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利用机器学习和可解释人工智能检测乳腺癌。

Detection of breast cancer using machine learning and explainable artificial intelligence.

作者信息

Arravalli Tharunya, Chadaga Krishnaraj, Muralikrishna H, Sampathila Niranjana, Cenitta D, Chadaga Rajagopala, Swathi K S

机构信息

Department of Electronics and Communication Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, 576104, India.

出版信息

Sci Rep. 2025 Jul 24;15(1):26931. doi: 10.1038/s41598-025-12644-w.

DOI:10.1038/s41598-025-12644-w
PMID:40707590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12290098/
Abstract

Breast cancer is characterized by the proliferation of abnormal breast cells that eventually turn into malignant tumors. These cancer cells can metastasize to be life-threatening and fatal. An intricate mix of environmental factors and individual genetic composition can lead to the formation of this deadly carcinoma. Improvements in the diagnosis and treatment of cancer are essential given the rising incidence of breast cancer. Over the past few decades, machine learning has helped provide accurate medical diagnosis results. Therefore, this study used diagnostic characteristics of patients and multiple machine learning classifiers to identify breast cancer. Incorporating explainable artificial intelligence techniques revealed the underlying factors for the model predictions, adding a layer of transparency and interpretability. Out of the algorithms, random forest showed the best result, an F1-score of 84%. The stacked ensemble model, which combines the strengths of different models, obtained an F1-score performance of 83%. The research emphasized the results obtained by explainers such as SHAP (SHapley Additive exPlanations), LIME (Local Interpretable Model-agnostic Explanations), ELI5 (Explain Like I'm Five), Anchor and QLattice (Quantum Lattice) to decipher the findings. Interpretable algorithms can be applied in the medical sector to assist practitioners in predicting breast cancer, reducing diagnostic errors, and improving clinical decision-making.

摘要

乳腺癌的特征是异常乳腺细胞增殖,最终形成恶性肿瘤。这些癌细胞会转移,从而危及生命并导致死亡。环境因素和个体基因构成的复杂组合会导致这种致命癌症的形成。鉴于乳腺癌发病率不断上升,改善癌症的诊断和治疗至关重要。在过去几十年里,机器学习有助于提供准确的医学诊断结果。因此,本研究利用患者的诊断特征和多种机器学习分类器来识别乳腺癌。纳入可解释人工智能技术揭示了模型预测的潜在因素,增加了一层透明度和可解释性。在这些算法中,随机森林表现最佳,F1分数为84%。结合不同模型优势的堆叠集成模型获得了83%的F1分数性能。该研究强调了通过SHAP(SHapley加性解释)、LIME(局部可解释模型无关解释)、ELI5(像给五岁孩子解释一样解释)、Anchor和QLattice(量子晶格)等解释器获得的结果,以解读研究结果。可解释算法可应用于医疗领域,以协助从业者预测乳腺癌、减少诊断错误并改善临床决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/fbe26ee6412f/41598_2025_12644_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/252c77e15613/41598_2025_12644_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/f3e91c9a7e2d/41598_2025_12644_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/a984de087ef8/41598_2025_12644_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/9150ad064b5c/41598_2025_12644_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/8ba889f72321/41598_2025_12644_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/fbe26ee6412f/41598_2025_12644_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/252c77e15613/41598_2025_12644_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/f3e91c9a7e2d/41598_2025_12644_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/a984de087ef8/41598_2025_12644_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/9150ad064b5c/41598_2025_12644_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/8ba889f72321/41598_2025_12644_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1151/12290098/fbe26ee6412f/41598_2025_12644_Fig13_HTML.jpg

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本文引用的文献

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Explainable artificial intelligence in breast cancer detection and risk prediction: A systematic scoping review.乳腺癌检测与风险预测中的可解释人工智能:一项系统综述。
Cancer Innov. 2024 Jul 3;3(5):e136. doi: 10.1002/cai2.136. eCollection 2024 Oct.
2
Personalized identification of autism-related bacteria in the gut microbiome using explainable artificial intelligence.利用可解释人工智能对肠道微生物群中与自闭症相关的细菌进行个性化识别。
iScience. 2024 Aug 13;27(9):110709. doi: 10.1016/j.isci.2024.110709. eCollection 2024 Sep 20.
3
Comparison of Explainable Artificial Intelligence Model and Radiologist Review Performances to Detect Breast Cancer in 752 Patients.
比较可解释人工智能模型与放射科医生对 752 例乳腺癌患者的检测性能。
J Ultrasound Med. 2024 Nov;43(11):2051-2068. doi: 10.1002/jum.16535. Epub 2024 Jul 25.
4
Predictive modeling for breast cancer classification in the context of Bangladeshi patients by use of machine learning approach with explainable AI.基于机器学习和可解释 AI 的孟加拉国患者乳腺癌分类预测模型。
Sci Rep. 2024 Apr 11;14(1):8487. doi: 10.1038/s41598-024-57740-5.
5
Breast cancer risk prediction using machine learning: a systematic review.使用机器学习进行乳腺癌风险预测:一项系统综述。
Front Oncol. 2024 Mar 20;14:1343627. doi: 10.3389/fonc.2024.1343627. eCollection 2024.
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Deep Learning in Breast Cancer Imaging: A Decade of Progress and Future Directions.乳腺癌成像中的深度学习:十年进展与未来方向
IEEE Rev Biomed Eng. 2025;18:130-151. doi: 10.1109/RBME.2024.3357877. Epub 2025 Jan 28.
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A Hybrid Algorithm of ML and XAI to Prevent Breast Cancer: A Strategy to Support Decision Making.一种用于预防乳腺癌的机器学习与可解释人工智能混合算法:一种支持决策的策略
Cancers (Basel). 2023 Apr 25;15(9):2443. doi: 10.3390/cancers15092443.