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Can a Computer-Aided Mass Diagnosis Model Based on Perceptive Features Learned From Quantitative Mammography Radiology Reports Improve Junior Radiologists' Diagnosis Performance? An Observer Study.

作者信息

He Zilong, Li Yue, Zeng Weixiong, Xu Weimin, Liu Jialing, Ma Xiangyuan, Wei Jun, Zeng Hui, Xu Zeyuan, Wang Sina, Wen Chanjuan, Wu Jiefang, Feng Chenya, Ma Mengwei, Qin Genggeng, Lu Yao, Chen Weiguo

机构信息

Department of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.

School of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, China.

出版信息

Front Oncol. 2021 Dec 17;11:773389. doi: 10.3389/fonc.2021.773389. eCollection 2021.


DOI:10.3389/fonc.2021.773389
PMID:34976817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8719464/
Abstract

Radiologists' diagnostic capabilities for breast mass lesions depend on their experience. Junior radiologists may underestimate or overestimate Breast Imaging Reporting and Data System (BI-RADS) categories of mass lesions owing to a lack of diagnostic experience. The computer-aided diagnosis (CAD) method assists in improving diagnostic performance by providing a breast mass classification reference to radiologists. This study aims to evaluate the impact of a CAD method based on perceptive features learned from quantitative BI-RADS descriptions on breast mass diagnosis performance. We conducted a retrospective multi-reader multi-case (MRMC) study to assess the perceptive feature-based CAD method. A total of 416 digital mammograms of patients with breast masses were obtained from 2014 through 2017, including 231 benign and 185 malignant masses, from which we randomly selected 214 cases (109 benign, 105 malignant) to train the CAD model for perceptive feature extraction and classification. The remaining 202 cases were enrolled as the test set for evaluation, of which 51 patients (29 benign and 22 malignant) participated in the MRMC study. In the MRMC study, we categorized six radiologists into three groups: junior, middle-senior, and senior. They diagnosed 51 patients with and without support from the CAD model. The BI-RADS category, benign or malignant diagnosis, malignancy probability, and diagnosis time during the two evaluation sessions were recorded. In the MRMC evaluation, the average area under the curve (AUC) of the six radiologists with CAD support was slightly higher than that without support (0.896 vs. 0.850, p = 0.0209). Both average sensitivity and specificity increased (p = 0.0253). Under CAD assistance, junior and middle-senior radiologists adjusted the assessment categories of more BI-RADS 4 cases. The diagnosis time with and without CAD support was comparable for five radiologists. The CAD model improved the radiologists' diagnostic performance for breast masses without prolonging the diagnosis time and assisted in a better BI-RADS assessment, especially for junior radiologists.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/2602b69b4fd0/fonc-11-773389-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/5c9d510b4869/fonc-11-773389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/ba4ba7de4355/fonc-11-773389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/1b020d34f6ce/fonc-11-773389-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/2238fc1f98be/fonc-11-773389-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/2602b69b4fd0/fonc-11-773389-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/5c9d510b4869/fonc-11-773389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/ba4ba7de4355/fonc-11-773389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/1b020d34f6ce/fonc-11-773389-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/2238fc1f98be/fonc-11-773389-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d721/8719464/2602b69b4fd0/fonc-11-773389-g005.jpg

相似文献

[1]
Can a Computer-Aided Mass Diagnosis Model Based on Perceptive Features Learned From Quantitative Mammography Radiology Reports Improve Junior Radiologists' Diagnosis Performance? An Observer Study.

Front Oncol. 2021-12-17

[2]
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Comput Methods Programs Biomed. 2017-10-3

[3]
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[4]
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[5]
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[6]
A deep learning model integrating mammography and clinical factors facilitates the malignancy prediction of BI-RADS 4 microcalcifications in breast cancer screening.

Eur Radiol. 2021-8

[7]
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[8]
Development and validation of a transformer-based CAD model for improving the consistency of BI-RADS category 3-5 nodule classification among radiologists: a multiple center study.

Quant Imaging Med Surg. 2023-6-1

[9]
Improving digital breast tomosynthesis reading time: A pilot multi-reader, multi-case study using concurrent Computer-Aided Detection (CAD).

Eur J Radiol. 2017-10-24

[10]
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Eur Radiol. 2022-6

引用本文的文献

[1]
Artificial Intelligence Applications in Breast Imaging: Current Status and Future Directions.

Diagnostics (Basel). 2023-6-13

[2]
Enhancement Technique Based on the Breast Density Level for Mammogram for Computer-Aided Diagnosis.

Bioengineering (Basel). 2023-1-23

本文引用的文献

[1]
Impact of Artificial Intelligence Decision Support Using Deep Learning on Breast Cancer Screening Interpretation with Single-View Wide-Angle Digital Breast Tomosynthesis.

Radiology. 2021-9

[2]
Towards improved breast mass detection using dual-view mammogram matching.

Med Image Anal. 2021-7

[3]
Impact of artificial intelligence support on accuracy and reading time in breast tomosynthesis image interpretation: a multi-reader multi-case study.

Eur Radiol. 2021-11

[4]
A New Computer-Aided Diagnosis System with Modified Genetic Feature Selection for BI-RADS Classification of Breast Masses in Mammograms.

Biomed Res Int. 2020

[5]
Deep learning for mass detection in Full Field Digital Mammograms.

Comput Biol Med. 2020-6

[6]
Improving Accuracy and Efficiency with Concurrent Use of Artificial Intelligence for Digital Breast Tomosynthesis.

Radiol Artif Intell. 2019-7-31

[7]
Deep Neural Networks Improve Radiologists' Performance in Breast Cancer Screening.

IEEE Trans Med Imaging. 2020-4

[8]
Artificial Intelligence for Mammography and Digital Breast Tomosynthesis: Current Concepts and Future Perspectives.

Radiology. 2019-9-24

[9]
Comparison of the diagnostic performance of abbreviated MRI and full diagnostic MRI using a computer-aided diagnosis (CAD) system in patients with a personal history of breast cancer: the effect of CAD-generated kinetic features on reader performance.

Clin Radiol. 2019-7-27

[10]
Can we reduce the workload of mammographic screening by automatic identification of normal exams with artificial intelligence? A feasibility study.

Eur Radiol. 2019-4-16

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