Diagnostic value of mammography density of breast masses by using deep learning

ObjectiveIn order to explore the relationship between mammographic density of breast mass and its surrounding area and benign or malignant breast, this paper proposes a deep learning model based on C2FTrans to diagnose the breast mass using mammographic density.MethodsThis retrospective study includ...

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Main Authors: Qian-qian Chen, Shu-ting Lin, Jia-yi Ye, Yun-fei Tong, Shu Lin, Si-qing Cai
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1110657/full
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author Qian-qian Chen
Shu-ting Lin
Jia-yi Ye
Yun-fei Tong
Shu Lin
Shu Lin
Si-qing Cai
author_facet Qian-qian Chen
Shu-ting Lin
Jia-yi Ye
Yun-fei Tong
Shu Lin
Shu Lin
Si-qing Cai
author_sort Qian-qian Chen
collection DOAJ
description ObjectiveIn order to explore the relationship between mammographic density of breast mass and its surrounding area and benign or malignant breast, this paper proposes a deep learning model based on C2FTrans to diagnose the breast mass using mammographic density.MethodsThis retrospective study included patients who underwent mammographic and pathological examination. Two physicians manually depicted the lesion edges and used a computer to automatically extend and segment the peripheral areas of the lesion (0, 1, 3, and 5 mm, including the lesion). We then obtained the mammary glands’ density and the different regions of interest (ROI). A diagnostic model for breast mass lesions based on C2FTrans was constructed based on a 7: 3 ratio between the training and testing sets. Finally, receiver operating characteristic (ROC) curves were plotted. Model performance was assessed using the area under the ROC curve (AUC) with 95% confidence intervals (CI), sensitivity, and specificity.ResultsIn total, 401 lesions (158 benign and 243 malignant) were included in this study. The probability of breast cancer in women was positively correlated with age and mass density and negatively correlated with breast gland classification. The largest correlation was observed for age (r = 0.47). Among all models, the single mass ROI model had the highest specificity (91.8%) with an AUC = 0.823 and the perifocal 5mm ROI model had the highest sensitivity (86.9%) with an AUC = 0.855. In addition, by combining the cephalocaudal and mediolateral oblique views of the perifocal 5 mm ROI model, we obtained the highest AUC (AUC = 0.877 P < 0.001).ConclusionsDeep learning model of mammographic density can better distinguish benign and malignant mass-type lesions in digital mammography images and may become an auxiliary diagnostic tool for radiologists in the future.
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spelling doaj.art-4eaf108ba9fb425c9febea9446b8d8b82023-06-02T06:06:30ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-06-011310.3389/fonc.2023.11106571110657Diagnostic value of mammography density of breast masses by using deep learningQian-qian Chen0Shu-ting Lin1Jia-yi Ye2Yun-fei Tong3Shu Lin4Shu Lin5Si-qing Cai6Department of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaShanghai Yanghe Huajian Artificial Intelligence Technology Co. Ltd., Shanghai, ChinaCentre of Neurological and Metabolic Research, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaDepartment of Neuroendocrinology, Group of Neuroendocrinology, Garvan Institute of Medical Research, Sydney, AustraliaDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaObjectiveIn order to explore the relationship between mammographic density of breast mass and its surrounding area and benign or malignant breast, this paper proposes a deep learning model based on C2FTrans to diagnose the breast mass using mammographic density.MethodsThis retrospective study included patients who underwent mammographic and pathological examination. Two physicians manually depicted the lesion edges and used a computer to automatically extend and segment the peripheral areas of the lesion (0, 1, 3, and 5 mm, including the lesion). We then obtained the mammary glands’ density and the different regions of interest (ROI). A diagnostic model for breast mass lesions based on C2FTrans was constructed based on a 7: 3 ratio between the training and testing sets. Finally, receiver operating characteristic (ROC) curves were plotted. Model performance was assessed using the area under the ROC curve (AUC) with 95% confidence intervals (CI), sensitivity, and specificity.ResultsIn total, 401 lesions (158 benign and 243 malignant) were included in this study. The probability of breast cancer in women was positively correlated with age and mass density and negatively correlated with breast gland classification. The largest correlation was observed for age (r = 0.47). Among all models, the single mass ROI model had the highest specificity (91.8%) with an AUC = 0.823 and the perifocal 5mm ROI model had the highest sensitivity (86.9%) with an AUC = 0.855. In addition, by combining the cephalocaudal and mediolateral oblique views of the perifocal 5 mm ROI model, we obtained the highest AUC (AUC = 0.877 P < 0.001).ConclusionsDeep learning model of mammographic density can better distinguish benign and malignant mass-type lesions in digital mammography images and may become an auxiliary diagnostic tool for radiologists in the future.https://www.frontiersin.org/articles/10.3389/fonc.2023.1110657/fullmammographic densitydeep learning modelconvolutional neural networkregions of interestbreast mass
spellingShingle Qian-qian Chen
Shu-ting Lin
Jia-yi Ye
Yun-fei Tong
Shu Lin
Shu Lin
Si-qing Cai
Diagnostic value of mammography density of breast masses by using deep learning
Frontiers in Oncology
mammographic density
deep learning model
convolutional neural network
regions of interest
breast mass
title Diagnostic value of mammography density of breast masses by using deep learning
title_full Diagnostic value of mammography density of breast masses by using deep learning
title_fullStr Diagnostic value of mammography density of breast masses by using deep learning
title_full_unstemmed Diagnostic value of mammography density of breast masses by using deep learning
title_short Diagnostic value of mammography density of breast masses by using deep learning
title_sort diagnostic value of mammography density of breast masses by using deep learning
topic mammographic density
deep learning model
convolutional neural network
regions of interest
breast mass
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1110657/full
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