Semi-Automatic Region-of-Interest Segmentation Based Computer-Aided Diagnosis of Mass Lesions from Dynamic Contrast-Enhanced Magnetic Resonance Imaging Based Breast Cancer Screening.

Cancer screening with magnetic resonance imaging (MRI) is currently recommended for very high risk women. The high variability in the diagnostic accuracy of radiologists analyzing screening MRI examinations of the breast is due, at least in part, to the large amounts of data acquired. This has motiv...

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Publicado en:Journal of Digital Imaging Vol. 27; no. 5; pp. 670 - 679
Autores principales: Levman, Jacob, Warner, Ellen, Causer, Petrina, Martel, Anne
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Oct2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2014
      vid: 27
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      pub: Springer Nature
      place: New York, New York
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        atl: Semi-Automatic Region-of-Interest Segmentation Based Computer-Aided Diagnosis of Mass Lesions from Dynamic Contrast-Enhanced Magnetic Resonance Imaging Based Breast Cancer Screening.
      aug:
        au:
          Levman, Jacob
          Warner, Ellen
          Causer, Petrina
          Martel, Anne
        affil: Institute of Biomedical Engineering, University of Oxford, Parks Road Oxford OX1 3PJ UK
      sug:
        subj:
          Diagnosis, Computer Assisted
          Breast Neoplasms Diagnosis
          Radiographic Image Interpretation, Computer-Assisted
          Cancer Screening
          Automation
          Magnetic Resonance Imaging
          Contrast Media
          Artificial Intelligence
          Radiographic Magnification
          Retrospective Design
          Validation Studies
          ROC Curve
          Wilcoxon Signed Rank Test
          P-Value
          Descriptive Statistics
          Human
          Funding Source
      ab: Cancer screening with magnetic resonance imaging (MRI) is currently recommended for very high risk women. The high variability in the diagnostic accuracy of radiologists analyzing screening MRI examinations of the breast is due, at least in part, to the large amounts of data acquired. This has motivated substantial research towards the development of computer-aided diagnosis (CAD) systems for breast MRI which can assist in the diagnostic process by acting as a second reader of the examinations. This retrospective study was performed on 184 benign and 49 malignant lesions detected in a prospective MRI screening study of high risk women at Sunnybrook Health Sciences Centre. A method for performing semi-automatic lesion segmentation based on a supervised learning formulation was compared with the enhancement threshold based segmentation method in the context of a computer-aided diagnostic system. The results demonstrate that the proposed method can assist in providing increased separation between malignant and radiologically suspicious benign lesions. Separation between malignant and benign lesions based on margin measures improved from a receiver operating characteristic (ROC) curve area of 0.63 to 0.73 when the proposed segmentation method was compared with the enhancement threshold, representing a statistically significant improvement. Separation between malignant and benign lesions based on dynamic measures improved from a ROC curve area of 0.75 to 0.79 when the proposed segmentation method was compared to the enhancement threshold, also representing a statistically significant improvement. The proposed method has potential as a component of a computer-aided diagnostic system.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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