Mammography is the primary imaging modality used for early detection and diagnosis of breast cancer. X-ray mammogram analysis mainly refers to the localization of suspicious regions of interest followed by segmentation, towards further lesion classification into benign versus malignant. Among diverse types of breast abnormalities, masses are the most important clinical findings of breast carcinomas. However, manually segmenting breast masses from native mammograms is time-consuming and error-prone. Therefore, an integrated computer-aided diagnosis system is required to assist clinicians for automatic and precise breast mass delineation. In this work, we present a two-stage multi-scale pipeline that provides accurate mass contours from high-resolution full mammograms. First, we propose an extended deep detector integrating a multi-scale fusion strategy for automated mass localization. Second, a convolutional encoder-decoder network using nested and dense skip connections is employed to fine-delineate candidate masses. Unlike most previous studies based on segmentation from regions, our framework handles mass segmentation from native full mammograms without any user intervention. Trained on INbreast and DDSM-CBIS public datasets, the pipeline achieves an overall average Dice of 80.44% on INbreast test images, outperforming state-of-the-art. Our system shows promising accuracy as an automatic full-image mass segmentation system. Extensive experiments reveals robustness against the diversity of size, shape and appearance of breast masses, towards better interaction-free computer-aided diagnosis.
Medical University of Gdansk（格但斯克医科大学）；Karolinska University Hospital（卡罗林斯卡大学医院）；Karolinska Institutet（卡罗林斯卡学院）
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 highdensity breasts using synthetic high-density full-field digital mammograms (FFD…
Data scarcity and class imbalance are two fundamental challenges in many machine learning applications to healthcare. Breast cancer classification in mammography exemplifies these challenges, with a malignancy rate of around 0.5% in a screening population, which is compounded by the relatively small size of lesions (~1% of the image) in malignant cases. Simultaneously, the prevalence of screening mammography creates a potential abundance of non-cancer exams to use for training. Altogether, these characteristics lead to overfitting on cancer cases, while under-utilizing non-cancer data. Here, w…
University of Houston（休斯顿大学）；Houston Methodist（休斯顿卫理公会医院）
Accurate breast lesion risk estimation can significantly reduce unnecessary biopsies and help doctors decide optimal treatment plans. Most existing computer-aided systems rely solely on mammogram features to classify breast lesions. While this approach is convenient, it does not fully exploit useful information in clinical reports to achieve the optimal performance. Would clinical features significantly improve breast lesion classification compared to using mammograms alone? How to handle missing clinical information caused by variation in medical practice? What is the best way to combine mamm…
Universidad del Caribe（加勒比大学）；Universidad Carlos III de Madrid（马德里卡洛斯三世大学）
Digital mammogram inspection is the most popular technique for early detection of abnormalities in human breast tissue. When mammograms are analyzed through a computational method, the presence of the pectoral muscle might affect the results of breast lesions detection. This problem is particularly evident in the mediolateral oblique view (MLO), where pectoral muscle occupies a large part of the mammography. Therefore, identifying and eliminating the pectoral muscle are essential steps for improving the automatic discrimination of breast tissue. In this paper, we propose an approach based on a…
Our objective is to show the feasibility of using simulated mammograms to detect mammographically-occult (MO) cancer in women with dense breasts and a normal screening mammogram who could be triaged for additional screening with magnetic resonance imaging (MRI) or ultrasound. We developed a Conditional Generative Adversarial Network (CGAN) to simulate a mammogram with normal appearance using the opposite mammogram as the condition. We used a Convolutional Neural Network (CNN) trained on Radon Cumulative Distribution Transform (RCDT) processed mammograms to detect MO cancer. For training CGAN, …
University of Kentucky（肯塔基大学）；Miami University（迈阿密大学）
Breast cancer is the malignant tumor that causes the highest number of cancer deaths in females. Digital mammograms (DM or 2D mammogram) and digital breast tomosynthesis (DBT or 3D mammogram) are the two types of mammography imagery that are used in clinical practice for breast cancer detection and diagnosis. Radiologists usually read both imaging modalities in combination; however, existing computer-aided diagnosis tools are designed using only one imaging modality. Inspired by clinical practice, we propose an innovative convolutional neural network (CNN) architecture for breast cancer classi…
Ordinal Learning: Longitudinal Attention Alignment Model for Predicting Time to Future Breast Cancer Events from Mammograms
Netherlands Cancer Institute (NKI)（荷兰癌症研究所）；GROW School for Oncology and Development Biology, Maastricht University（马斯特里赫特大学GROW肿瘤学与发育生物学学院）；Macao Polytechnic University（澳门理工大学）；Radboud University Medical Centre（拉德堡德大学医学中心）
