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Multi-region radiomics for artificially intelligent diagnosis of breast cancer using multimodal ultrasound

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机构: [1]The SMART (Smart Medicine and AI-based Radiology Technology) Lab, Shanghai Institute for Advanced Communication and Data Science, Shanghai University, Shanghai, China [2]School of Communication and Information Engineering, Shanghai University, Shanghai, China [3]Department of Ultrasound Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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关键词: Deep learning Multimodal Point-wise gated deep network (PGDN) Computer-aided diagnosis (CAD) Breast cancer Radiomics

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Purpose: The ultrasound (US) diagnosis of breast cancer is usually based on a single-region of a whole breast tumor from a single ultrasonic modality, which limits the diagnostic performance. Multiple regions on multi -modal US images of breast tumors may all have useful information for diagnosis. This study aimed to propose a multi-region radiomics approach with multimodal US for artificially intelligent diagnosis of malignant and benign breast tumors. Materials and methods: Firstly, radiomics features were extracted from five regions of interest (ROIs) on B-mode US and contrast-enhanced ultrasound (CEUS) images, including intensity statistics, gray-level co-occurrence matrix texture features and binary texture features. The multiple ROIs included the whole tumor region, strongest perfusion region, marginal region and surrounding region. Secondly, a deep neural network, composed of the point-wise gated Boltzmann machine and the restricted Boltzmann machine, was adopted to comprehensively learn and select features. Thirdly, the support vector machine was used for classification between benign and malignant breast tumors. Finally, five single-region classification models were generated from five ROIs, and they were fused to form an integrated classification model. Results: Experimental evaluation was conducted on multimodal US images of breast from 187 patients with breast tumors (68 malignant and 119 benign). Under five-fold cross-validation, the classification accuracy, sensitivity, specificity, Youden's index and area under the receiver operating characteristic curve (AUC) with our model were 87.1% +/- 3.3%, 77.4% +/- 11.8%, 92.4% +/- 7.2%, 69.8% +/- 8.6% and 0.849 +/- 0.043, respectively. Our model was significantly better than single-region single-modal methods in terms of the AUC and accuracy (p < 0.05). Conclusion: In addition to the whole tumor region, the other regions including the strongest perfusion region, marginal region and surrounding region on US images can assist breast cancer diagnosis. The multi-region multimodal radiomics model achieved the best classification results. Our artificially intelligent model would be potentially useful for clinical diagnosis of breast cancer.

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出版当年[2021]版:
大类 | 3 区 工程技术
小类 | 2 区 生物学 2 区 数学与计算生物学 3 区 计算机:跨学科应用 3 区 工程:生物医学
最新[2023]版:
大类 | 2 区 医学
小类 | 1 区 生物学 1 区 数学与计算生物学 2 区 计算机:跨学科应用 2 区 工程:生物医学
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出版当年[2020]版:
Q1 BIOLOGY Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q2 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q1 BIOLOGY Q1 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q1 ENGINEERING, BIOMEDICAL Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]The SMART (Smart Medicine and AI-based Radiology Technology) Lab, Shanghai Institute for Advanced Communication and Data Science, Shanghai University, Shanghai, China [2]School of Communication and Information Engineering, Shanghai University, Shanghai, China
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通讯作者:
通讯机构: [1]The SMART (Smart Medicine and AI-based Radiology Technology) Lab, Shanghai Institute for Advanced Communication and Data Science, Shanghai University, Shanghai, China [2]School of Communication and Information Engineering, Shanghai University, Shanghai, China [*1]School of Communication and Information Engineering, Shanghai University, Shanghai, 200444, China
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