Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancer

ObjectiveOur aim was to develop dual-modal CNN models based on combining conventional ultrasound (US) images and shear-wave elastography (SWE) of peritumoral region to improve prediction of breast cancer.MethodWe retrospectively collected US images and SWE data of 1271 ACR- BIRADS 4 breast lesions f...

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Main Authors: Li Xie, Zhen Liu, Chong Pei, Xiao Liu, Ya-yun Cui, Nian-an He, Lei Hu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1099650/full
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author Li Xie
Zhen Liu
Chong Pei
Xiao Liu
Ya-yun Cui
Nian-an He
Lei Hu
author_facet Li Xie
Zhen Liu
Chong Pei
Xiao Liu
Ya-yun Cui
Nian-an He
Lei Hu
author_sort Li Xie
collection DOAJ
description ObjectiveOur aim was to develop dual-modal CNN models based on combining conventional ultrasound (US) images and shear-wave elastography (SWE) of peritumoral region to improve prediction of breast cancer.MethodWe retrospectively collected US images and SWE data of 1271 ACR- BIRADS 4 breast lesions from 1116 female patients (mean age ± standard deviation, 45.40 ± 9.65 years). The lesions were divided into three subgroups based on the maximum diameter (MD): ≤15 mm; >15 mm and ≤25 mm; >25 mm. We recorded lesion stiffness (SWV1) and 5-point average stiffness of the peritumoral tissue (SWV5). The CNN models were built based on the segmentation of different widths of peritumoral tissue (0.5 mm, 1.0 mm, 1.5 mm, 2.0 mm) and internal SWE image of the lesions. All single-parameter CNN models, dual-modal CNN models, and quantitative SWE parameters in the training cohort (971 lesions) and the validation cohort (300 lesions) were assessed by receiver operating characteristic (ROC) curve.ResultsThe US + 1.0 mm SWE model achieved the highest area under the ROC curve (AUC) in the subgroup of lesions with MD ≤15 mm in both the training (0.94) and the validation cohorts (0.91). In the subgroups with MD between15 and 25 mm and above 25 mm, the US + 2.0 mm SWE model achieved the highest AUCs in both the training cohort (0.96 and 0.95, respectively) and the validation cohort (0.93 and 0.91, respectively).ConclusionThe dual-modal CNN models based on the combination of US and peritumoral region SWE images allow accurate prediction of breast cancer.
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spelling doaj.art-226fa40fade44ab6b00f08281b63104d2023-02-14T16:15:39ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-02-011310.3389/fonc.2023.10996501099650Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancerLi Xie0Zhen Liu1Chong Pei2Xiao Liu3Ya-yun Cui4Nian-an He5Lei Hu6Department of Ultrasound, The First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, ChinaDepartment of Computing, Hebin Intelligent Robots Co., LTD., Hefei, ChinaDepartment of Respiratory and Critical Care Medicine, The First People’s Hospital of Hefei City, The Third Affiliated Hospital of Anhui Medical University, Hefei, ChinaDepartment of Ultrasound, The First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, ChinaDepartment of Ultrasound, The First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, ChinaDepartment of Ultrasound, The First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, ChinaDepartment of Ultrasound, The First Affiliated Hospital of University of Science and Technology of China (USTC), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, ChinaObjectiveOur aim was to develop dual-modal CNN models based on combining conventional ultrasound (US) images and shear-wave elastography (SWE) of peritumoral region to improve prediction of breast cancer.MethodWe retrospectively collected US images and SWE data of 1271 ACR- BIRADS 4 breast lesions from 1116 female patients (mean age ± standard deviation, 45.40 ± 9.65 years). The lesions were divided into three subgroups based on the maximum diameter (MD): ≤15 mm; >15 mm and ≤25 mm; >25 mm. We recorded lesion stiffness (SWV1) and 5-point average stiffness of the peritumoral tissue (SWV5). The CNN models were built based on the segmentation of different widths of peritumoral tissue (0.5 mm, 1.0 mm, 1.5 mm, 2.0 mm) and internal SWE image of the lesions. All single-parameter CNN models, dual-modal CNN models, and quantitative SWE parameters in the training cohort (971 lesions) and the validation cohort (300 lesions) were assessed by receiver operating characteristic (ROC) curve.ResultsThe US + 1.0 mm SWE model achieved the highest area under the ROC curve (AUC) in the subgroup of lesions with MD ≤15 mm in both the training (0.94) and the validation cohorts (0.91). In the subgroups with MD between15 and 25 mm and above 25 mm, the US + 2.0 mm SWE model achieved the highest AUCs in both the training cohort (0.96 and 0.95, respectively) and the validation cohort (0.93 and 0.91, respectively).ConclusionThe dual-modal CNN models based on the combination of US and peritumoral region SWE images allow accurate prediction of breast cancer.https://www.frontiersin.org/articles/10.3389/fonc.2023.1099650/fullconvolutional neural networks (CNN)shear-wave elastography (SWE)peritumoral stiffnesssegmentationbreast cancer
spellingShingle Li Xie
Zhen Liu
Chong Pei
Xiao Liu
Ya-yun Cui
Nian-an He
Lei Hu
Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancer
Frontiers in Oncology
convolutional neural networks (CNN)
shear-wave elastography (SWE)
peritumoral stiffness
segmentation
breast cancer
title Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancer
title_full Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancer
title_fullStr Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancer
title_full_unstemmed Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancer
title_short Convolutional neural network based on automatic segmentation of peritumoral shear-wave elastography images for predicting breast cancer
title_sort convolutional neural network based on automatic segmentation of peritumoral shear wave elastography images for predicting breast cancer
topic convolutional neural networks (CNN)
shear-wave elastography (SWE)
peritumoral stiffness
segmentation
breast cancer
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1099650/full
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