The University of Buckingham（白金汉大学）；Salahaddin University（萨拉赫丁大学）
An Important tool in the field topological data analysis is known as persistent Homology (PH) which is used to encode abstract representation of the homology of data at different resolutions in the form of persistence diagram (PD). In this work we build more than one PD representation of a single image based on a landmark selection method, known as local binary patterns, that encode different types of local textures from images. We employed different PD vectorizations using persistence landscapes, persistence images, persistence binning (Betti Curve) and statistics. We tested the effectiveness…
University of Oklahoma（俄克拉荷马大学）；XPeng Motors（小鹏汽车）
Deep convolutional neural networks (CNNs) have been widely used in various medical imaging tasks. However, due to the intrinsic locality of convolution operation, CNNs generally cannot model long-range dependencies well, which are important for accurately identifying or mapping corresponding breast lesion features computed from unregistered multiple mammograms. This motivates us to leverage the architecture of Multi-view Vision Transformers to capture long-range relationships of multiple mammograms from the same patient in one examination. For this purpose, we employ local Transformer blocks t…
Emory University（埃默里大学）；Georgia Institute of Technology（佐治亚理工学院）；Kennesaw State University（肯尼索州立大学）
Developing and validating artificial intelligence models in medical imaging requires datasets that are large, granular, and diverse. To date, the majority of publicly available breast imaging datasets lack in one or more of these areas. Models trained on these data may therefore underperform on patient populations or pathologies that have not previously been encountered. The EMory BrEast imaging Dataset (EMBED) addresses these gaps by providing 3650,000 2D and DBT screening and diagnostic mammograms for 116,000 women divided equally between White and African American patients. The dataset also…
Computer-aided diagnosis (CAD) has long become an integral part of radiological management of breast disease, facilitating a number of important clinical applications, including quantitative assessment of breast density and early detection of malignancies based on X-ray mammography. Common to such applications is the need to automatically discriminate between breast tissue and adjacent anatomy, with the latter being predominantly represented by pectoralis major (or pectoral muscle). Especially in the case of mammograms acquired in the mediolateral oblique (MLO) view, the muscle is easily confu…
Advanced deep learning (DL) algorithms may predict the patient's risk of developing breast cancer based on the Breast Imaging Reporting and Data System (BI-RADS) and density standards. Recent studies have suggested that the combination of multi-view analysis improved the overall breast exam classification. In this paper, we propose a novel multi-view DL approach for BI-RADS and density assessment of mammograms. The proposed approach first deploys deep convolutional networks for feature extraction on each view separately. The extracted features are then stacked and fed into a Light Gradient Boo…
Transcend Research Consultancy（transcend研究咨询公司）；School of Computer Sciences, North Maharashtra University（北马哈拉施特拉大学计算机科学学院）
Mammography is a vital screening technique for early revealing and identification of breast cancer in order to assist to decrease mortality rate. Practical applications of mammograms are not limited to breast cancer revealing, identification ,but include task based lens design, image compression, image classification, content based image retrieval and a host of others. Mammography computational analysis methods are a useful tool for specialists to reveal hidden features and extract significant information in mammograms. Digital mammograms are mammography images available along with the convent…
Beijing Institute of Technology（北京理工大学）；Université 8 Mai 1945 Guelma（盖勒马8 Mai 1945大学）；National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College（中国医学科学院北京协和医学院肿瘤医院国家癌症中心国家肿瘤临床研究中心）
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 segment…
Breast density estimation is one of the key tasks in recognizing individuals predisposed to breast cancer. It is often challenging because of low contrast and fluctuations in mammograms' fatty tissue background. Most of the time, the breast density is estimated manually where a radiologist assigns one of the four density categories decided by the Breast Imaging and Reporting Data Systems (BI-RADS). There have been efforts in the direction of automating a breast density classification pipeline. Breast density estimation is one of the key tasks performed during a screening exam. Dense breasts ar…
New York University（纽约大学）；New York University School of Medicine（纽约大学医学院）
Radiologists typically compare a patient's most recent breast cancer screening exam to their previous ones in making informed diagnoses. To reflect this practice, we propose new neural network models that compare pairs of screening mammograms from the same patient. We train and evaluate our proposed models on over 665,000 pairs of images (over 166,000 pairs of exams). Our best model achieves an AUC of 0.866 in predicting malignancy in patients who underwent breast cancer screening, reducing the error rate of the corresponding baseline.
