基于深度学习的乳腺癌患者增强 CT 图像腋窝淋巴结转移预测。
Axillary lymph node metastasis prediction by contrast-enhanced computed tomography images for breast cancer patients based on deep learning.
机构信息
Institute of Systems Science and Technology, School of Electrical Engineering, Southwest Jiaotong University, Chengdu, 611756, China.
Department of Radiology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
出版信息
Comput Biol Med. 2021 Sep;136:104715. doi: 10.1016/j.compbiomed.2021.104715. Epub 2021 Aug 5.
When doctors use contrast-enhanced computed tomography (CECT) images to predict the metastasis of axillary lymph nodes (ALN) for breast cancer patients, the prediction performance could be degraded by subjective factors such as experience, psychological factors, and degree of fatigue. This study aims to exploit efficient deep learning schemes to predict the metastasis of ALN automatically via CECT images. A new construction called deformable sampling module (DSM) was meticulously designed as a plug-and-play sampling module in the proposed deformable attention VGG19 (DA-VGG19). A dataset of 800 samples labeled from 800 CECT images of 401 breast cancer patients retrospectively enrolled in the last three years was adopted to train, validate, and test the deep convolutional neural network models. By comparing the accuracy, positive predictive value, negative predictive value, sensitivity and specificity indices, the performance of the proposed model is analyzed in detail. The best-performing DA-VGG19 model achieved an accuracy of 0.9088, which is higher than that of other classification neural networks. As such, the proposed intelligent diagnosis algorithm can provide doctors with daily diagnostic assistance and advice and reduce the workload of doctors. The source code mentioned in this article will be released later.
当医生使用对比增强计算机断层扫描(CECT)图像来预测乳腺癌患者腋窝淋巴结(ALN)转移时,预测性能可能会受到经验、心理因素和疲劳程度等主观因素的影响。本研究旨在利用有效的深度学习方案,通过 CECT 图像自动预测 ALN 的转移。作为一种可插拔的采样模块,我们精心设计了一种新的结构,称为可变形采样模块(DSM),并将其应用于提出的可变形注意力 VGG19(DA-VGG19)中。采用了一个包含 401 名乳腺癌患者的 800 个 CECT 图像的数据集,这些图像来自过去三年的回顾性研究,用于训练、验证和测试深度卷积神经网络模型。通过比较准确率、阳性预测值、阴性预测值、敏感性和特异性指标,详细分析了所提出模型的性能。表现最佳的 DA-VGG19 模型的准确率达到 0.9088,高于其他分类神经网络。因此,所提出的智能诊断算法可以为医生提供日常诊断辅助和建议,并减轻医生的工作量。本文提到的源代码将在稍后发布。