School of Electrical Engineering, Yanshan University, Qinhuangdao, 066004, China.
The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
J Digit Imaging. 2023 Jun;36(3):932-946. doi: 10.1007/s10278-022-00711-x. Epub 2023 Jan 31.
Breast cancer is one of the most dangerous and common cancers in women which leads to a major research topic in medical science. To assist physicians in pre-screening for breast cancer to reduce unnecessary biopsies, breast ultrasound and computer-aided diagnosis (CAD) have been used to distinguish between benign and malignant tumors. In this study, we proposed a CAD system for tumor diagnosis using a multi-channel fusion method and feature extraction structure based on multi-feature fusion on breast ultrasound (BUS) images. In the pre-processing stage, the multi-channel fusion method completed the color conversion of the BUS image to make it contain richer information. In the feature extraction stage, the pre-trained ResNet50 network was selected as the basic network, and three levels of features were combined based on adaptive spatial feature fusion (ASFF), and finally, the shallow local binary pattern (LBP) texture features were fused. Support vector machine (SVM) was used for comparative analysis. A retrospective analysis was carried out, and 1615 breast tumor images (572 benign and 1043 malignant) confirmed by pathological examinations were collected. After data processing and augmentation, for an independent test set consisting of 874 breast ultrasound images (457 benign and 417 malignant), the accuracy, precision, recall, specificity, F1 score, and AUC of our method were 96.91%, 98.75%, 94.72%, 98.91%, 0.97, and 0.991, respectively. The results show that the integration of shallow LBP texture features and multi-level depth features can more effectively improve the comprehensive performance of breast tumor diagnosis, and has strong clinical application value. Compared with the past methods, our proposed method is expected to realize the automatic diagnosis of breast tumors and provide an auxiliary tool for radiologists to accurately diagnose breast diseases.
乳腺癌是女性最危险和最常见的癌症之一,这也是医学科学的主要研究课题。为了帮助医生进行乳腺癌的预筛查,减少不必要的活检,已经使用了乳房超声和计算机辅助诊断 (CAD) 来区分良性和恶性肿瘤。在这项研究中,我们提出了一种基于多特征融合的多通道融合方法和特征提取结构的 CAD 系统,用于对乳房超声 (BUS) 图像进行肿瘤诊断。在预处理阶段,多通道融合方法完成了 BUS 图像的颜色转换,使其包含更丰富的信息。在特征提取阶段,选择预训练的 ResNet50 网络作为基础网络,基于自适应空间特征融合 (ASFF) 融合了三个层次的特征,最后融合了浅层局部二值模式 (LBP) 纹理特征。使用支持向量机 (SVM) 进行对比分析。进行了回顾性分析,共收集了 1615 个经病理检查证实的乳腺肿瘤图像 (572 个良性和 1043 个恶性)。经过数据处理和扩充,对于由 874 个乳房超声图像组成的独立测试集 (457 个良性和 417 个恶性),我们的方法的准确率、精度、召回率、特异性、F1 得分和 AUC 分别为 96.91%、98.75%、94.72%、98.91%、0.97 和 0.991。结果表明,浅层 LBP 纹理特征和多层次深度特征的融合可以更有效地提高乳腺肿瘤诊断的综合性能,具有很强的临床应用价值。与过去的方法相比,我们提出的方法有望实现对乳腺肿瘤的自动诊断,并为放射科医生提供一种准确诊断乳腺疾病的辅助工具。