Burt Jeremy R, Torosdagli Neslisah, Khosravan Naji, RaviPrakash Harish, Mortazi Aliasghar, Tissavirasingham Fiona, Hussein Sarfaraz, Bagci Ulas
1 Department of Radiology, Florida Hospital , Orlando, FL , USA.
2 Department of Computer Science, Center for Research in Computer Vision, University of Central Florida (UCF) , Orlando, FL , USA.
Br J Radiol. 2018 Sep;91(1089):20170545. doi: 10.1259/bjr.20170545. Epub 2018 Apr 10.
Deep learning has demonstrated tremendous revolutionary changes in the computing industry and its effects in radiology and imaging sciences have begun to dramatically change screening paradigms. Specifically, these advances have influenced the development of computer-aided detection and diagnosis (CAD) systems. These technologies have long been thought of as "second-opinion" tools for radiologists and clinicians. However, with significant improvements in deep neural networks, the diagnostic capabilities of learning algorithms are approaching levels of human expertise (radiologists, clinicians etc.), shifting the CAD paradigm from a "second opinion" tool to a more collaborative utility. This paper reviews recently developed CAD systems based on deep learning technologies for breast cancer diagnosis, explains their superiorities with respect to previously established systems, defines the methodologies behind the improved achievements including algorithmic developments, and describes remaining challenges in breast cancer screening and diagnosis. We also discuss possible future directions for new CAD models that continue to change as artificial intelligence algorithms evolve.
深度学习在计算行业已展现出巨大的变革,其在放射学和影像科学领域的影响已开始显著改变筛查模式。具体而言,这些进展推动了计算机辅助检测与诊断(CAD)系统的发展。长期以来,这些技术一直被视为放射科医生和临床医生的“第二意见”工具。然而,随着深度神经网络的显著改进,学习算法的诊断能力正接近人类专家(放射科医生、临床医生等)的水平,将CAD模式从“第二意见”工具转变为更具协作性的实用工具。本文回顾了最近基于深度学习技术开发的用于乳腺癌诊断的CAD系统,解释了它们相对于先前已建立系统的优势,定义了包括算法开发在内的改进成果背后的方法,并描述了乳腺癌筛查和诊断中尚存的挑战。我们还讨论了随着人工智能算法的发展而不断变化的新型CAD模型未来可能的发展方向。