Computer-Assisted Diagnosis System for Abnormalities Classification in Digital Mammography Based on Multi-Threshold Modified Local Ternary Pattern (MtMLTP)

Author(s):  
Norhene Gargouri ◽  
Mouna Zouari ◽  
Randa Boukhris ◽  
Alima Damak ◽  
Dorra Sellami ◽  
...  

The aim of this paper is to develop an efficient breast cancer Computer Aided Diagnosis (CAD) system allowing the analysis of different breast tissues in mammograms and performing textural classification (normal, mass or microcalcification). Although several feature extraction algorithms for breast tissues analysis have been used, the findings concerning tissue characterization show no consensus in the literature. Specifically, the challenge may be great for mass and microcalcification detection on dense breasts. The proposed system is based on the development of a new feature extraction approach, the latter is called Multi-threshold Modified Local Ternary Pattern (MtMLTP), it allows the discrimination between various tissues in mammographic images allowing significant improvements in breast cancer diagnosis. In this paper, we have used 1000 ROIs obtained from Digital Database for Screening Mammography (DDSM) database and 100 ROIs from a local Tunisian database named Tunisian Digital Database for Screening Mammography (TDDSM). The Artificial Neural Network (ANN) shows good performance in the classification of abnormalities since the Area Under the Curve (AUC) of the proposed system has been found to be 0.97 for the DDSM database and 0.99 for the TDDSM Database.

Author(s):  
Hadj Ahmed Bouarara

Breast cancer has become a major health problem in the world over the past 50 years and its incidence has increased in recent years. It accounts for 33% of all cancer cases, and 60% of new cases of breast cancer occur in women aged 50 to 74 years. In this work we have proposed a computer-assisted diagnostic (CAD) system that can predict whether a woman has cancer or not by analyzing her mammogram automatically without passing through a biopsy stage. The screening mammogram will be vectorized using the n-gram pixel representation. After the vectors obtained will be classified into one of the classes—with cancer or without cancer—using the social elephant algorithm. The experimentation using the digital database for screening mammography (DDSM) and validation measures—f-measure entropy recall, accuracy, specificity, RCT, ROC, AUC—show clearly the effectiveness and the superiority of our proposed bioinspired technique compared to others techniques existed in the literature such as naïve bayes, Knearest neighbours, and decision tree c4.5. The goal is to help radiologists with early detection to reduce the mortality rate among women with breast cancer.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Chun-jiang Tian ◽  
Jian Lv ◽  
Xiang-feng Xu

Over recent years, feature selection (FS) has gained more attention in intelligent diagnosis. This study is aimed at evaluating FS methods in a unified framework for mammographic breast cancer diagnosis. After FS methods generated rank lists according to feature importance, the framework added features incrementally as the input of random forest which performed as the classifier for breast lesion classification. In this study, 10 FS methods were evaluated and the digital database for screening mammography (1104 benign and 980 malignant lesions) was analyzed. The classification performance was quantified with the area under the curve (AUC), and accuracy, sensitivity, and specificity were also considered. Experimental results suggested that both infinite latent FS method (AUC, 0.866 ± 0.028 ) and RELIEFF (AUC, 0.855 ± 0.020 ) achieved good prediction ( AUC ≥ 0.85 ) when 6 features were used, followed by correlation-based FS method (AUC, 0.867 ± 0.023 ) using 7 features and WILCOXON (AUC, 0.887 ± 0.019 ) using 8 features. The reliability of the diagnosis models was also verified, indicating that correlation-based FS method was generally superior over other methods. Identification of discriminative features among high-throughput ones remains an unavoidable challenge in intelligent diagnosis, and extra efforts should be made toward accurate and efficient feature selection.


Author(s):  
R. PANCHAL ◽  
B. VERMA

Early detection of breast abnormalities remains the primary prevention against breast cancer despite the advances in breast cancer diagnosis and treatment. Presence of mass in breast tissues is highly indicative of breast cancer. The research work presented in this paper investigates the significance of different types of features using proposed neural network based classification technique to classify mass type of breast abnormalities in digital mammograms into malignant and benign. 14 gray level based features, four BI-RADS features, patient age feature and subtlety value feature have been explored using the proposed research methodology to attain maximum classification on test dataset. The proposed research technique attained a 91% testing classification rate with a 100% training classification rate on digital mammograms taken from the DDSM benchmark database.


