Department of Electronics and Communication Engineering, National Institute of Technology Calicut, Kerala, India.
Department of Electrical Engineering, National Institute of Technology Calicut, Kerala, India.
Comput Biol Med. 2020 Sep;124:103954. doi: 10.1016/j.compbiomed.2020.103954. Epub 2020 Aug 4.
Breast cancer is a frequently diagnosed cancer in women, contributing to significant mortality rates. Death rates are relatively higher in developing nations due to the shortage of early detection amenities and constraints on access to technical advances combating this disease. The only way to diagnose cancer with certainty is through biopsy performed by pathologists. Computer-aided diagnostic algorithms can assist pathologists in being more productive, objective and consistent in the diagnostic process. The focus of this work is to develop a reliable automated breast cancer diagnosis method which can operate in the prevailing clinical environment.
Nuclei overlap and complex structural organisation of the breast tissue in biopsy images make nuclei segmentation, feature extraction and classification challenging. In this work, a nucleus guided transfer learning (NucTraL) methodology is proposed as a simple and affordable breast tumor classification algorithm. The image feature is represented by fusion of local nuclei features that are extracted using convolutional neural network (CNN) models pretrained on the ImageNet database. The nucleus patch extraction strategy used in this work avoids fine segmentation of the nuclei boundary but provides features with good discriminative power for classification. Classification of the fused features into benign and malignant classes is performed using a support vector machine (SVM) classifier. A belief theory based classifier fusion (BCF) strategy is then employed to combine the outputs arising from the different CNN-SVM combinations to improve accuracy further.
Evaluation of results is achieved by executing 100 random trials with 70%-30% train to test division on the publicly available BreaKHis dataset. The proposed framework achieved average accuracy of 96.91%, sensitivity of 97.24% and specificity of 96.18%.
It is found that the proposed NucTraL+BCF framework outperforms several recent approaches and achieves results comparable to the state-of-the-art methods even without using high computational power. This qualitative framework based on transfer learning can contribute significantly for developing cost effective and low complexity CAD system for breast cancer diagnosis from histopathological images.
乳腺癌是女性常见的癌症之一,导致死亡率较高。发展中国家的死亡率相对较高,原因是早期检测设施短缺,以及在获得对抗这种疾病的技术进步方面存在限制。确诊癌症的唯一方法是通过病理学家进行的活检。计算机辅助诊断算法可以帮助病理学家在诊断过程中更高效、更客观、更一致。这项工作的重点是开发一种可靠的自动化乳腺癌诊断方法,使其能够在当前的临床环境中运行。
活检图像中细胞核的重叠和复杂的组织结构使得细胞核分割、特征提取和分类具有挑战性。在这项工作中,提出了一种基于细胞核引导的迁移学习(NucTraL)方法,作为一种简单且经济实惠的乳腺癌肿瘤分类算法。通过融合使用在 ImageNet 数据库上预训练的卷积神经网络(CNN)模型提取的局部细胞核特征来表示图像特征。在这项工作中使用的细胞核补丁提取策略避免了细胞核边界的精细分割,但提供了具有良好分类能力的特征。使用支持向量机(SVM)分类器对融合特征进行良性和恶性分类。然后,采用基于置信理论的分类器融合(BCF)策略,将来自不同 CNN-SVM 组合的输出进行组合,以进一步提高准确性。
通过在公开的 BreaKHis 数据集上执行 100 次随机试验,其中 70%-30%的训练数据用于测试数据划分,对结果进行评估。所提出的框架平均准确率为 96.91%,敏感度为 97.24%,特异性为 96.18%。
研究发现,所提出的 NucTraL+BCF 框架优于几种最新方法,即使不使用高计算能力,也能达到与最先进方法相当的结果。这种基于迁移学习的定性框架可以为开发基于组织病理学图像的经济高效且低复杂度的 CAD 系统为乳腺癌诊断做出重大贡献。