School of Engineering, London South Bank University, London SE1 0AA, UK.
Breast Screening and Diagnostic Breast Cancer Unit, AUSL Umbria 2, 06034 Foligno, Italy.
Tomography. 2023 Jan 12;9(1):105-129. doi: 10.3390/tomography9010010.
Mammography is the gold standard technology for breast screening, which has been demonstrated through different randomized controlled trials to reduce breast cancer mortality. However, mammography has limitations and potential harms, such as the use of ionizing radiation. To overcome the ionizing radiation exposure issues, a novel device (i.e. MammoWave) based on low-power radio-frequency signals has been developed for breast lesion detection. The MammoWave is a microwave device and is under clinical validation phase in several hospitals across Europe. The device transmits non-invasive microwave signals through the breast and accumulates the backscattered (returned) signatures, commonly denoted as the S21 signals in engineering terminology. Backscattered (complex) S21 signals exploit the contrast in dielectric properties of breasts with and without lesions. The proposed research is aimed to automatically segregate these two types of signal responses by applying appropriate supervised machine learning (ML) algorithm for the data emerging from this research. The support vector machine with radial basis function has been employed here. The proposed algorithm has been trained and tested using microwave breast response data collected at one of the clinical validation centres. Statistical evaluation indicates that the proposed ML model can recognise the MammoWave breasts signal with no radiological finding (NF) and with radiological findings (WF), i.e., may be the presence of benign or malignant lesions. A sensitivity of 84.40% and a specificity of 95.50% have been achieved in NF/WF recognition using the proposed ML model.
乳腺 X 线摄影是乳腺筛查的金标准技术,通过不同的随机对照试验已经证明其可以降低乳腺癌死亡率。然而,乳腺 X 线摄影存在局限性和潜在危害,例如使用电离辐射。为了克服电离辐射暴露问题,已经开发出一种基于低功率射频信号的新型设备(即 MammoWave)用于乳腺病变检测。MammoWave 是一种微波设备,正在欧洲的几家医院进行临床验证阶段。该设备通过乳房传输非侵入性微波信号,并积累反向散射(返回)信号,通常在工程术语中表示为 S21 信号。反向散射(复杂)S21 信号利用有病变和无病变乳房的介电特性差异。拟议的研究旨在通过应用适当的监督机器学习(ML)算法自动分离这两种类型的信号响应,这些算法适用于从该研究中得出的数据。这里使用了具有径向基函数的支持向量机。所提出的算法已经使用在一个临床验证中心收集的微波乳房响应数据进行了训练和测试。统计评估表明,所提出的 ML 模型可以识别出没有放射学发现(NF)和有放射学发现(WF)的 MammoWave 乳房信号,即可能存在良性或恶性病变。使用所提出的 ML 模型在 NF/WF 识别中实现了 84.40%的灵敏度和 95.50%的特异性。