Eltonsy Nevine H, Tourassi Georgia D, Elmaghraby Adel S
Computer Engineering and Computer Science Department, Speed Scientific School, University of Louisville, Eastern Parkway Street, Louisville, KY 40292, USA.
IEEE Trans Med Imaging. 2007 Jun;26(6):880-9. doi: 10.1109/TMI.2007.895460.
We propose a technique for the automated detection of malignant masses in screening mammography. The technique is based on the presence of concentric layers surrounding a focal area with suspicious morphological characteristics and low relative incidence in the breast region. Mammographic locations with high concentration of concentric layers with progressively lower average intensity are considered suspicious deviations from normal parenchyma. The multiple concentric layers (MCLs) technique was trained and tested using the craniocaudal views of 270 mammographic cases with biopsy proven malignant masses from the digital database of screening mammography. One-half of the available cases were used for optimizing the parameters of the detection algorithm. The remaining cases were used for testing. During testing, malignant masses were detected with 92%, 88%, and 81% sensitivity at 5.4, 2.4, and 0.6 false positive marks per image. Testing on 82 normal screening mammograms showed a false positive rate of 5.0, 1.7, and 0.2 marks per image at the previously reported operating points. Furthermore, additional evaluation on 135 benign cases produced a significantly lower detection rate for benign masses (61.6%, 58.3%, and 43.7% at 5.1, 2.8, and 1.2 false positives per image, respectively). Overall, MCL is a promising computer-assisted detection strategy for screening mammograms to identify malignant masses while maintaining the detection rate of benign masses considerably lower.
我们提出了一种用于在乳腺钼靶筛查中自动检测恶性肿块的技术。该技术基于在具有可疑形态特征且在乳腺区域相对发生率较低的病灶周围存在同心层。具有高浓度同心层且平均强度逐渐降低的乳腺钼靶位置被视为与正常实质的可疑偏差。使用来自乳腺钼靶筛查数字数据库的270例经活检证实为恶性肿块的乳腺钼靶病例的头尾位视图对多层同心层(MCL)技术进行了训练和测试。可用病例的一半用于优化检测算法的参数。其余病例用于测试。在测试期间,在每幅图像分别有5.4、2.4和0.6个假阳性标记的情况下,恶性肿块的检测灵敏度分别为92%、88%和81%。在82例正常乳腺钼靶筛查图像上进行测试,在先前报告的操作点处,每幅图像的假阳性率分别为5.0、1.7和0.2个标记。此外,对135例良性病例的额外评估显示,良性肿块的检测率显著较低(在每幅图像分别有5.1、2.8和1.2个假阳性的情况下,分别为61.6%、58.3%和43.7%)。总体而言,MCL是一种有前景的计算机辅助检测策略,用于乳腺钼靶筛查以识别恶性肿块,同时使良性肿块的检测率保持在相当低的水平。