da Nobrega Yann N G, Carvalhal Giulia, Teixeira João P V, de Camargo Barbara P, do Rego Thais G, Malheiros Yuri, Silva Filho Telmo de M E, Vent Trevor L, Acciavatti Raymond J, Maidment Andrew D A, Barufaldi Bruno
Federal University of Paraíba, João Pessoa, Brazil.
Federal University of Campina Grande, Campina Grande, Brazil.
Proc SPIE Int Soc Opt Eng. 2022 May;12286. doi: 10.1117/12.2626225. Epub 2022 Jul 13.
Our lab has built a next-generation tomosynthesis (NGT) system utilizing scanning motions with more degrees of freedom than clinical digital breast tomosynthesis systems. We are working toward designing scanning motions that are customized around the locations of suspicious findings. The first step in this direction is to demonstrate that these findings can be detected with a single projection image, which can guide the remainder of the scan. This paper develops an automated method to identify findings that are prone to be masked. Perlin-noise phantoms and synthetic lesions were used to simulate masked cancers. NGT projections of phantoms were simulated using ray-tracing software. The risk of masking cancers was mapped using the ground-truth labels of phantoms. The phantom labels were used to denote regions of low and high risk of masking suspicious findings. A U-Net model was trained for multiclass segmentation of phantom images. Model performance was quantified with a receiver operating characteristic (ROC) curve using area under the curve (AUC). The ROC operating point was defined to be the point closest to the upper left corner of ROC space. The output predictions showed an accurate segmentation of tissue predominantly adipose (mean AUC of 0.93). The predictions also indicate regions of suspicious findings; for the highest risk class, mean AUC was 0.89, with a true positive rate of 0.80 and a true negative rate of 0.83 at the operating point. In summary, this paper demonstrates with virtual phantoms that a single projection can indeed be used to identify suspicious findings.
我们的实验室构建了一种新一代断层合成(NGT)系统,该系统利用了比临床数字乳腺断层合成系统具有更多自由度的扫描运动。我们正在努力设计围绕可疑发现位置进行定制的扫描运动。朝着这个方向的第一步是证明这些发现可以通过单个投影图像检测到,这可以指导扫描的其余部分。本文开发了一种自动方法来识别容易被掩盖的发现。使用柏林噪声体模和合成病变来模拟被掩盖的癌症。使用光线追踪软件模拟体模的NGT投影。利用体模的真实标签绘制掩盖癌症的风险图。体模标签用于表示掩盖可疑发现的低风险和高风险区域。训练了一个U-Net模型用于体模图像的多类分割。使用曲线下面积(AUC)通过接收器操作特性(ROC)曲线对模型性能进行量化。ROC操作点定义为最接近ROC空间左上角的点。输出预测显示对主要为脂肪组织的准确分割(平均AUC为0.93)。预测还指出了可疑发现的区域;对于最高风险类别,平均AUC为0.89,在操作点处真阳性率为0.80,真阴性率为0.83。总之,本文通过虚拟体模证明单个投影确实可以用于识别可疑发现。