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Qasrawi R, Daraghmeh O, Qdaih I, Thwib S, Vicuna Polo S, Owienah H, Abu Al-Halawa D, Atari S. Hybrid ensemble deep learning model for advancing breast cancer detection and classification in clinical applications. Heliyon 2024; 10:e38374. [PMID: 39398009 PMCID: PMC11467543 DOI: 10.1016/j.heliyon.2024.e38374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2024] [Revised: 09/09/2024] [Accepted: 09/23/2024] [Indexed: 10/15/2024] Open
Abstract
Being the most common type of cancer worldwide, and affecting over 2.3 million women, breast cancer poses a significant health threat. Although survival rates have improved around the world due to advances in screening, diagnosis, and treatment, early detection remains crucial for effective management. This study seeks to introduce a novel hybrid model that makes use of image-preprocessing techniques and deep-learning algorithms on mammograms to enhance the detection and classification accuracy of breast cancer lesions. The model was tested on a dataset comprising 20,000 mammograms. First, image-processing techniques, such as Contrast-Limited Adaptive Histogram Equalization, Gaussian Blur, and sharpening methods were used to optimize the images for enhanced feature extraction. In addition, the Ensemble Deep Random Vector-Functional Link Neural Network algorithm, YOLOv5, and MedSAM segmentation models were utilized for robust deep learning-based extraction, classification, and visualization of lesions. Finally, the model was clinically validated on 800 patients. The study found a notable enhancement in both accuracy and processing time for benign and malignant diagnoses using the hybrid model. The model achieves an impressive accuracy of 99.7 % and demonstrates a remarkable processing time of 0.75 s. In clinical applications, the hybrid model exhibits high proficiency, reporting 97.2 % accuracy for benign cases and 98.6 % for malignant scenarios. These results highlight the effectiveness of the hybrid model in improving diagnostic accuracy, offering a promising tool for early breast cancer detection.
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Affiliation(s)
- Radwan Qasrawi
- Department of Computer Science, Al-Quds University, Palestine
- Department of Computer Engineering, Istinye University, Istanbul, Turkey
| | - Omar Daraghmeh
- Department of Medical Imaging, Al-Quds University, Jerusalem, Palestine
| | - Ibrahem Qdaih
- Department of Medical Imaging, Al-Quds University, Jerusalem, Palestine
| | - Suliman Thwib
- Department of Computer Science, Al-Quds University, Palestine
| | - Stephanny Vicuna Polo
- Al Quds Business Center for Innovation, Technology, and Entrepreneurship, Al Quds University, Jerusalem, Palestine
| | - Haneen Owienah
- Department of Radiology, Istishari Arab Hospital, Palestine
| | | | - Siham Atari
- Department of Computer Science, Al-Quds University, Palestine
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2
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Loizidou K, Elia R, Pitris C. Computer-aided breast cancer detection and classification in mammography: A comprehensive review. Comput Biol Med 2023; 153:106554. [PMID: 36646021 DOI: 10.1016/j.compbiomed.2023.106554] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/13/2022] [Accepted: 01/11/2023] [Indexed: 01/15/2023]
Abstract
Cancer is the second cause of mortality worldwide and it has been identified as a perilous disease. Breast cancer accounts for ∼20% of all new cancer cases worldwide, making it a major cause of morbidity and mortality. Mammography is an effective screening tool for the early detection and management of breast cancer. However, the identification and interpretation of breast lesions is challenging even for expert radiologists. For that reason, several Computer-Aided Diagnosis (CAD) systems are being developed to assist radiologists to accurately detect and/or classify breast cancer. This review examines the recent literature on the automatic detection and/or classification of breast cancer in mammograms, using both conventional feature-based machine learning and deep learning algorithms. The review begins with a comparison of algorithms developed specifically for the detection and/or classification of two types of breast abnormalities, micro-calcifications and masses, followed by the use of sequential mammograms for improving the performance of the algorithms. The available Food and Drug Administration (FDA) approved CAD systems related to triage and diagnosis of breast cancer in mammograms are subsequently presented. Finally, a description of the open access mammography datasets is provided and the potential opportunities for future work in this field are highlighted. The comprehensive review provided here can serve both as a thorough introduction to the field but also provide indicative directions to guide future applications.
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Affiliation(s)
- Kosmia Loizidou
- KIOS Research and Innovation Center of Excellence, Department of Electrical and Computer Engineering, University of Cyprus, Nicosia, Cyprus.
| | - Rafaella Elia
- KIOS Research and Innovation Center of Excellence, Department of Electrical and Computer Engineering, University of Cyprus, Nicosia, Cyprus.
| | - Costas Pitris
- KIOS Research and Innovation Center of Excellence, Department of Electrical and Computer Engineering, University of Cyprus, Nicosia, Cyprus.
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3
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Shi Q, Yin S, Wang K, Teng L, Li H. Multichannel convolutional neural network-based fuzzy active contour model for medical image segmentation. EVOLVING SYSTEMS 2021. [DOI: 10.1007/s12530-021-09392-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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4
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Computer-Assisted Diagnosis System for Abnormalities Classification in Digital Mammography Based on Multi-Threshold Modified Local Ternary Pattern (MtMLTP). JOURNAL OF BIOMIMETICS BIOMATERIALS AND BIOMEDICAL ENGINEERING 2021. [DOI: 10.4028/www.scientific.net/jbbbe.49.75] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
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.