Mayo Clinic（梅奥诊所）；Ohio State University（俄亥俄州立大学）；West Virginia University School of Medicine（西弗吉尼亚大学医学院）；NVIDIA Inc.（英伟达公司）
Screening mammograms are a routine imaging exam performed to detect breast cancer in its early stages to reduce morbidity and mortality attributed to this disease. In order to maximize the efficacy of breast cancer screening programs, proper mammographic positioning is paramount. Proper positioning ensures adequate visualization of breast tissue and is necessary for effective breast cancer detection. Therefore, breast-imaging radiologists must assess each mammogram for the adequacy of positioning before providing a final interpretation of the examination; this often necessitates return patient…
University of Girona（赫罗纳大学）；University of Burgundy（勃艮第大学）
An advanced reliable low-cost form of screening method, Digital mammography has been used as an effective imaging method for breast cancer detection. With an increased focus on technologies to aid healthcare, Mammogram images have been utilized in developing computer-aided diagnosis systems that will potentially help in clinical diagnosis. Researchers have proved that artificial intelligence with its emerging technologies can be used in the early detection of the disease and improve radiologists' performance in assessing breast cancer. In this paper, we review the methods developed for mammogr…
In clinical practice, human radiologists actually review medical images with high resolution monitors and zoom into region of interests (ROIs) for a close-up examination. Inspired by this observation, we propose a hierarchical graph neural network to detect abnormal lesions from medical images by automatically zooming into ROIs. We focus on mammogram analysis for breast cancer diagnosis for this study. Our proposed network consist of two graph attention networks performing two tasks: (1) node classification to predict whether to zoom into next level; (2) graph classification to classify whethe…
RADIFUSION: A multi-radiomics deep learning based breast cancer risk prediction model using sequential mammographic images with image attention and bilateral asymmetry refinement
Monash University Malaysia（莫纳什大学马来西亚分校）；The University of Oklahoma（俄克拉荷马大学）；Karolinska Institute（卡罗林斯卡学院）；Karolinska University Hospital（卡罗林斯卡大学医院）；University of Malaya（马来亚大学）；The University of Melbourne（墨尔本大学）
Faculty of Medicine, American University of Beirut（贝鲁特美国大学医学院）；American University of Beirut Medical Center（贝鲁特美国大学医学中心）；Department of Diagnostic Radiology, American University of Beirut Medical Center（贝鲁特美国大学医学中心诊断放射科）
During their formative years, radiology trainees are required to interpret hundreds of mammograms per month, with the objective of becoming apt at discerning the subtle patterns differentiating benign from malignant lesions. Unfortunately, medico-legal and technical hurdles make it difficult to access and query medical images for training. In this paper we train a generative adversarial network (GAN) to synthesize 512 x 512 high-resolution mammograms. The resulting model leads to the unsupervised separation of high-level features (e.g. the standard mammography views and the nature of the breas…
Mammography is using low-energy X-rays to screen the human breast and is utilized by radiologists to detect breast cancer. Typically radiologists require a mammogram with impeccable image quality for an accurate diagnosis. In this study, we propose a deep learning method based on Convolutional Neural Networks (CNNs) for mammogram denoising to improve the image quality. We first enhance the noise level and employ Anscombe Transformation (AT) to transform Poisson noise to white Gaussian noise. With this data augmentation, a deep residual network is trained to learn the noise map of the noisy ima…
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…
Automatic identification of patients with luminal and non-luminal subtypes during a routine mammography screening can support clinicians in streamlining breast cancer therapy planning. Recent machine learning techniques have shown promising results in molecular subtype classification in mammography; however, they are highly dependent on pixel-level annotations, handcrafted, and radiomic features. In this work, we provide initial insights into the luminal subtype classification in full mammogram images trained using only image-level labels. Transfer learning is applied from a breast abnormality…
Integrating AI for Human-Centric Breast Cancer Diagnostics: A Multi-Scale and Multi-View Swin Transformer Framework
Concordia Institute for Information Systems Engineering (CIISE)（康科迪亚信息系统工程研究所）；Concordia University（康科迪亚大学）；Thomas Jefferson University Hospital（泰勒斯·杰弗里斯大学医院）；College of Computing & Informatics（计算与信息学院）；Drexel University（德雷塞尔大学）
Analysis of Transferred Pre-Trained Deep Convolution Neural Networks in Breast Masses Recognition
Universiti Sains Malaysia（马来西亚理科大学）；King Fahd University of Petroleum and Minerals（法赫德国王石油与矿业大学）；University of Information Technology and Communications（信息技术与通信大学）
University of Edinburgh（爱丁堡大学）；Western General Hospital（西部综合医院）
Deep convolutional neural networks (CNNs) have emerged as a new paradigm for Mammogram diagnosis. Contemporary CNN-based computer-aided-diagnosis (CAD) for breast cancer directly extract latent features from input mammogram image and ignore the importance of morphological features. In this paper, we introduce a novel deep learning framework for mammogram image processing, which computes mass segmentation and simultaneously predict diagnosis results. Specifically, our method is constructed in a dual-path architecture that solves the mapping in a dual-problem manner, with an additional considera…
