Discrimination of Breast Cancer with Microcalcifications on Mammography by Deep Learning.

Journal: Scientific reports
Published Date:

Abstract

Microcalcification is an effective indicator of early breast cancer. To improve the diagnostic accuracy of microcalcifications, this study evaluates the performance of deep learning-based models on large datasets for its discrimination. A semi-automated segmentation method was used to characterize all microcalcifications. A discrimination classifier model was constructed to assess the accuracies of microcalcifications and breast masses, either in isolation or combination, for classifying breast lesions. Performances were compared to benchmark models. Our deep learning model achieved a discriminative accuracy of 87.3% if microcalcifications were characterized alone, compared to 85.8% with a support vector machine. The accuracies were 61.3% for both methods with masses alone and improved to 89.7% and 85.8% after the combined analysis with microcalcifications. Image segmentation with our deep learning model yielded 15, 26 and 41 features for the three scenarios, respectively. Overall, deep learning based on large datasets was superior to standard methods for the discrimination of microcalcifications. Accuracy was increased by adopting a combinatorial approach to detect microcalcifications and masses simultaneously. This may have clinical value for early detection and treatment of breast cancer.

Authors

  • Jinhua Wang
    Department of Pharmacy Intravenous Admixture Service, the First Affiliated Hospital of Harbin Medical University, Harbin, P. R., China.
  • Xi Yang
    Department of Health Outcomes and Biomedical Informatics.
  • Hongmin Cai
    School of Computer Science& Engineering, South China University of Technology, Guangdong, China. hmcai@scut.edu.cn.
  • Wanchang Tan
    Department of Radiology, Affiliated Nanhai Hospital of Southern Medical University, Foshan 528200, Guangdong, China.
  • Cangzheng Jin
    Department of Radiology, Affiliated Nanhai Hospital of Southern Medical University, Foshan 528200, Guangdong, China.
  • Li Li
    Department of Gastric Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China.