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A Pseudo-Label Guided Artificial Bee Colony Algorithm for Hyperspectral Band Selection. REMOTE SENSING 2020. [DOI: 10.3390/rs12203456] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Hyperspectral remote sensing images have characteristics such as high dimensionality and high redundancy. This paper proposes a pseudo-label guided artificial bee colony band selection algorithm with hypergraph clustering (HC-ABC) to remove redundant and noise bands. Firstly, replacing traditional pixel points by super-pixel centers, a hypergraph evolutionary clustering method with low computational cost is developed to generate high-quality pseudo-labels; Then, on the basis of these pseudo-labels, taking classification accuracy as the optimized objective, a supervised band selection algorithm based on artificial bee colony is proposed. Moreover, a noise filtering mechanism based on grid division is designed to ensure the accuracy of pseudo-labels. Finally, the proposed algorithm is applied in 3 real datasets and compared with 6 classical band selection algorithms. Experimental results show that the proposed algorithm can obtain a band subset with high classification accuracy for all the three classifiers, KNN, Random Forest, and SVM.
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6
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Mass segmentation of mammograms using Markov models associated with constrained clustering. Med Biol Eng Comput 2020; 58:2475-2495. [PMID: 32780256 DOI: 10.1007/s11517-020-02221-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 06/22/2020] [Indexed: 10/23/2022]
Abstract
In this paper, we propose four variants of the Markov random field model by using constrained clustering for breast mass segmentation. These variants were tested with a set of images extracted from a public database. The obtained results have shown that the proposed variants, which allow to include additional information in the form of constraints to the clustering process, present better visual segmentation results than the original model, as well as a lower final energy which implies a better quality in the final segmentation. Specifically, the centroid initialization method used by our variants allows us to locate about 90% of the regions of interest that contain a mass, which subsequently with the pairwise constraints helped us recover a maximum of 93% of the masses. The segmentation results are also quantitatively evaluated using three supervised segmentation measures. These measures show that the mass segmentation quality of the proposed variants, considering the breast density level, is consistent with the corresponding segmentation annotated by specialized radiologists.
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Min H, Chandra SS, Crozier S, Bradley AP. Multi-scale sifting for mammographic mass detection and segmentation. Biomed Phys Eng Express 2019. [DOI: 10.1088/2057-1976/aafc07] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Breast Mass Detection in Digital Mammogram Based on Gestalt Psychology. JOURNAL OF HEALTHCARE ENGINEERING 2018; 2018:4015613. [PMID: 29854359 PMCID: PMC5954872 DOI: 10.1155/2018/4015613] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 01/18/2018] [Accepted: 03/14/2018] [Indexed: 11/18/2022]
Abstract
Inspired by gestalt psychology, we combine human cognitive characteristics with knowledge of radiologists in medical image analysis. In this paper, a novel framework is proposed to detect breast masses in digitized mammograms. It can be divided into three modules: sensation integration, semantic integration, and verification. After analyzing the progress of radiologist's mammography screening, a series of visual rules based on the morphological characteristics of breast masses are presented and quantified by mathematical methods. The framework can be seen as an effective trade-off between bottom-up sensation and top-down recognition methods. This is a new exploratory method for the automatic detection of lesions. The experiments are performed on Mammographic Image Analysis Society (MIAS) and Digital Database for Screening Mammography (DDSM) data sets. The sensitivity reached to 92% at 1.94 false positive per image (FPI) on MIAS and 93.84% at 2.21 FPI on DDSM. Our framework has achieved a better performance compared with other algorithms.
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Lee RS, Gimenez F, Hoogi A, Miyake KK, Gorovoy M, Rubin DL. A curated mammography data set for use in computer-aided detection and diagnosis research. Sci Data 2017; 4:170177. [PMID: 29257132 PMCID: PMC5735920 DOI: 10.1038/sdata.2017.177] [Citation(s) in RCA: 191] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Accepted: 10/09/2017] [Indexed: 11/08/2022] Open
Abstract
Published research results are difficult to replicate due to the lack of a standard evaluation data set in the area of decision support systems in mammography; most computer-aided diagnosis (CADx) and detection (CADe) algorithms for breast cancer in mammography are evaluated on private data sets or on unspecified subsets of public databases. This causes an inability to directly compare the performance of methods or to replicate prior results. We seek to resolve this substantial challenge by releasing an updated and standardized version of the Digital Database for Screening Mammography (DDSM) for evaluation of future CADx and CADe systems (sometimes referred to generally as CAD) research in mammography. Our data set, the CBIS-DDSM (Curated Breast Imaging Subset of DDSM), includes decompressed images, data selection and curation by trained mammographers, updated mass segmentation and bounding boxes, and pathologic diagnosis for training data, formatted similarly to modern computer vision data sets. The data set contains 753 calcification cases and 891 mass cases, providing a data-set size capable of analyzing decision support systems in mammography.