Leibniz University Hannover（汉诺威莱布尼茨大学）；Memorial University of Newfoundland（纽芬兰纪念大学）；University of Maryland, Baltimore County（马里兰大学巴尔的摩县分校）；Guangdong Pharmaceutical University（广东药科大学）；McGill University（麦吉尔大学）；University of Milano-Bicocca（米兰比可卡大学）；University of Southern Queensland（南昆士兰大学）
Breast cancer is the second leading cause of cancer-related death after lung cancer in women. Early detection of breast cancer in X-ray mammography is believed to have effectively reduced the mortality rate. However, a relatively high false positive rate and a low specificity in mammography technology still exist. In this work, a computer-aided automatic mammogram analysis system is proposed to process the mammogram images and automatically discriminate them as either normal or cancerous, consisting of three consecutive image processing, feature selection, and image classification stages. In d…
Escola Politécnica, Universidade de São Paulo（圣保罗大学理工学院）；Instituto do Câncer do Estado de São Paulo（圣保罗州癌症研究所）；Faculdade de Medicina, Universidade de São Paulo（圣保罗大学医学院）
Some recent studies have described deep convolutional neural networks to diagnose breast cancer in mammograms with similar or even superior performance to that of human experts. One of the best techniques does two transfer learnings: the first uses a model trained on natural images to create a "patch classifier" that categorizes small subimages; the second uses the patch classifier to scan the whole mammogram and create the "single-view whole-image classifier". We propose to make a third transfer learning to obtain a "two-view classifier" to use the two mammographic views: bilateral craniocaud…
Machine learning is widely used in developing computer-aided diagnosis (CAD) schemes of medical images. However, CAD usually computes large number of image features from the targeted regions, which creates a challenge of how to identify a small and optimal feature vector to build robust machine learning models. In this study, we investigate feasibility of applying a random projection algorithm to build an optimal feature vector from the initially CAD-generated large feature pool and improve performance of machine learning model. We assemble a retrospective dataset involving 1,487 cases of mamm…
The Ohio State University（俄亥俄州立大学）；IBM Watson Health（IBM沃森健康）；University of York（约克大学）；Stanford University（斯坦福大学）；Harvard University（哈佛大学）；Brigham & Women’s Hospital（布莱根妇女医院）
Radiologists can classify a mammogram as normal or abnormal at better than chance levels after less than a second's exposure to the images. In this work, we combine these radiologists' gist inputs into pre-trained machine learning models to validate that integrating gist with a CNN model can achieve an AUC (area under the curve) statistically significantly higher than either the gist perception of radiologists or the model without gist input.
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）
Invasive ductal carcinoma is a prevalent, potentially deadly disease associated with a high rate of morbidity and mortality. Its malignancy is the second leading cause of death from cancer in women. The mammogram is an extremely useful resource for mass detection and invasive ductal carcinoma diagnosis. We are proposing a method for Invasive ductal carcinoma that will use convolutional neural networks (CNN) on mammograms to assist radiologists in diagnosing the disease. Due to the varying image clarity and structure of certain mammograms, it is difficult to observe major cancer characteristics…
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）
Accurate characterization of microcalcifications (MCs) in 2D full-field digital screening mammography is a necessary step towards reducing diagnostic uncertainty associated with the callback of women with suspicious MCs. Quantitative analysis of MCs has the potential to better identify MCs that have a higher likelihood of corresponding to invasive cancer. However, automated identification and segmentation of MCs remains a challenging task with high false positive rates. We present Hessian Difference of Gaussians Regression (HDoGReg), a two stage multi-scale approach to MC segmentation. Candida…
University of Edinburgh（爱丁堡大学）；Edinburgh Cancer Centre, Western General Hospital（西部综合医院爱丁堡癌症中心）
Computer-aided breast cancer diagnosis in mammography is limited by inadequate data and the similarity between benign and cancerous masses. To address this, we propose a signed graph regularized deep neural network with adversarial augmentation, named \textsc{DiagNet}. Firstly, we use adversarial learning to generate positive and negative mass-contained mammograms for each mass class. After that, a signed similarity graph is built upon the expanded data to further highlight the discrimination. Finally, a deep convolutional neural network is trained by jointly optimizing the signed graph regula…
Screening mammograms is the gold standard for detecting breast cancer early. While a good amount of work has been performed on mammography image classification, especially with deep neural networks, there has not been much exploration into the confidence or uncertainty measurement of the classification. In this paper, we propose a confidence measure-based evaluation metric for breast cancer screening. We propose a modular network architecture, where a traditional neural network is used as a feature extractor with transfer learning, followed by a simple Bayesian neural network. Utilizing a two-…
