Improving the Quantitative Analysis of Breast Microcalcifications: A Multiscale Approach.

Accurate characterization of microcalcifications (MCs) in 2D digital mammography is a necessary step toward reducing the diagnostic uncertainty associated with the callback of indeterminate MCs. Quantitative analysis of MCs can better identify MCs with a higher likelihood of ductal carcinoma in situ...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 3; pp. 1016 - 1029
Autores principales: Marasinou, Chrysostomos, Li, Bo, Paige, Jeremy, Omigbodun, Akinyinka, Nakhaei, Noor, Hoyt, Anne, Hsu, William
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-022-00751-3
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        atl: Improving the Quantitative Analysis of Breast Microcalcifications: A Multiscale Approach.
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          Marasinou, Chrysostomos
          Li, Bo
          Paige, Jeremy
          Omigbodun, Akinyinka
          Nakhaei, Noor
          Hoyt, Anne
          Hsu, William
        affil: Medical & Imaging Informatics, Department of Radiological Sciences, David Geffen School of Medicine at UCLA, 924 Westwood Blvd, Ste 420, 90024, Los Angeles, USA
      sug:
        subj:
          Breast Diseases Diagnosis
          Radiographic Image Enhancement Methods
          Mammography
          Sensitivity and Specificity Evaluation
          Human
          Quantitative Studies
          Carcinoma, Ductal Diagnosis
          Regression
          Funding Source
          Diagnostic Errors Prevention and Control
          Breast Neoplasms Diagnosis
          Neoplasm Invasiveness
      ab: Accurate characterization of microcalcifications (MCs) in 2D digital mammography is a necessary step toward reducing the diagnostic uncertainty associated with the callback of indeterminate MCs. Quantitative analysis of MCs can better identify MCs with a higher likelihood of ductal carcinoma in situ or invasive cancer. However, automated identification and segmentation of MCs remain challenging with high false positive rates. We present a two-stage multiscale approach to MC segmentation in 2D full-field digital mammograms (FFDMs) and diagnostic magnification views. Candidate objects are first delineated using blob detection and Hessian analysis. A regression convolutional network, trained to output a function with a higher response near MCs, chooses the objects which constitute actual MCs. The method was trained and validated on 435 screening and diagnostic FFDMs from two separate datasets. We then used our approach to segment MCs on magnification views of 248 cases with amorphous MCs. We modeled the extracted features using gradient tree boosting to classify each case as benign or malignant. Compared to state-of-the-art comparison methods, our approach achieved superior mean intersection over the union (0.670 ± 0.121 per image versus 0.524 ± 0.034 per image), intersection over the union per MC object (0.607 ± 0.250 versus 0.363 ± 0.278) and true positive rate of 0.744 versus 0.581 at 0.4 false positive detections per square centimeter. Features generated using our approach outperformed the comparison method (0.763 versus 0.710 AUC) in distinguishing amorphous calcifications as benign or malignant.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
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        Journal Article
      ougenre: Article
    language: English
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