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Affiliation(s)
- Rebecca Sawyer Lee
- Biomedical Informatics Training Program, Stanford University, Stanford, CA 94305, USA
| | - Francisco Gimenez
- Biomedical Informatics Training Program, Stanford University, Stanford, CA 94305, USA
| | - Assaf Hoogi
- Department of Radiology and Medicine (Biomedical Informatics Research), Stanford University, Stanford, CA 94305, USA
| | - Kanae Kawai Miyake
- Department of Radiology (Breast Imaging), Stanford University, Stanford, CA 94305, USA
| | - Mia Gorovoy
- Department of Radiology (Breast Imaging), Stanford University, Stanford, CA 94305, USA
| | - Daniel L. Rubin
- Department of Radiology and Medicine (Biomedical Informatics Research), Stanford University, Stanford, CA 94305, USA
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10
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George Y, Aldeen M, Garnavi R. Automatic psoriasis lesion segmentation in two-dimensional skin images using multiscale superpixel clustering. J Med Imaging (Bellingham) 2017; 4:044004. [PMID: 29152533 DOI: 10.1117/1.jmi.4.4.044004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Accepted: 10/20/2017] [Indexed: 11/14/2022] Open
Abstract
Psoriasis is a chronic skin disease that is assessed visually by dermatologists. The Psoriasis Area and Severity Index (PASI) is the current gold standard used to measure lesion severity by evaluating four parameters, namely, area, erythema, scaliness, and thickness. In this context, psoriasis skin lesion segmentation is required as the basis for PASI scoring. An automatic lesion segmentation method by leveraging multiscale superpixels and [Formula: see text]-means clustering is outlined. Specifically, we apply a superpixel segmentation strategy on CIE-[Formula: see text] color space using different scales. Also, we suppress the superpixels that belong to nonskin areas. Once similar regions on different scales are obtained, the [Formula: see text]-means algorithm is used to cluster each superpixel scale separately into normal and lesion skin areas. Features from both [Formula: see text] and [Formula: see text] color bands are used in the clustering process. Furthermore, majority voting is performed to fuse the segmentation results from different scales to obtain the final output. The proposed method is extensively evaluated on a set of 457 psoriasis digital images, acquired from the Royal Melbourne Hospital, Melbourne, Australia. Experimental results have shown evidence that the method is very effective and efficient, even when applied to images containing hairy skin and diverse lesion size, shape, and severity. It has also been ascertained that CIE-[Formula: see text] outperforms other color spaces for psoriasis lesion analysis and segmentation. In addition, we use three evaluation metrics, namely, Dice coefficient, Jaccard index, and pixel accuracy where scores of 0.783%, 0.698%, and 86.99% have been achieved by the proposed method for the three metrics, respectively. Finally, compared with existing methods that employ either skin decomposition and support vector machine classifier or Euclidean distance in the hue-chrome plane, our multiscale superpixel-based method achieves markedly better performance with at least 20% accuracy enhancement.
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Affiliation(s)
- Yasmeen George
- University of Melbourne, Department of Electrical and Electronic Engineering, Victoria, Australia
| | - Mohammad Aldeen
- University of Melbourne, Department of Electrical and Electronic Engineering, Victoria, Australia
| | - Rahil Garnavi
- University of Melbourne, Department of Electrical and Electronic Engineering, Victoria, Australia.,IBM Research, Melbourne, Victoria, Australia
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11
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Wang X, Guo Y, Wang Y, Yu J. Automatic breast tumor detection in ABVS images based on convolutional neural network and superpixel patterns. Neural Comput Appl 2017. [DOI: 10.1007/s00521-017-3138-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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12
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SAHA M, ARUN I, AGARWAL S, AHMED R, CHATTERJEE S, CHAKRABORTY C. Imprint cytology-based breast malignancy screening: an efficient nuclei segmentation technique. J Microsc 2017; 268:155-171. [DOI: 10.1111/jmi.12595] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 04/26/2017] [Accepted: 05/29/2017] [Indexed: 12/20/2022]
Affiliation(s)
- M. SAHA
- School of Medical Science & Technology; Indian Institute of Technology; Kharagpur India
| | - I. ARUN
- Tata Medical Center; New Town Rajarhat Kolkata India
| | - S. AGARWAL
- Tata Medical Center; New Town Rajarhat Kolkata India
| | - R. AHMED
- Tata Medical Center; New Town Rajarhat Kolkata India
| | - S. CHATTERJEE
- Tata Medical Center; New Town Rajarhat Kolkata India
| | - C. CHAKRABORTY
- School of Medical Science & Technology; Indian Institute of Technology; Kharagpur India
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A novel computer-aided diagnosis system for breast MRI based on feature selection and ensemble learning. Comput Biol Med 2017; 83:157-165. [DOI: 10.1016/j.compbiomed.2017.03.002] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2016] [Revised: 02/25/2017] [Accepted: 03/01/2017] [Indexed: 11/18/2022]
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14
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DeepCAD: A Computer-Aided Diagnosis System for Mammographic Masses Using Deep Invariant Features. COMPUTERS 2016. [DOI: 10.3390/computers5040028] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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