2021 ◽  
Vol 22 (5) ◽  
pp. 2757
Author(s):  
Braden Miller ◽  
Hunter Chalfant ◽  
Alexandra Thomas ◽  
Elizabeth Wellberg ◽  
Christina Henson ◽  
...  

Obesity, diabetes, and inflammation increase the risk of breast cancer, the most common malignancy in women. One of the mainstays of breast cancer treatment and improving outcomes is early detection through imaging-based screening. There may be a role for individualized imaging strategies for patients with certain co-morbidities. Herein, we review the literature regarding the accuracy of conventional imaging modalities in obese and diabetic women, the potential role of anti-inflammatory agents to improve detection, and the novel molecular imaging techniques that may have a role for breast cancer screening in these patients. We demonstrate that with conventional imaging modalities, increased sensitivity often comes with a loss of specificity, resulting in unnecessary biopsies and overtreatment. Obese women have body size limitations that impair image quality, and diabetes increases the risk for dense breast tis-sue. Increased density is known to obscure the diagnosis of cancer on routine screening mammography. Novel molecu-lar imaging agents with targets such as estrogen receptor, human epidermal growth factor receptor 2 (HER2), pyrimi-dine analogues, and ligand-targeted receptor probes, among others, have potential to reduce false positive results. They can also improve detection rates with increased resolution and inform therapeutic decision making. These emerg-ing imaging techniques promise to improve breast cancer diagnosis in obese patients with diabetes who have dense breasts, but more work is needed to validate their clinical application.


Author(s):  
Marissa B. Lawson ◽  
Christoph I. Lee ◽  
Daniel S. Hippe ◽  
Shasank Chennupati ◽  
Catherine R. Fedorenko ◽  
...  

Background: The purpose of this study was to determine factors associated with receipt of screening mammography by insured women before breast cancer diagnosis, and subsequent outcomes. Patients and Methods: Using claims data from commercial and federal payers linked to a regional SEER registry, we identified women diagnosed with breast cancer from 2007 to 2017 and determined receipt of screening mammography within 1 year before diagnosis. We obtained patient and tumor characteristics from the SEER registry and assigned each woman a socioeconomic deprivation score based on residential address. Multivariable logistic regression models were used to evaluate associations of patient and tumor characteristics with late-stage disease and nonreceipt of mammography. We used multivariable Cox proportional hazards models to identify predictors of subsequent mortality. Results: Among 7,047 women, 69% (n=4,853) received screening mammography before breast cancer diagnosis. Compared with women who received mammography, those with no mammography had a higher proportion of late-stage disease (34% vs 10%) and higher 5-year mortality (18% vs 6%). In multivariable modeling, late-stage disease was most associated with nonreceipt of mammography (odds ratio [OR], 4.35; 95% CI, 3.80–4.98). The Cox model indicated that nonreceipt of mammography predicted increased risk of mortality (hazard ratio [HR], 2.00; 95% CI, 1.64–2.43), independent of late-stage disease at diagnosis (HR, 5.00; 95% CI, 4.10–6.10), Charlson comorbidity index score ≥1 (HR, 2.75; 95% CI, 2.26–3.34), and negative estrogen receptor/progesterone receptor status (HR, 2.09; 95% CI, 1.67–2.61). Nonreceipt of mammography was associated with younger age (40–49 vs 50–59 years; OR, 1.69; 95% CI, 1.45–1.96) and increased socioeconomic deprivation (OR, 1.05 per decile increase; 95% CI, 1.03–1.07). Conclusions: In a cohort of insured women diagnosed with breast cancer, nonreceipt of screening mammography was significantly associated with late-stage disease and mortality, suggesting that interventions to further increase uptake of screening mammography may improve breast cancer outcomes.


