Using artificial intelligence system for assisting the classification of breast ultrasound glandular tissue components in dense breast tissue.

Journal: Scientific reports
PMID:

Abstract

To investigate the potential of employing artificial intelligence (AI) -driven breast ultrasound analysis models for the classification of glandular tissue components (GTC) in dense breast tissue. A total of 1,848 healthy women with mammograms classified as dense breast were enrolled in this prospective study. Residual Network (ResNet) 101 classification model and ResNet with fully Convolutional Networks (ResNet + FCN) segmentation model were trained. The better effective model was selected to appraise the classification performance of 3 breast radiologists and 3 non-breast radiologists. The evaluation metrics included sensitivity, specificity, and positive predictive value (PPV). The ResNet101 model demonstrated superior performance compared to the ResNet + FCN model. It significantly enhanced the classification sensitivity of all radiologists by 0.060, 0.021, 0.170, 0.009, 0.052, and 0.047, respectively. For P1 to P4 glandular, the PPVs of all radiologists increased by 0.154, 0.178, 0.027, and 0.109 with Ai-assisted. Notably, the non-breast radiologists experienced a particularly substantial rise in PPV (p < 0.01). This study trained ResNet 101 deep learning model is a reliable and accurate system for assisting different experienced radiologists differentiate dense breast glandular tissue components in ultrasound images.

Authors

  • Hongju Yan
    Department of Ultrasound, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Huansha Road 261, Shangcheng District, Hangzhou, 310006, P. R. China.
  • Chaochao Dai
    Department of Ultrasound, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Huansha Road 261, Shangcheng District, Hangzhou, 310006, P. R. China.
  • Xiaojing Xu
    Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, USA, xix068@ucsd.edu.
  • Yuxuan Qiu
    Department of Ultrasound, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Huansha Road 261, Shangcheng District, Hangzhou, 310006, P. R. China.
  • Lifang Yu
    Electrocardiogram Department, Sir Run Run Shaw Hospital, Affiliated with the Zhejiang University School of Medicine, HangZhou, 310016, Zhejiang, China.
  • Lewen Huang
    Department of Ultrasound, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Huansha Road 261, Shangcheng District, Hangzhou, 310006, P. R. China.
  • Bei Lin
    Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China. linbei88@hotmail.com.
  • Jianan Huang
    Ultrasonography, Zhejiang Chinese Medical University, Hangzhou, China.
  • Chenxiang Jiang
    Department of Ultrasound, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Huansha Road 261, Shangcheng District, Hangzhou, 310006, P. R. China.
  • Yingzhao Shen
    Department of Ultrasound, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Huansha Road 261, Shangcheng District, Hangzhou, 310006, P. R. China.
  • Jing Ji
    Tuberculosis Control Team, Senior Department of Tuberculosis, The Eighth Medical Center of PLA General Hospital, Beijing 100091, China.
  • Youcheng Li
    Department of Biochemistry, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
  • Lingyun Bao
    Department of Ultrasound, Hangzhou First Peoples Hospital, Zhejiang University, Hangzhou, China.