Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning Approach

Breast cancer is the leading cause of cancer deaths worldwide in women. This aggressive tumor can be categorized into two main groups—in situ and infiltrative, with the latter being the most common malignant lesions. The current use of magnetic resonance imaging (MRI) was shown to provide the highes...

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Main Authors: Luana Conte, Benedetta Tafuri, Maurizio Portaluri, Alessandro Galiano, Eleonora Maggiulli, Giorgio De Nunzio
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/10/17/6109
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spelling doaj-cb9fdf0e2a5b496ba3023a6b144fe0f02020-11-25T03:18:30ZengMDPI AGApplied Sciences2076-34172020-09-01106109610910.3390/app10176109Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning ApproachLuana Conte0Benedetta Tafuri1Maurizio Portaluri2Alessandro Galiano3Eleonora Maggiulli4Giorgio De Nunzio5Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics “E. De Giorgi”, University of Salento, 73100 Lecce, ItalyLaboratory of Biomedical Physics and Environment, Department of Mathematics and Physics “E. De Giorgi”, University of Salento, 73100 Lecce, ItalyOperative Unit of Radiotherapy, ASL (Local Health Authority), Brindisi, and ‘Di Summa-Perrino’ Hospital, 72100 Brindisi, ItalyOperative Unit of Radiodiagnostics, ASL (Local Health Authority), Brindisi, and ‘Di Summa-Perrino’ Hospital, 72100 Brindisi, ItalyOperative Unit of Medical Physics, ASL (Local Health Authority), Brindisi, and ‘Di Summa-Perrino’ Hospital, 72100 Brindisi, ItalyLaboratory of Biomedical Physics and Environment, Department of Mathematics and Physics “E. De Giorgi”, University of Salento, 73100 Lecce, ItalyBreast cancer is the leading cause of cancer deaths worldwide in women. This aggressive tumor can be categorized into two main groups—in situ and infiltrative, with the latter being the most common malignant lesions. The current use of magnetic resonance imaging (MRI) was shown to provide the highest sensitivity in the detection and discrimination between benign vs. malignant lesions, when interpreted by expert radiologists. In this article, we present the prototype of a computer-aided detection/diagnosis (CAD) system that could provide valuable assistance to radiologists for discrimination between in situ and infiltrating tumors. The system consists of two main processing levels—(1) localization of possibly tumoral regions of interest (ROIs) through an iterative procedure based on intensity values (ROI Hunter), followed by a deep-feature extraction and classification method for false-positive rejection; and (2) characterization of the selected ROIs and discrimination between in situ and invasive tumor, consisting of Radiomics feature extraction and classification through a machine-learning algorithm. The CAD system was developed and evaluated using a DCE–MRI image database, containing at least one confirmed mass per image, as diagnosed by an expert radiologist. When evaluating the accuracy of the ROI Hunter procedure with respect to the radiologist-drawn boundaries, sensitivity to mass detection was found to be 75%. The AUC of the ROC curve for discrimination between in situ and infiltrative tumors was 0.70.https://www.mdpi.com/2076-3417/10/17/6109breast cancerRadiomicsmachine learningdeep learningsegmentationin situ breast cancer
collection DOAJ
language English
format Article
sources DOAJ
author Luana Conte
Benedetta Tafuri
Maurizio Portaluri
Alessandro Galiano
Eleonora Maggiulli
Giorgio De Nunzio
spellingShingle Luana Conte
Benedetta Tafuri
Maurizio Portaluri
Alessandro Galiano
Eleonora Maggiulli
Giorgio De Nunzio
Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning Approach
Applied Sciences
breast cancer
Radiomics
machine learning
deep learning
segmentation
in situ breast cancer
author_facet Luana Conte
Benedetta Tafuri
Maurizio Portaluri
Alessandro Galiano
Eleonora Maggiulli
Giorgio De Nunzio
author_sort Luana Conte
title Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning Approach
title_short Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning Approach
title_full Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning Approach
title_fullStr Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning Approach
title_full_unstemmed Breast Cancer Mass Detection in DCE–MRI Using Deep-Learning Features Followed by Discrimination of Infiltrative vs. In Situ Carcinoma through a Machine-Learning Approach
title_sort breast cancer mass detection in dce–mri using deep-learning features followed by discrimination of infiltrative vs. in situ carcinoma through a machine-learning approach
publisher MDPI AG
series Applied Sciences
issn 2076-3417
publishDate 2020-09-01
description Breast cancer is the leading cause of cancer deaths worldwide in women. This aggressive tumor can be categorized into two main groups—in situ and infiltrative, with the latter being the most common malignant lesions. The current use of magnetic resonance imaging (MRI) was shown to provide the highest sensitivity in the detection and discrimination between benign vs. malignant lesions, when interpreted by expert radiologists. In this article, we present the prototype of a computer-aided detection/diagnosis (CAD) system that could provide valuable assistance to radiologists for discrimination between in situ and infiltrating tumors. The system consists of two main processing levels—(1) localization of possibly tumoral regions of interest (ROIs) through an iterative procedure based on intensity values (ROI Hunter), followed by a deep-feature extraction and classification method for false-positive rejection; and (2) characterization of the selected ROIs and discrimination between in situ and invasive tumor, consisting of Radiomics feature extraction and classification through a machine-learning algorithm. The CAD system was developed and evaluated using a DCE–MRI image database, containing at least one confirmed mass per image, as diagnosed by an expert radiologist. When evaluating the accuracy of the ROI Hunter procedure with respect to the radiologist-drawn boundaries, sensitivity to mass detection was found to be 75%. The AUC of the ROC curve for discrimination between in situ and infiltrative tumors was 0.70.
topic breast cancer
Radiomics
machine learning
deep learning
segmentation
in situ breast cancer
url https://www.mdpi.com/2076-3417/10/17/6109
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