通过深度学习在不同密度的数字化乳腺钼靶片中自动检测乳腺癌

Automated Breast Cancer Detection in Digital Mammograms of Various Densities via Deep Learning.

作者信息

Suh Yong Joon, Jung Jaewon, Cho Bum-Joo

机构信息

Department of Breast and Endocrine Surgery, Hallym University Sacred Heart Hospital, Anyang 14068, Korea.

Medical Artificial Intelligence Center, Hallym University Medical Center, Anyang 14068, Korea.

出版信息

J Pers Med. 2020 Nov 6;10(4):211. doi: 10.3390/jpm10040211.

Abstract

Mammography plays an important role in screening breast cancer among females, and artificial intelligence has enabled the automated detection of diseases on medical images. This study aimed to develop a deep learning model detecting breast cancer in digital mammograms of various densities and to evaluate the model performance compared to previous studies. From 1501 subjects who underwent digital mammography between February 2007 and May 2015, craniocaudal and mediolateral view mammograms were included and concatenated for each breast, ultimately producing 3002 merged images. Two convolutional neural networks were trained to detect any malignant lesion on the merged images. The performances were tested using 301 merged images from 284 subjects and compared to a meta-analysis including 12 previous deep learning studies. The mean area under the receiver-operating characteristic curve (AUC) for detecting breast cancer in each merged mammogram was 0.952 ± 0.005 by DenseNet-169 and 0.954 ± 0.020 by EfficientNet-B5, respectively. The performance for malignancy detection decreased as breast density increased (density A, mean AUC = 0.984 vs. density D, mean AUC = 0.902 by DenseNet-169). When patients' age was used as a covariate for malignancy detection, the performance showed little change (mean AUC, 0.953 ± 0.005). The mean sensitivity and specificity of the DenseNet-169 (87 and 88%, respectively) surpassed the mean values (81 and 82%, respectively) obtained in a meta-analysis. Deep learning would work efficiently in screening breast cancer in digital mammograms of various densities, which could be maximized in breasts with lower parenchyma density.

摘要

乳腺钼靶摄影在女性乳腺癌筛查中起着重要作用,而人工智能已实现了医学图像上疾病的自动检测。本研究旨在开发一种深度学习模型,用于检测不同密度数字乳腺钼靶片中的乳腺癌,并与以往研究比较评估该模型的性能。从2007年2月至2015年5月接受数字乳腺钼靶摄影的1501名受试者中,纳入双侧乳腺的头尾位和内外侧斜位乳腺钼靶片并拼接,最终得到3002张合并图像。训练两个卷积神经网络以检测合并图像上的任何恶性病变。使用来自284名受试者的301张合并图像测试性能,并与包括12项以往深度学习研究的荟萃分析进行比较。DenseNet-169和EfficientNet-B5在每张合并乳腺钼靶片中检测乳腺癌的受试者操作特征曲线下面积(AUC)平均值分别为0.952±0.005和0.954±0.020。随着乳腺密度增加,恶性病变检测性能下降(DenseNet-169:密度A时,平均AUC = 0.984;密度D时,平均AUC = 0.902)。当将患者年龄用作恶性病变检测的协变量时,性能变化不大(平均AUC,0.953±0.005)。DenseNet-169的平均灵敏度和特异度(分别为87%和88%)超过了荟萃分析得到的平均值(分别为81%和82%)。深度学习在筛查不同密度数字乳腺钼靶片中的乳腺癌方面将有效发挥作用,在实质密度较低的乳腺中效果最佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5406/7711783/ae77dd58577d/jpm-10-00211-g001.jpg

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