2021 ◽  
Author(s):  
Mustapha Abubakar ◽  
Shaoqi Fan ◽  
Erin Aiello Bowles ◽  
Lea Widemann ◽  
Máire A Duggan ◽  
...  

Abstract Background Benign breast disease (BBD) is a strong breast cancer risk factor but identifying patients that might develop invasive breast cancer remains a challenge. Methods By applying machine-learning to digitized H&E-stained biopsies and computer-assisted thresholding to mammograms obtained circa BBD diagnosis, we generated quantitative tissue composition metrics and determined their association with future invasive breast cancer diagnosis. Archival breast biopsies and mammograms were obtained for women (18-86 years of age) in a case-control study, nested within a cohort of 15,395 BBD patients from Kaiser Permanente Northwest (1970-2012), followed through mid-2015. Cases (n = 514) who developed incident invasive breast cancer and controls (n = 514) were matched on BBD diagnosis age and plan membership duration. All statistical tests were 2-sided. Results Increasing epithelial area on the BBD biopsy was associated with increasing breast cancer risk (Odds ratio [OR]Q4 vs Q1=1.85, 95% confidence interval [CI] = 1.13-3.04; Ptrend=0.02). Conversely, increasing stroma was associated with decreased risk in non-proliferative, but not proliferative, BBD (Pheterogeneity=0.002). Increasing epithelium-to-stroma proportion [ORQ4 vs Q1=2.06, 95% CI = 1.28-3.33; Ptrend=0.002) and percent mammographic density (MBD) (ORQ4 vs Q1=2.20, 95% CI = 1.20-4.03; Ptrend=0.01) were independently and strongly predictive of increased breast cancer risk. In combination, women with high epithelium-to-stroma proportion/high MBD had substantially higher risk than those with low epithelium-to-stroma proportion/low MBD [OR = 2.27, 95% CI = 1.27-4.06; Ptrend=0.005), particularly among women with non-proliferative (Ptrend=0.01) versus proliferative (Ptrend=0.33) BBD. Conclusion Among BBD patients, increasing epithelium-to-stroma proportion on BBD biopsies and percent MBD at BBD diagnosis were independently and jointly associated with increasing breast cancer risk. These findings were particularly striking for women with non-proliferative disease (comprising approximately 70% of all BBD patients), for whom relevant predictive biomarkers are lacking.


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6201 ◽  
Author(s):  
Dina A. Ragab ◽  
Maha Sharkas ◽  
Stephen Marshall ◽  
Jinchang Ren

It is important to detect breast cancer as early as possible. In this manuscript, a new methodology for classifying breast cancer using deep learning and some segmentation techniques are introduced. A new computer aided detection (CAD) system is proposed for classifying benign and malignant mass tumors in breast mammography images. In this CAD system, two segmentation approaches are used. The first approach involves determining the region of interest (ROI) manually, while the second approach uses the technique of threshold and region based. The deep convolutional neural network (DCNN) is used for feature extraction. A well-known DCNN architecture named AlexNet is used and is fine-tuned to classify two classes instead of 1,000 classes. The last fully connected (fc) layer is connected to the support vector machine (SVM) classifier to obtain better accuracy. The results are obtained using the following publicly available datasets (1) the digital database for screening mammography (DDSM); and (2) the Curated Breast Imaging Subset of DDSM (CBIS-DDSM). Training on a large number of data gives high accuracy rate. Nevertheless, the biomedical datasets contain a relatively small number of samples due to limited patient volume. Accordingly, data augmentation is a method for increasing the size of the input data by generating new data from the original input data. There are many forms for the data augmentation; the one used here is the rotation. The accuracy of the new-trained DCNN architecture is 71.01% when cropping the ROI manually from the mammogram. The highest area under the curve (AUC) achieved was 0.88 (88%) for the samples obtained from both segmentation techniques. Moreover, when using the samples obtained from the CBIS-DDSM, the accuracy of the DCNN is increased to 73.6%. Consequently, the SVM accuracy becomes 87.2% with an AUC equaling to 0.94 (94%). This is the highest AUC value compared to previous work using the same conditions.


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