Department of Physics of Complex Systems, Eötvös Loránd University, Budapest, Hungary.
3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Sci Rep. 2018 Mar 15;8(1):4165. doi: 10.1038/s41598-018-22437-z.
In the last two decades, Computer Aided Detection (CAD) systems were developed to help radiologists analyse screening mammograms, however benefits of current CAD technologies appear to be contradictory, therefore they should be improved to be ultimately considered useful. Since 2012, deep convolutional neural networks (CNN) have been a tremendous success in image recognition, reaching human performance. These methods have greatly surpassed the traditional approaches, which are similar to currently used CAD solutions. Deep CNN-s have the potential to revolutionize medical image analysis. We propose a CAD system based on one of the most successful object detection frameworks, Faster R-CNN. The system detects and classifies malignant or benign lesions on a mammogram without any human intervention. The proposed method sets the state of the art classification performance on the public INbreast database, AUC = 0.95. The approach described here has achieved 2nd place in the Digital Mammography DREAM Challenge with AUC = 0.85. When used as a detector, the system reaches high sensitivity with very few false positive marks per image on the INbreast dataset. Source code, the trained model and an OsiriX plugin are published online at https://github.com/riblidezso/frcnn_cad .
在过去的二十年中,计算机辅助检测(CAD)系统被开发出来,以帮助放射科医生分析筛查性乳房 X 光片,然而,当前 CAD 技术的益处似乎相互矛盾,因此需要对其进行改进,使其最终被认为是有用的。自 2012 年以来,深度卷积神经网络(CNN)在图像识别方面取得了巨大的成功,达到了人类的水平。这些方法大大超过了传统的方法,类似于目前使用的 CAD 解决方案。深度 CNN 有可能彻底改变医学图像分析。我们提出了一种基于最成功的目标检测框架之一的 CAD 系统,即 Faster R-CNN。该系统无需任何人工干预即可检测和分类乳房 X 光片中的恶性或良性病变。该方法在公共 INbreast 数据库上实现了最新的分类性能,AUC = 0.95。在 Digital Mammography DREAM 挑战赛中,我们的方法以 AUC = 0.85 的成绩获得第二名。当用作检测器时,该系统在 INbreast 数据集上每幅图像的假阳性标记非常少时,达到了很高的灵敏度。源代码、训练模型和一个 OsiriX 插件已在 https://github.com/riblidezso/frcnn_cad 上发布。