An Interactive System for Computer-Aided Diagnosis of Breast Masses.

Although mammography is the only clinically accepted imaging modality for screening the general population to detect breast cancer, interpreting mammograms is difficult with lower sensitivity and specificity. To provide radiologists 'a visual aid' in interpreting mammograms, we developed and tested...

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Publicado en:Journal of Digital Imaging Vol. 25; no. 5; pp. 570 - 580
Autores principales: Wang, Xingwei, Li, Lihua, Liu, Wei, Xu, Weidong, Lederman, Dror, Zheng, Bin
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Oct2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2012
      vid: 25
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      pub: Springer Nature
      place: New York, New York
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        atl: An Interactive System for Computer-Aided Diagnosis of Breast Masses.
      aug:
        au:
          Wang, Xingwei
          Li, Lihua
          Liu, Wei
          Xu, Weidong
          Lederman, Dror
          Zheng, Bin
        affil: Department of Radiology, University of Pittsburgh, 3362 Fifth Avenue Pittsburgh 15213 USA
      sug:
        subj:
          Breast Neoplasms Diagnosis
          Diagnosis, Computer Assisted
          Mammography
          Decision Support Techniques
          Systems Design
          Algorithms
          Radiographic Image Enhancement Methods
          Evaluation Research
          ROC Curve
          Confidence Intervals
          P-Value
          Human
          Funding Source
      ab: Although mammography is the only clinically accepted imaging modality for screening the general population to detect breast cancer, interpreting mammograms is difficult with lower sensitivity and specificity. To provide radiologists 'a visual aid' in interpreting mammograms, we developed and tested an interactive system for computer-aided detection and diagnosis (CAD) of mass-like cancers. Using this system, an observer can view CAD-cued mass regions depicted on one image and then query any suspicious regions (either cued or not cued by CAD). CAD scheme automatically segments the suspicious region or accepts manually defined region and computes a set of image features. Using content-based image retrieval (CBIR) algorithm, CAD searches for a set of reference images depicting 'abnormalities' similar to the queried region. Based on image retrieval results and a decision algorithm, a classification score is assigned to the queried region. In this study, a reference database with 1,800 malignant mass regions and 1,800 benign and CAD-generated false-positive regions was used. A modified CBIR algorithm with a new function of stretching the attributes in the multi-dimensional space and decision scheme was optimized using a genetic algorithm. Using a leave-one-out testing method to classify suspicious mass regions, we compared the classification performance using two CBIR algorithms with either equally weighted or optimally stretched attributes. Using the modified CBIR algorithm, the area under receiver operating characteristic curve was significantly increased from 0.865 ± 0.006 to 0.897 ± 0.005 ( p < 0.001). This study demonstrated the feasibility of developing an interactive CAD system with a large reference database and achieving improved performance.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
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        Journal Article
      ougenre: Article
    language: English
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