Ultrasonic Diagnosis of Breast Nodules Using Modified Faster R-CNN.

Journal: Ultrasonic imaging
Published Date:

Abstract

Breast cancer has become the biggest threat to female health. Ultrasonic diagnosis of breast cancer based on artificial intelligence is basically a classification of benign and malignant tumors, which does not meet clinical demand. Besides, the current target detection method performs poorly in detecting small lesions, while it is clinically required to detect nodules below 2 mm. The objective of this study is to (a) propose a diagnostic method based on Breast Imaging Reporting and Data System (BI-RADS) and (b) increase its detectability of small lesions. We modified the framework of Faster R-CNN (Faster Region-based Convolutional Neural Network) by introducing multi-scale feature extraction and multi-resolution candidate bound extraction into the network. Then, it was trained using 852 images of BI-RADS C2, 739 images of C3, and 1662 images of malignancy (BI-RADS 4a/4b/4c/5/6). We compared our model with unmodified Faster R-CNN and YOLO v3 (You Only Look Once v3). The mean average precision (mAP) is significantly increased to 0.913, while its average detection speed is slightly declined to 4.11 FPS (frames per second). Meanwhile, its detectivity of small lesions is effectively improved. Moreover, we also tentatively applied our model on video sequences and got satisfactory results. We modified Faster R-CNN and trained it partly based on BI-RADS. Its detectability of lesions, as well as small nodules, was significantly improved. In view of wide coverage of dataset and satisfactory test results, our method can basically meet clinical needs.

Authors

  • Zihao Zhang
    Institute for Hospital Management, Tsinghua University, Beijing, China.
  • Xuesheng Zhang
    Tsinghua Shenzhen International Graduate School, Shenzhen, China.
  • Xiaona Lin
    State Key Laboratory of Bioactive Molecules and Druggability Assessment, MOE Key Laboratory of Tumor Molecular Biology, and Institute of Precision Cancer Medicine and Pathology, School of Medicine, Jinan University, Guangzhou, Guangdong, China; Department of Thoracic Surgery, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
  • Licong Dong
    Department of Ultrasound, Peking University Shenzhen Hospital, Shenzhen, China.
  • Sure Zhang
    Department of Biomedical Engineering, Tsinghua University, Beijing, China.
  • Xueling Zhang
    Tsinghua Shenzhen International Graduate School, Shenzhen, China.
  • Desheng Sun
    Department of Ultrasound, Peking University Shenzhen Hospital, Shenzhen, China.
  • Kehong Yuan
    Institute for Hospital Management, Tsinghua University, Beijing, China.