scholarly journals Discriminative Localized Sparse Approximations for Mass Characterization in Mammograms

2021 ◽  
Vol 11 ◽  
Author(s):  
Sokratis Makrogiannis ◽  
Keni Zheng ◽  
Chelsea Harris

The most common form of cancer among women in both developed and developing countries is breast cancer. The early detection and diagnosis of this disease is significant because it may reduce the number of deaths caused by breast cancer and improve the quality of life of those effected. Computer-aided detection (CADe) and computer-aided diagnosis (CADx) methods have shown promise in recent years for aiding in the human expert reading analysis and improving the accuracy and reproducibility of pathology results. One significant application of CADe and CADx is for breast cancer screening using mammograms. In image processing and machine learning research, relevant results have been produced by sparse analysis methods to represent and recognize imaging patterns. However, application of sparse analysis techniques to the biomedical field is challenging, as the objects of interest may be obscured because of contrast limitations or background tissues, and their appearance may change because of anatomical variability. We introduce methods for label-specific and label-consistent dictionary learning to improve the separation of benign breast masses from malignant breast masses in mammograms. We integrated these approaches into our Spatially Localized Ensemble Sparse Analysis (SLESA) methodology. We performed 10- and 30-fold cross validation (CV) experiments on multiple mammography datasets to measure the classification performance of our methodology and compared it to deep learning models and conventional sparse representation. Results from these experiments show the potential of this methodology for separation of malignant from benign masses as a part of a breast cancer screening workflow.

2020 ◽  
pp. 084653712094997
Author(s):  
William T. Tran ◽  
Ali Sadeghi-Naini ◽  
Fang-I Lu ◽  
Sonal Gandhi ◽  
Nicholas Meti ◽  
...  

Breast cancer screening has been shown to significantly reduce mortality in women. The increased utilization of screening examinations has led to growing demands for rapid and accurate diagnostic reporting. In modern breast imaging centers, full-field digital mammography (FFDM) has replaced traditional analog mammography, and this has opened new opportunities for developing computational frameworks to automate detection and diagnosis. Artificial intelligence (AI), and its subdomain of deep learning, is showing promising results and improvements on diagnostic accuracy, compared to previous computer-based methods, known as computer-aided detection and diagnosis. In this commentary, we review the current status of computational radiology, with a focus on deep neural networks used in breast cancer screening and diagnosis. Recent studies are developing a new generation of computer-aided detection and diagnosis systems, as well as leveraging AI-driven tools to efficiently interpret digital mammograms, and breast tomosynthesis imaging. The use of AI in computational radiology necessitates transparency and rigorous testing. However, the overall impact of AI to radiology workflows will potentially yield more efficient and standardized processes as well as improve the level of care to patients with high diagnostic accuracy.


1991 ◽  
Vol 49 (4) ◽  
pp. 531-537 ◽  
Author(s):  
Harry J. de Koning ◽  
B. Martin van Ineveld ◽  
Gerrit J. van Oortmarssen ◽  
J. C. J. M. de Haes ◽  
Hubertine J. A. Collette ◽  
...  

2014 ◽  
Vol 30 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Andrea B. Cruz-Castillo ◽  
María A. Hernández-Valero ◽  
Shelly R. Hovick ◽  
Martha Elva Campuzano-González ◽  
Miguel Angel Karam-Calderón ◽  
...  

2014 ◽  
Vol 52 (6) ◽  
pp. 444-455 ◽  
Author(s):  
Nechama W. Greenwood ◽  
Deborah Dreyfus ◽  
Joanne Wilkinson

Abstract Women with intellectual disability (ID) have similar rates of breast cancer as the general public, but higher breast cancer mortality and lower rates of regular screening mammography. Screening rates are lowest among women who live with their families. Though women with ID often make decisions in partnership with their relatives, we lack research related to family member perspectives on mammography. We conducted a qualitative study of family members of women with ID, with an interview guide focused on health care decision making and experiences, and breast cancer screening barriers, facilitators, and beliefs as related to their loved ones. Sixteen family members underwent semistructured interviews. Important themes included mammography as a reference point for other social and cultural concerns, such as their loved one's sexuality or what it means to be an adult woman; fear of having to make hard decisions were cancer to be diagnosed acting as a barrier to screening; a focus on quality of life; and desire for quality health care for their loved one, though quality care did not always equate to regular cancer screening. Adults with ID are valued members of their families, and their relatives are invested in their well-being. However, families fear the potentially complicated decisions associated with a cancer diagnosis and may choose to forgo screening due to misinformation and a focus on quality of life. Effective interventions to address disparities in mammography should focus on adults with ID and their families together, and incorporate the family context.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Andraz Perhavec ◽  
Sara Milicevic ◽  
Barbara Peric ◽  
Janez Zgajnar

AbstractBackgroundThe aim of our study was to evaluate the quality of surgery of Slovenian breast cancer screening program (DORA) using the requested EU standards. Furthermore, we investigated whether regular quality control over the 3-year period improved the quality of surgical management.Patients and methodsPatients who required surgical management within DORA between January 1st, 2016 and December 31st, 2018 were included in the retrospective study. Quality indicators (QIs) were adjusted mainly according to European Society of Breast Cancer Specialists (EUSOMA) and European Breast Cancer Network (EBCN) recommendations. Five QIs for therapeutic and two for diagnostic surgeries were selected. Additionally, variability in achieving the requested QIs among surgeons was analysed.ResultsBetween 2016 and 2018, 14 surgeons performed 1421 breast procedures in 1398 women. There were 1197 therapeutical (for proven breast cancer) and 224 diagnostic surgical interventions respectively. Overall, the minimal standard was met in two QIs for therapeutic and none for diagnostic procedures. A statistically significant improvement in three QIs for therapeutic and in one QI for diagnostic procedures was observed however, indicating that regular quality control improves the quality of surgery. A high variability in achieving the requested QIs was observed among surgeons, which remained high throughout the study period.ConclusionsAdherence to all selected surgical QIs in patients from screening program is difficult to achieve, especially to those specifically defined for screen-detected lesions. Regular quality control may improve results over time. Reducing the number of surgeons dedicated to breast pathology may reduce variability of management inside the institution.


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