Staying abreast of imaging - Current status of breast cancer detection in high density breast

Artificial Intelligence (AI) in Breast Imaging: A Scientometric Umbrella Review

Artificial intelligence (AI), a rousing advancement disrupting a wide spectrum of applications with remarkable betterment, has continued to gain momentum over the past decades. Within breast imaging, AI, especially machine learning and deep learning, honed with unlimited cross-data/case referencing, has found great utility encompassing four facets: screening and detection, diagnosis, disease monitoring, and data management as a whole. Over the years, breast cancer has been the apex of the cancer cumulative risk ranking for women across the six continents, existing in variegated forms and offering a complicated context in medical decisions. Realizing the ever-increasing demand for quality healthcare, contemporary AI has been envisioned to make great strides in clinical data management and perception, with the capability to detect indeterminate significance, predict prognostication, and correlate available data into a meaningful clinical endpoint. Here, the authors captured the review works over the past decades, focusing on AI in breast imaging, and systematized the included works into one usable document, which is termed an umbrella review. The present study aims to provide a panoramic view of how AI is poised to enhance breast imaging procedures. Evidence-based scientometric analysis was performed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guideline, resulting in 71 included review works. This study aims to synthesize, collate, and correlate the included review works, thereby identifying the patterns, trends, quality, and types of the included works, captured by the structured search strategy. The present study is intended to serve as a "one-stop center" synthesis and provide a holistic bird's eye view to readers, ranging from newcomers to existing researchers and relevant stakeholders, on the topic of interest.

ASU-Net: U-shape adaptive scale network for mass segmentation in mammograms

U-Net is a commonly used deep learning model for mammogram segmentation. Despite outstanding overall performance in segmenting, U-Net still faces from two aspects of challenges: (1) the skip-connections in U-Net have limitations, which may not be able to effectively extract multi-scale features for breast masses with diverse shapes and sizes. (2) U-Net only merges low-level spatial information and high-level semantic information through concatenating, which neglects interdependencies between channels. To address these two problems, we propose the U-shape adaptive scale network (ASU-Net), which contains two modules: adaptive scale module (ASM) and feature refinement module (FRM). In each level of skip-connections, ASM is used to adaptively adjust the receptive fields according to the different scales of the mass, which makes the network adaptively capture multi-scale features. Besides, FRM is employed to allows the decoder to capture channel-wise dependencies, which make the network can selectively emphasize the feature representation of useful channels. Two commonly used mammogram databases including the DDSM-BCRP database and the INbreast database are used to evaluate the segmentation performance of ASU-Net. Finally, ASU-Net obtains the Dice Index (DI) of 91.41% and 93.55% in the DDSM-BCRP database and the INbreast database, respectively.

Estimation of Nuclear Medicine Exposure Measures Based on Intelligent Computer Processing

This paper provides an in-depth discussion and analysis of the estimation of nuclear medicine exposure measurements using computerized intelligent processing. The focus is on the study of energy extraction algorithms to obtain a high energy resolution with the lowest possible ADC sampling rate and thus reduce the amount of data. This paper focuses on the direct pulse peak extraction algorithm, polynomial curve fitting algorithm, double exponential function curve fitting algorithm, and pulse area calculation algorithm. The detector output waveforms are obtained with an oscilloscope, and the analysis module is designed in MATLAB. Based on these algorithms, the data obtained from six different lower sampling rates are analyzed and compared with the results of the high sampling rate direct pulse peak extraction algorithm and the pulse area calculation algorithm, respectively. The correctness of the compartment model was checked, and the results were found to be realistic and reliable, which can be used for the analysis of internal exposure data in radiation occupational health management, estimation of internal exposure dose for nuclear emergency groups, and estimation of accidental internal exposure dose. The results of the compartment model of the respiratory tract and the compartment model of the digestive tract can be used to calculate the distribution and retention patterns of radionuclides and their compounds in the body, which can be used to assess the damage of radionuclide internal contamination and guide the implementation of medical treatment.