Radiomic and Artificial Intelligence Analysis with Textural Metrics Extracted by Contrast-Enhanced Mammography and Dynamic Contrast Magnetic Resonance Imaging to Detect Breast Malignant Lesions.

Purpose:The purpose of this study was to discriminate between benign and malignant breast lesions through several classifiers using, as predictors, radiomic metrics extracted from CEM and DCE-MRI images. In order to optimize the analysis, balancing and feature selection procedures were performed. Me...

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Publicado en:Current Oncology Vol. 29; no. 3; pp. 1947 - 1967
Autores principales: Fusco, Roberta, Di Bernardo, Elio, Piccirillo, Adele, Rubulotta, Maria Rosaria, Petrosino, Teresa, Barretta, Maria Luisa, Mattace Raso, Mauro, Vallone, Paolo, Raiano, Concetta, Di Giacomo, Raimondo, Siani, Claudio, Avino, Franca, Scognamiglio, Giosuè, Di Bonito, Maurizio, Granata, Vincenza, Petrillo, Antonella
Formato: equations & formulas research tables/charts Journal Article
Publicado: MDPI Mar2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: MDPI
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        10.3390/curroncol29030159
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      ppf: 1947
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        atl: Radiomic and Artificial Intelligence Analysis with Textural Metrics Extracted by Contrast-Enhanced Mammography and Dynamic Contrast Magnetic Resonance Imaging to Detect Breast Malignant Lesions.
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        au:
          Fusco, Roberta
          Di Bernardo, Elio
          Piccirillo, Adele
          Rubulotta, Maria Rosaria
          Petrosino, Teresa
          Barretta, Maria Luisa
          Mattace Raso, Mauro
          Vallone, Paolo
          Raiano, Concetta
          Di Giacomo, Raimondo
          Siani, Claudio
          Avino, Franca
          Scognamiglio, Giosuè
          Di Bonito, Maurizio
          Granata, Vincenza
          Petrillo, Antonella
        affil: Medical Oncolody Division, Igea SpA, 80013 Naples, Italy
      sug:
        subj:
          Breast Neoplasms Diagnosis
          Artificial Intelligence
          Magnetic Resonance Imaging Methods
          Mammography Methods
          Human
          Histocytochemistry
          Machine Learning
          Sensitivity and Specificity
          Retrospective Design
          ROC Curve
          Discriminant Analysis
          Descriptive Statistics
      ab: Purpose:The purpose of this study was to discriminate between benign and malignant breast lesions through several classifiers using, as predictors, radiomic metrics extracted from CEM and DCE-MRI images. In order to optimize the analysis, balancing and feature selection procedures were performed. Methods: Fifty-four patients with 79 histo-pathologically proven breast lesions (48 malignant lesions and 31 benign lesions) underwent both CEM and DCE-MRI. The lesions were retrospectively analyzed with radiomic and artificial intelligence approaches. Forty-eight textural metrics were extracted, and univariate and multivariate analyses were performed: non-parametric statistical test, receiver operating characteristic (ROC) and machine learning classifiers. Results: Considering the single metrics extracted from CEM, the best predictors were KURTOSIS (area under ROC curve (AUC) = 0.71) and SKEWNESS (AUC = 0.71) calculated on late MLO view. Considering the features calculated from DCE-MRI, the best predictors were RANGE (AUC = 0.72), ENERGY (AUC = 0.72), ENTROPY (AUC = 0.70) and GLN (gray-level nonuniformity) of the gray-level run-length matrix (AUC = 0.72). Considering the analysis with classifiers and an unbalanced dataset, no significant results were obtained. After the balancing and feature selection procedures, higher values of accuracy, specificity and AUC were reached. The best performance was obtained considering 18 robust features among all metrics derived from CEM and DCE-MRI, using a linear discriminant analysis (accuracy of 0.84 and AUC = 0.88). Conclusions: Classifiers, adjusted with adaptive synthetic sampling and feature selection, allowed for increased diagnostic performance of CEM and DCE-MRI in the differentiation between benign and malignant lesions.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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