Breast cancer is a significant cause of death from cancer in women globally, highlighting the need for improved diagnostic imaging to enhance patient outcomes. Accurate tumour identification is essential for diagnosis, treatment, and monitoring, emphasizing the importance of advanced imaging technologies that provide detailed views of tumour characteristics and disease. Synthetic correlated diffusion imaging (CDI$^s$) is a recent method that has shown promise for prostate cancer delineation compared to current MRI images. In this paper, we explore tuning the coefficients in the computation of CDI$^s$ for breast cancer tumour delineation by maximizing the area under the receiver operating characteristic curve (AUC) using a Nelder-Mead simplex optimization strategy. We show that the best AUC is achieved by the CDI$^s$ - Optimized modality, outperforming the best gold-standard modality by 0.0044. Notably, the optimized CDI$^s$ modality also achieves AUC values over 0.02 higher than the Unoptimized CDI$^s$ value, demonstrating the importance of optimizing the CDI$^s$ exponents for the specific cancer application.
University of Texas Southwestern Medical Center（德克萨斯大学西南医学中心）
Efficient, reliable and reproducible target volume delineation is a key step in the effective planning of breast radiotherapy. However, post-operative breast target delineation is challenging as the contrast between the tumor bed volume (TBV) and normal breast tissue is relatively low in CT images. In this study, we propose to mimic the marker-guidance procedure in manual target delineation. We developed a saliency-based deep learning segmentation (SDL-Seg) algorithm for accurate TBV segmentation in post-operative breast irradiation. The SDL-Seg algorithm incorporates saliency information in t…
Pre- to Post-Contrast Breast MRI Synthesis for Enhanced Tumour Segmentation
Universitat de Barcelona（巴塞罗那大学）；Helmholtz Center Munich（慕尼黑亥姆霍兹中心）；Technical University of Munich（慕尼黑工业大学）；Karolinska Institutet（卡罗林斯卡学院）；King’s College London（伦敦国王学院）
Indian Institute of Information Technology Allahabad（阿拉哈巴德印度信息技术学院）
In the clinical settings, during digital examination of histopathological slides, the pathologist annotate the slides by marking the rough boundary around the suspected tumour region. The marking or annotation is generally represented as a polygonal boundary that covers the extent of the tumour in the slide. These polygonal markings are difficult to imitate through CAD techniques since the tumour regions are heterogeneous and hence segmenting them would require exhaustive pixel wise ground truth annotation. Therefore, for CAD analysis, the ground truths are generally annotated by pathologist e…
We present a fast and reliable algorithm that gives precise location of breast tumours for a partial mastectomy. Our algorithm is fully implemented in the Surface Evolver, which is a general-purpose simulator of physical experiments. By starting from the X-rays images that show a tumour one takes its 2D coordinates in each view. These views are called CC (Craniocaudal) and MLO (Mediolateral Oblique). Together with some measurements of the patient's breast, that coordinates are given as input to our simulator. From this point on the simulator reproduces all main steps of taking mammography with…
A Preliminary Investigation into Search and Matching for Tumour Discrimination in WHO Breast Taxonomy Using Deep Networks
Mayo Clinic（梅奥诊所）；University of Waterloo（滑铁卢大学）；University of Pittsburgh Medical Center（匹兹堡大学医学中心）；Luma Medical Centre（卢玛医疗中心）；International Agency for Research on Cancer（国际癌症研究机构）；Rhazes Lab, Department of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, MN, USA（梅奥诊所Rhazes实验室（人工智能与信息学系））；Kimia Lab, University of Waterloo, Canada（滑铁卢大学Kimia实验室）
Faculty of Engineering and Applied Science, Ontario Tech University（安大略理工大学工程与应用科学学院）；Faculty of Business and Information Technology, Ontario Tech University（安大略理工大学商业与信息技术学院）
