Medical doctors, lectures at College of Medicine, University of Baghdad.
Specialist Medical Oncologist College of Medicine University of Baghdad/ Department Of Medicine.
Gulf J Oncolog. 2023 Jan;1(41):66-71.
Breast cancer is the leading cause of cancer-related mortality among women worldwide. The incidence and mortality increased globally since starting registration in 1990. Artificial intelligence is being widely experimented in aiding in breast cancer detection, radiologically or cytologically. It has a beneficial role in classification when used alone or combined with radiologist evaluation. The objectives of this study are to evaluate the performance and accuracy of different machine learning algorithms in diagnostic mammograms using a local four-field digital mammogram dataset.
The dataset of the mammograms was fullfield digital mammography collected from the oncology teaching hospital in Baghdad. All the mammograms of the patients were studied and labeled by an experienced radiologist. Dataset was composed of two views CranioCaudal (CC) and Mediolateral-oblique (MLO) of one or two breasts. The dataset included 383 cases that were classified based on their BIRADS grade. Image processing included filtering, contrast enhancement using contrast limited adaptive histogram equalization (CLAHE), then removal of labels and pectoral muscle for improving performance. Data augmentation was also applied including horizontal and vertical flipping and rotation within 90 degrees. The data set was divided into a training set and a testing set with a ratio 9:1. Transfer learning of many models trained on the Imagenet dataset was used with fine-tuning. The performance of various models was evaluated using metrics including Loss, Accuracy, and Area under the curve (AUC). Python v3.2 was used for analysis with the Keras library. Ethical approval was obtained by the ethical committee from the College of Medicine University of Baghdad Results: NASNetLarge model achieved the highest accuracy and area under curve 0.8475 and 0.8956 respectively. The least performance was achieved using DenseNet169 and InceptionResNetV2. With accuracy 0.72. The longest time spent for analyzing one hundred image was seven seconds.
This study presents a newly emerging strategy in diagnostic and screening mammography by using AI with the help of transferred learning and fine-tuning. Using these models can achieve acceptable performance in a very fast way which may reduce the workload burden among diagnostic and screening units.
乳腺癌是全球女性癌症相关死亡的主要原因。自 1990 年开始登记以来,发病率和死亡率在全球范围内上升。人工智能在辅助乳腺癌的放射学或细胞学检测方面得到了广泛的应用。当单独使用或与放射科医生的评估相结合时,它在分类方面具有有益的作用。本研究的目的是使用本地四野数字乳腺摄影数据集评估不同机器学习算法在诊断性乳腺 X 线摄影中的性能和准确性。
该乳腺 X 线摄影数据集来自巴格达肿瘤教学医院的全视野数字化乳腺摄影。所有患者的乳腺 X 线摄影均由一位经验丰富的放射科医生进行研究和标记。数据集由一个或两个乳房的 CranioCaudal (CC) 和 Mediolateral-oblique (MLO) 两个视图组成。该数据集包括根据 BIRADS 分级分类的 383 例病例。图像处理包括滤波、使用对比度受限自适应直方图均衡化 (CLAHE) 的对比度增强,然后去除标签和胸肌以提高性能。还应用了数据增强,包括水平和垂直翻转以及 90 度内的旋转。数据集分为训练集和测试集,比例为 9:1。使用在 Imagenet 数据集上训练的许多模型的迁移学习进行微调。使用包括损失、准确性和曲线下面积 (AUC) 在内的指标评估各种模型的性能。使用 Python v3.2 并结合 Keras 库进行分析。巴格达大学医学院伦理委员会获得了伦理批准。
NASNetLarge 模型的准确率和 AUC 最高,分别为 0.8475 和 0.8956。使用 DenseNet169 和 InceptionResNetV2 时性能最低,准确率为 0.72。分析一百张图像的最长时间为七秒。
本研究通过使用迁移学习和微调的人工智能提供了一种新的诊断和筛查乳腺 X 线摄影策略。使用这些模型可以以非常快的方式达到可接受的性能,这可能会减轻诊断和筛查单位的工作负担。