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可解释的乳腺微钙化检测和分类放射组学特征。

Interpretable Radiomic Signature for Breast Microcalcification Detection and Classification.

机构信息

Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.

Department of Computer Science and Technology, University of Cambridge, CB2 1TN, Cambridge, United Kingdom.

出版信息

J Imaging Inform Med. 2024 Jun;37(3):1038-1053. doi: 10.1007/s10278-024-01012-1. Epub 2024 Feb 13.

Abstract

Breast microcalcifications are observed in 80% of mammograms, and a notable proportion can lead to invasive tumors. However, diagnosing microcalcifications is a highly complicated and error-prone process due to their diverse sizes, shapes, and subtle variations. In this study, we propose a radiomic signature that effectively differentiates between healthy tissue, benign microcalcifications, and malignant microcalcifications. Radiomic features were extracted from a proprietary dataset, composed of 380 healthy tissue, 136 benign, and 242 malignant microcalcifications ROIs. Subsequently, two distinct signatures were selected to differentiate between healthy tissue and microcalcifications (detection task) and between benign and malignant microcalcifications (classification task). Machine learning models, namely Support Vector Machine, Random Forest, and XGBoost, were employed as classifiers. The shared signature selected for both tasks was then used to train a multi-class model capable of simultaneously classifying healthy, benign, and malignant ROIs. A significant overlap was discovered between the detection and classification signatures. The performance of the models was highly promising, with XGBoost exhibiting an AUC-ROC of 0.830, 0.856, and 0.876 for healthy, benign, and malignant microcalcifications classification, respectively. The intrinsic interpretability of radiomic features, and the use of the Mean Score Decrease method for model introspection, enabled models' clinical validation. In fact, the most important features, namely GLCM Contrast, FO Minimum and FO Entropy, were compared and found important in other studies on breast cancer.

摘要

乳腺微钙化在 80%的乳房 X 光片中可见,相当一部分可导致侵袭性肿瘤。然而,由于其大小、形状和细微变化多样,诊断微钙化是一个高度复杂且容易出错的过程。在这项研究中,我们提出了一种放射组学特征,可有效区分健康组织、良性微钙化和恶性微钙化。从一个专有的数据集提取放射组学特征,该数据集由 380 个健康组织、136 个良性和 242 个恶性微钙化 ROI 组成。随后,选择了两个不同的特征来区分健康组织和微钙化(检测任务)以及良性和恶性微钙化(分类任务)。使用支持向量机、随机森林和 XGBoost 等机器学习模型作为分类器。然后,使用为两个任务选择的共享特征来训练一个能够同时对健康、良性和恶性 ROI 进行分类的多类模型。检测和分类特征之间存在显著重叠。模型的性能非常有前景,XGBoost 分别在健康、良性和恶性微钙化分类中表现出 0.830、0.856 和 0.876 的 AUC-ROC。放射组学特征的内在可解释性以及使用平均得分下降方法进行模型内省,使模型能够进行临床验证。事实上,最重要的特征,即 GLCM 对比度、FO 最小值和 FO 熵,与其他乳腺癌研究进行了比较,被发现很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a06/11169144/7cd4625ddd85/10278_2024_1012_Fig1_HTML.jpg

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