Deep learning has introduced several learning-based methods to recognize breast tumours and presents high applicability in breast cancer diagnostics. It has presented itself as a practical installment in Computer-Aided Diagnostic (CAD) systems to further assist radiologists in diagnostics for different modalities. A deep learning network trained on images provided by hospitals or public databases can perform classification, detection, and segmentation of lesion types. Significant progress has been made in recognizing tumours on 2D images but recognizing 3D images remains a frontier so far. The…
Karolinska Institutet（卡罗林斯卡学院）；Tampere University（坦佩雷大学）；Lund University（隆德大学）；University of Turku（图尔库大学）；Karolinska University Laboratory（卡罗林斯卡大学实验室）
Molecular phenotyping is central in cancer precision medicine, but remains costly and standard methods only provide a tumour average profile. Microscopic morphological patterns observable in histopathology sections from tumours are determined by the underlying molecular phenotype and associated with clinical factors. The relationship between morphology and molecular phenotype has a potential to be exploited for prediction of the molecular phenotype from the morphology visible in histopathology images. We report the first transcriptome-wide Expression-MOrphology (EMO) analysis in breast cancer,…
An automatic segmentation algorithm for delineation of the gross tumour volume and pathologic lymph nodes of head and neck cancers in PET/CT images is described. The proposed algorithm is based on a convolutional neural network using the U-Net architecture. Several model hyperparameters were explored and the model performance in terms of the Dice similarity coefficient was validated on images from 15 patients. A separate test set consisting of images from 40 patients was used to assess the generalisability of the algorithm. The performance on the test set showed close-to-oncologist level delin…
Breast MRI radiomics and machine learning radiomics-based predictions of response to neoadjuvant chemotherapy -- how are they affected by variations in tumour delineation?
DSU-Net: An Attention-Enhanced Dense Skip U-Net for Breast Lesion Segmentation in Mammographic Images
Department of Biomedical Engineering, University of Wisconsin-Milwaukee（威斯康星大学密尔沃基分校生物医学工程系）；Department of Mechanical Engineering, Northern Arizona University（北亚利桑那大学机械工程系）
Breast cancer is the most commonly diagnosed cancer worldwide, with over two million new cases each year. During diagnostic tumour grading, pathologists manually count the number of dividing cells (mitotic figures) in biopsy or tumour resection specimens. Since the process is subjective and time-consuming, data-driven artificial intelligence (AI) methods have been developed to automatically detect mitotic figures. However, these methods often generalise poorly, with performance reduced by variations in tissue types, staining protocols, or the scanners used to digitise whole-slide images. Domai…
ECTIL: Label-efficient Computational Tumour Infiltrating Lymphocyte (TIL) assessment in breast cancer: Multicentre validation in 2,340 patients with breast cancer
University of Amsterdam（阿姆斯特丹大学）；Netherlands Cancer Institute（荷兰癌症研究所）；Erasmus University Medical Center（伊拉斯姆斯大学医学中心）；University Medical Center Groningen（格罗宁根大学医学中心）；The Amsterdam University Medical Centre, AUMC, The University of Amsterdam（阿姆斯特丹大学医学中心（阿姆斯特丹大学））；ZAS Hospitals（ZAS医院）；Peter Mac Callum Centre（彼得·麦卡勒姆中心）；University Medical Center Utrecht（乌得勒支大学医学中心）
Knowledge of x-ray attenuation is essential for developing and evaluating x-ray imaging technologies. For instance, techniques to distinguish between cysts and solid tumours at mammography screening would be highly desirable to reduce recalls, but the development requires knowledge of the x-ray attenuation for cysts and tumours. We have previously measured the attenuation of cyst fluid using photon-counting spectral mammography. Data on x-ray attenuation for solid breast lesions are available in the literature, but cover a relatively wide range, likely caused by natural spread between samples,…
University of Cambridge（剑桥大学）；University of Cincinnati（辛辛那提大学）
