A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening Mammography

Globally, the incidence rate for breast cancer ranks first. Treatment for early-stage breast cancer is highly cost effective. Five-year survival rate for stage 0–2 breast cancer exceeds 90%. Screening mammography has been acknowledged as the most reliable way to diagnose breast cancer at an early st...

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Main Authors: Kuen-Jang Tsai, Mei-Chun Chou, Hao-Ming Li, Shin-Tso Liu, Jung-Hsiu Hsu, Wei-Cheng Yeh, Chao-Ming Hung, Cheng-Yu Yeh, Shaw-Hwa Hwang
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/22/3/1160
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author Kuen-Jang Tsai
Mei-Chun Chou
Hao-Ming Li
Shin-Tso Liu
Jung-Hsiu Hsu
Wei-Cheng Yeh
Chao-Ming Hung
Cheng-Yu Yeh
Shaw-Hwa Hwang
author_facet Kuen-Jang Tsai
Mei-Chun Chou
Hao-Ming Li
Shin-Tso Liu
Jung-Hsiu Hsu
Wei-Cheng Yeh
Chao-Ming Hung
Cheng-Yu Yeh
Shaw-Hwa Hwang
author_sort Kuen-Jang Tsai
collection DOAJ
description Globally, the incidence rate for breast cancer ranks first. Treatment for early-stage breast cancer is highly cost effective. Five-year survival rate for stage 0–2 breast cancer exceeds 90%. Screening mammography has been acknowledged as the most reliable way to diagnose breast cancer at an early stage. Taiwan government has been urging women without any symptoms, aged between 45 and 69, to have a screening mammogram bi-yearly. This brings about a large workload for radiologists. In light of this, this paper presents a deep neural network (DNN)-based model as an efficient and reliable tool to assist radiologists with mammographic interpretation. For the first time in the literature, mammograms are completely classified into BI-RADS categories 0, 1, 2, 3, 4A, 4B, 4C and 5. The proposed model was trained using block-based images segmented from a mammogram dataset of our own. A block-based image was applied to the model as an input, and a BI-RADS category was predicted as an output. At the end of this paper, the outperformance of this work is demonstrated by an overall accuracy of 94.22%, an average sensitivity of 95.31%, an average specificity of 99.15% and an area under curve (AUC) of 0.9723. When applied to breast cancer screening for Asian women who are more likely to have dense breasts, this model is expected to give a higher accuracy than others in the literature, since it was trained using mammograms taken from Taiwanese women.
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spelling doaj.art-3289daa0b6f74e58b8f294e29e44da152023-11-23T17:51:25ZengMDPI AGSensors1424-82202022-02-01223116010.3390/s22031160A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening MammographyKuen-Jang Tsai0Mei-Chun Chou1Hao-Ming Li2Shin-Tso Liu3Jung-Hsiu Hsu4Wei-Cheng Yeh5Chao-Ming Hung6Cheng-Yu Yeh7Shaw-Hwa Hwang8Department of General Surgey, E-Da Cancer Hospital, Yanchao Dist., Kaohsiung 82445, TaiwanDepartment of Radiology, E-Da Hospital, Yanchao Dist., Kaohsiung 82445, TaiwanDepartment of Radiology, E-Da Hospital, Yanchao Dist., Kaohsiung 82445, TaiwanDepartment of Radiology, E-Da Hospital, Yanchao Dist., Kaohsiung 82445, TaiwanDepartment of Radiology, E-Da Hospital, Yanchao Dist., Kaohsiung 82445, TaiwanDepartment of Radiology, E-Da Cancer Hospital, Yanchao Dist., Kaohsiung 82445, TaiwanDepartment of General Surgey, E-Da Cancer Hospital, Yanchao Dist., Kaohsiung 82445, TaiwanDepartment of Electrical Engineering, National Chin-Yi University of Technology, Taichung 41170, TaiwanDepartment of Electrical and Computer Engineering, National Yang Ming Chiao Tung University, Hsinchu 30010, TaiwanGlobally, the incidence rate for breast cancer ranks first. Treatment for early-stage breast cancer is highly cost effective. Five-year survival rate for stage 0–2 breast cancer exceeds 90%. Screening mammography has been acknowledged as the most reliable way to diagnose breast cancer at an early stage. Taiwan government has been urging women without any symptoms, aged between 45 and 69, to have a screening mammogram bi-yearly. This brings about a large workload for radiologists. In light of this, this paper presents a deep neural network (DNN)-based model as an efficient and reliable tool to assist radiologists with mammographic interpretation. For the first time in the literature, mammograms are completely classified into BI-RADS categories 0, 1, 2, 3, 4A, 4B, 4C and 5. The proposed model was trained using block-based images segmented from a mammogram dataset of our own. A block-based image was applied to the model as an input, and a BI-RADS category was predicted as an output. At the end of this paper, the outperformance of this work is demonstrated by an overall accuracy of 94.22%, an average sensitivity of 95.31%, an average specificity of 99.15% and an area under curve (AUC) of 0.9723. When applied to breast cancer screening for Asian women who are more likely to have dense breasts, this model is expected to give a higher accuracy than others in the literature, since it was trained using mammograms taken from Taiwanese women.https://www.mdpi.com/1424-8220/22/3/1160screening mammographybreast imaging reporting and data system (BI-RADS)image classificationdeep neural network (DNN)deep learning
spellingShingle Kuen-Jang Tsai
Mei-Chun Chou
Hao-Ming Li
Shin-Tso Liu
Jung-Hsiu Hsu
Wei-Cheng Yeh
Chao-Ming Hung
Cheng-Yu Yeh
Shaw-Hwa Hwang
A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening Mammography
Sensors
screening mammography
breast imaging reporting and data system (BI-RADS)
image classification
deep neural network (DNN)
deep learning
title A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening Mammography
title_full A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening Mammography
title_fullStr A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening Mammography
title_full_unstemmed A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening Mammography
title_short A High-Performance Deep Neural Network Model for BI-RADS Classification of Screening Mammography
title_sort high performance deep neural network model for bi rads classification of screening mammography
topic screening mammography
breast imaging reporting and data system (BI-RADS)
image classification
deep neural network (DNN)
deep learning
url https://www.mdpi.com/1424-8220/22/3/1160
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