Textural Kinetics: A Novel Dynamic Contrast-Enhanced (DCE)-MRI Feature for Breast Lesion Classification.

Dynamic contrast-enhanced (DCE)-magnetic resonance imaging (MRI) of the breast has emerged as an adjunct imaging tool to conventional X-ray mammography due to its high detection sensitivity. Despite the increasing use of breast DCE-MRI, specificity in distinguishing malignant from benign breast lesi...

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Publicado en:Journal of Digital Imaging Vol. 24; no. 3; pp. 446 - 464
Autores principales: Agner, Shannon, Soman, Salil, Libfeld, Edward, McDonald, Margie, Thomas, Kathleen, Englander, Sarah, Rosen, Mark, Chin, Deanna, Nosher, John, Madabhushi, Anant
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Jun2011
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Textural Kinetics: A Novel Dynamic Contrast-Enhanced (DCE)-MRI Feature for Breast Lesion Classification.
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          Agner, Shannon
          Soman, Salil
          Libfeld, Edward
          McDonald, Margie
          Thomas, Kathleen
          Englander, Sarah
          Rosen, Mark
          Chin, Deanna
          Nosher, John
          Madabhushi, Anant
        affil: Department of Biomedical Engineering, Rutgers University, 599 Taylor Road Piscataway 08854 USA
      sug:
        subj:
          Mammography
          Magnetic Resonance Imaging Methods
          Breast Neoplasms Diagnosis
          Breast Radiography
          Human
          Contrast Media
          Breast Pathology
          ROC Curve
          Funding Source
      ab: Dynamic contrast-enhanced (DCE)-magnetic resonance imaging (MRI) of the breast has emerged as an adjunct imaging tool to conventional X-ray mammography due to its high detection sensitivity. Despite the increasing use of breast DCE-MRI, specificity in distinguishing malignant from benign breast lesions is low, and interobserver variability in lesion classification is high. The novel contribution of this paper is in the definition of a new DCE-MRI descriptor that we call textural kinetics, which attempts to capture spatiotemporal changes in breast lesion texture in order to distinguish malignant from benign lesions. We qualitatively and quantitatively demonstrated on 41 breast DCE-MRI studies that textural kinetic features outperform signal intensity kinetics and lesion morphology features in distinguishing benign from malignant lesions. A probabilistic boosting tree (PBT) classifier in conjunction with textural kinetic descriptors yielded an accuracy of 90%, sensitivity of 95%, specificity of 82%, and an area under the curve (AUC) of 0.92. Graph embedding, used for qualitative visualization of a low-dimensional representation of the data, showed the best separation between benign and malignant lesions when using textural kinetic features. The PBT classifier results and trends were also corroborated via a support vector machine classifier which showed that textural kinetic features outperformed the morphological, static texture, and signal intensity kinetics descriptors. When textural kinetic attributes were combined with morphologic descriptors, the resulting PBT classifier yielded 89% accuracy, 99% sensitivity, 76% specificity, and an AUC of 0.91.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
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      ougenre: Article
    language: English
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