Quantitative cancer image analysis relies on the accurate delineation of tumours, a very specialised and time-consuming task. For this reason, methods for automated segmentation of tumours in medical imaging have been extensively developed in recent years, being Computed Tomography one of the most popular imaging modalities explored. However, the large amount of 3D voxels in a typical scan is prohibitive for the entire volume to be analysed at once in conventional hardware. To overcome this issue, the processes of downsampling and/or resampling are generally implemented when using traditional …
Knowledge of x-ray attenuation is essential for developing and evaluating x-ray imaging technologies. In mammography, measurement of breast density, dose estimation, and differentiation between cysts and solid tumours are example applications requiring accurate data on tissue attenuation. Published attenuation data are, however, sparse and cover a relatively wide range. To supplement available data we have previously measured the attenuation of cyst fluid and solid lesions using photon-counting spectral mammography. The present study aims to measure the attenuation of normal adipose and glandu…
Pancreatic cancer will soon be the second leading cause of cancer-related death in Western society. Imaging techniques such as CT, MRI and ultrasound typically help providing the initial diagnosis, but histopathological assessment is still the gold standard for final confirmation of disease presence and prognosis. In recent years machine learning approaches and pathomics pipelines have shown potential in improving diagnostics and prognostics in other cancerous entities, such as breast and prostate cancer. A crucial first step in these pipelines is typically identification and segmentation of t…
University of Freiburg（弗莱堡大学）；Medical Center – University of Freiburg（弗莱堡大学医学中心）；Faculty of Medicine, University of Freiburg（弗莱堡大学医学院）；German Cancer Consortium (DKTK)（德国癌症联盟）；Medical School of Nanjing University（南京大学医学院）；Affiliated Drum Tower Hospital（鼓楼医院）；Hannover Medical School（汉诺威医学院）；Institute for Surgical Pathology, Medical Center – University of Freiburg（弗莱堡大学医学中心外科病理研究所）
Accurate delineation of the intraprostatic gross tumour volume (GTV) is a prerequisite for treatment approaches in patients with primary prostate cancer (PCa). Prostate-specific membrane antigen positron emission tomography (PSMA-PET) may outperform MRI in GTV detection. However, visual GTV delineation underlies interobserver heterogeneity and is time consuming. The aim of this study was to develop a convolutional neural network (CNN) for automated segmentation of intraprostatic tumour (GTV-CNN) in PSMA-PET. Methods: The CNN (3D U-Net) was trained on [68Ga]PSMA-PET images of 152 patients from …
Diagnosis of breast cancer has been well studied in the past. Multiple linear programming models have been devised to approximate the relationship between cell features and tumour malignancy. However, these models are less capable in handling non-linear correlations. Neural networks instead are powerful in processing complex non-linear correlations. It is thus certainly beneficial to approach this cancer diagnosis problem with a model based on neural network. Particularly, introducing bias to neural network training process is deemed as an important means to increase training efficiency. Out o…
Promptable segmentation with region exploration enables minimal-effort expert-level prostate cancer delineation
UCL Hawkes Institute（UCL Hawkes Institute；医学物理与生物医学工程系）；Department of Medical Physics and Biomedical Engineering（大学学院伦敦）；University College London（医学成像中心）；Centre of Medical Imaging（肿瘤学系）；Department of Oncology（阿迦·柯尔大学医院）；Aga Khan University Hospital（生物工程中心；工程与材料科学学院）；Centre for Bioengineering；School of Engineering and Materials Science
GRAPHITE: Graph-Based Interpretable Tissue Examination for Enhanced Explainability in Breast Cancer Histopathology
School of Computer Science and Engineering（计算机科学与工程学院）；University of New South Wales（新南威尔士大学）；St. George and Sutherland Clinical School（圣乔治与萨瑟兰临床学院）；Department of Anatomical Pathology（解剖病理学部）；NSW Health Pathology（新南威尔士州卫生病理学）；Cancer Care Centre（癌症护理中心）
