterrey（蒙特雷技术与高等教育学院）
Early tumor detection is key in reducing the number of breast cancer death and screening mammography is one of the most widely available and reliable method for early detection. However, it is difficult for the radiologist to process with the same attention each case, due the large amount of images to be read. Computer aided detection (CADe) systems improve tumor detection rate; but the current efficiency of these systems is not yet adequate and the correct interpretation of CADe outputs requires expert human intervention. Computer aided diagnosis systems (CADx) are being designed to improve c…
University of São Paulo（圣保罗大学）；Eco & Mama Diagnóstico Digital（Eco & Mama数字诊断公司）
Early detection of breast cancer can increase treatment efficiency. Architectural Distortion (AD) is a very subtle contraction of the breast tissue and may represent the earliest sign of cancer. Since it is very likely to be unnoticed by radiologists, several approaches have been proposed over the years but none using deep learning techniques. To train a Convolutional Neural Network (CNN), which is a deep neural architecture, is necessary a huge amount of data. To overcome this problem, this paper proposes a data augmentation approach applied to clinical image dataset to properly train a CNN. …
Reconsidering Explicit Longitudinal Mammography Alignment for Enhanced Breast Cancer Risk Prediction
Department of Physics and Technology, UiT The Arctic University of Norway（物理与技术系，UiT北极大学）；SPKI The Norwegian Centre for Clinical Artificial Intelligence（挪威临床人工智能中心）；Department of Computer Science and Engineering, University of Bologna（计算机科学与工程系，博洛尼亚大学）；Fraunhofer Research Institution for Individualized and Cell-Based Medical Engineering IMTE（个体化和细胞基础医学工程研究机构IMTE）；Norwegian Computing Center, Oslo, Norway（挪威计算中心，奥斯陆，挪威）；Pioneer Centre for AI, University of Copenhagen（人工智能先锋中心，哥本哈根大学）
Center for Informatics, Federal University of Pernambuco（伯南布哥联邦大学信息学中心）；Department of Biomedical Engineering, Federal University of Pernambuco（伯南布哥联邦大学生物医学工程系）
Breast cancer is already one of the most common form of cancer worldwide. Mammography image analysis is still the most effective diagnostic method to promote the early detection of breast cancer. Accurately segmenting tumors in digital mammography images is important to improve diagnosis capabilities of health specialists and avoid misdiagnosis. In this work, we evaluate the feasibility of applying GrowCut to segment regions of tumor and we propose two GrowCut semi-supervised versions. All the analysis was performed by evaluating the application of segmentation techniques to a set of images ob…
Knowledge-based in silico models and dataset for the comparative evaluation of mammography AI for a range of breast characteristics, lesion conspicuities and doses
Office of Science and Engineering Laboratories（科学与工程实验室办公室）；Center for Devices and Radiological Health（器械与放射卫生中心）；U.S. Food and Drug Administration（美国食品药品监督管理局）
