scholarly journals AI-enhanced simultaneous multiparametric 18F-FDG PET/MRI for accurate breast cancer diagnosis

Author(s):  
V. Romeo ◽  
P. Clauser ◽  
S. Rasul ◽  
P. Kapetas ◽  
P. Gibbs ◽  
...  

Abstract Purpose To assess whether a radiomics and machine learning (ML) model combining quantitative parameters and radiomics features extracted from simultaneous multiparametric 18F-FDG PET/MRI can discriminate between benign and malignant breast lesions. Methods A population of 102 patients with 120 breast lesions (101 malignant and 19 benign) detected on ultrasound and/or mammography was prospectively enrolled. All patients underwent hybrid 18F-FDG PET/MRI for diagnostic purposes. Quantitative parameters were extracted from DCE (MTT, VD, PF), DW (mean ADC of breast lesions and contralateral breast parenchyma), PET (SUVmax, SUVmean, and SUVminimum of breast lesions, as well as SUVmean of the contralateral breast parenchyma), and T2-weighted images. Radiomics features were extracted from DCE, T2-weighted, ADC, and PET images. Different diagnostic models were developed using a fine Gaussian support vector machine algorithm which explored different combinations of quantitative parameters and radiomics features to obtain the highest accuracy in discriminating between benign and malignant breast lesions using fivefold cross-validation. The performance of the best radiomics and ML model was compared with that of expert reader review using McNemar’s test. Results Eight radiomics models were developed. The integrated model combining MTT and ADC with radiomics features extracted from PET and ADC images obtained the highest accuracy for breast cancer diagnosis (AUC 0.983), although its accuracy was not significantly higher than that of expert reader review (AUC 0.868) (p = 0.508). Conclusion A radiomics and ML model combining quantitative parameters and radiomics features extracted from simultaneous multiparametric 18F-FDG PET/MRI images can accurately discriminate between benign and malignant breast lesions.

2021 ◽  
Author(s):  
Valeria Romeo ◽  
Paola Clauser ◽  
Sazan Rasul ◽  
Panagiotis Kapetas ◽  
Peter Gibbs ◽  
...  

Abstract Purpose: to assess whether a radiomics and machine learning (ML) model combining quantitative parameters and radiomics features extracted from synchronized multiparametric 18F-FDG PET/MRI images can differentiate benign and malignant breast lesions.Methods: 102 consecutive patients with 120 BI-RADS 0, 4 and 5 breast lesions (101 malignant, 19 benign) detected by ultrasound and/or mammography were prospectively enrolled and underwent hybrid 18F-FDG PET/MRI for diagnostic purposes. Quantitative parameters and radiomics features were extracted from dynamic contrast-enhanced (MTT, VD, PF), diffusion (ADCmean of breast lesions and contralateral breast parenchyma), PET (SUVmax, mean and minimum of breast lesions, SUVmean of uni- and contralateral breast parenchyma) and T2-w images. Different diagnostic models were developed using a fine gaussian support vector machine algorithm and exploring different combinations of quantitative parameters and radiomics features to obtain the highest accuracy in discriminating benign from malignant breast lesions using a 5-fold cross validation. The performance of the best radiomics and ML model was compared with that of expert readers review physician using the McNemar test.Results: Eight radiomics models were developed. The integrated model combining MTT and ADC with radiomics features extracted from PET and ADC images obtained the highest accuracy for breast cancer diagnosis (AUC 0.983) and was higher (AUC 0.868) yet not significant to expert readers review (p=0.508).Conclusion: A radiomics and ML model combining quantitative parameters and radiomics features extracted from synchronized multiparametric 18F-FDG PET/MRI images can accurately discriminate benign from malignant breast lesions.


2021 ◽  
Vol 30 (1) ◽  
pp. 998-1013
Author(s):  
Shubham Vashisth ◽  
Ishika Dhall ◽  
Garima Aggarwal

Abstract The rapid pace of development over the last few decades in the domain of machine learning mirrors the advances made in the field of quantum computing. It is natural to ask whether the conventional machine learning algorithms could be optimized using the present-day noisy intermediate-scale quantum technology. There are certain computational limitations while training a machine learning model on a classical computer. Using quantum computation, it is possible to surpass these limitations and carry out such calculations in an optimized manner. This study illustrates the working of the quantum support vector machine classification model which guarantees an exponential speed-up over its typical alternatives. This research uses the quantum SVM model to solve the classification task of a malignant breast cancer diagnosis. This study also demonstrates a comparative analysis of distinct forms of SVM algorithms concerning their time complexity and performances on standard evaluation metrics, namely accuracy, precision, recall, and F1-score, to exemplify the supremacy of quantum SVM over its conventional variants.


Cancers ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3763
Author(s):  
R. Elena Ochoa-Albiztegui ◽  
Varadan Sevilimedu ◽  
Joao V. Horvat ◽  
Sunitha B. Thakur ◽  
Thomas H. Helbich ◽  
...  

The purpose of this study was to investigate whether ultra-high-field dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) of the breast at 7T using quantitative pharmacokinetic (PK) analysis can differentiate between benign and malignant breast tumors for improved breast cancer diagnosis and to predict molecular subtypes, histologic grade, and proliferation rate in breast cancer. In this prospective study, 37 patients with 43 lesions suspicious on mammography or ultrasound underwent bilateral DCE-MRI of the breast at 7T. PK parameters (KTrans, kep, Ve) were evaluated with two region of interest (ROI) approaches (2D whole-tumor ROI or 2D 10 mm standardized ROI) manually drawn by two readers (senior reader, R1, and R2) independently. Histopathology served as the reference standard. PK parameters differentiated benign and malignant lesions (n = 16, 27, respectively) with good accuracy (AUCs = 0.655–0.762). The addition of quantitative PK analysis to subjective BI-RADS classification improved breast cancer detection from 88.4% to 97.7% for R1 and 86.04% to 97.67% for R2. Different ROI approaches did not influence diagnostic accuracy for both readers. Except for KTrans for whole-tumor ROI for R2, none of the PK parameters were valuable to predict molecular subtypes, histologic grade, or proliferation rate in breast cancer. In conclusion, PK-enhanced BI-RADS is promising for the noninvasive differentiation of benign and malignant breast tumors.


2010 ◽  
Author(s):  
Susan Sharp ◽  
Ashleigh Golden ◽  
Cheryl Koopman ◽  
Eric Neri ◽  
David Spiegel

2019 ◽  
Vol 3 (48) ◽  
pp. 7
Author(s):  
Alina Oana Rusu-Moldovan ◽  
Maria Iuliana Gruia ◽  
Dan Mihu

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