An Automated Decision Support System to Analyze Malignancy Patterns of Breast Masses Employing Medically Relevant Features of Ultrasound Images.

An automated computer-aided approach might aid radiologists in diagnosing breast cancer at a primary stage. This study proposes a novel decision support system to classify breast tumors into benign and malignant based on clinically important features, using ultrasound images. Nine handcrafted featur...

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Published in:Journal of Digital Imaging Vol. 37; no. 1; pp. 45 - 60
Main Authors: Azam, Sami, Montaha, Sidratul, Raiaan, Mohaimenul Azam Khan, Rafid, A. K. M. Rakibul Haque, Mukta, Saddam Hossain, Jonkman, Mirjam
Format: computer program diagnostic images research tables/charts Journal Article
Published: Springer Nature Feb2024
Online Access:View this record in EBSCOhost
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      dt: Feb2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-023-00925-7
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        atl: An Automated Decision Support System to Analyze Malignancy Patterns of Breast Masses Employing Medically Relevant Features of Ultrasound Images.
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          Azam, Sami
          Montaha, Sidratul
          Raiaan, Mohaimenul Azam Khan
          Rafid, A. K. M. Rakibul Haque
          Mukta, Saddam Hossain
          Jonkman, Mirjam
        affil: https://ror.org/048zcaj52 Faculty of Science and Technology, Charles Darwin University, 0909, Casuarina, NT, Australia
      sug:
        subj:
          Breast Neoplasms Ultrasonography
          Breast Neoplasms Diagnosis
          Decision Support Systems, Clinical
          Decision Making, Computer Assisted Methods
          Automation
          Tumor Markers, Biological
          Human
          Machine Learning
          Descriptive Statistics
          Decision Support Techniques
          Algorithms
          Radiologists
          Diagnosis, Computer Assisted
      ab: An automated computer-aided approach might aid radiologists in diagnosing breast cancer at a primary stage. This study proposes a novel decision support system to classify breast tumors into benign and malignant based on clinically important features, using ultrasound images. Nine handcrafted features, which align with the clinical markers used by radiologists, are extracted from the region of interest (ROI) of ultrasound images. To validate that these elected clinical markers have a significant impact on predicting the benign and malignant classes, ten machine learning (ML) models are experimented with resulting in test accuracies in the range of 96 to 99%. In addition, four feature selection techniques are explored where two features are eliminated according to the feature ranking score of each feature selection method. The Random Forest classifier is trained with the resultant four feature sets. Results indicate that even when eliminating only two features, the performance of the model is reduced for each feature selection technique. These experiments validate the efficiency and effectiveness of the clinically important features. To develop the decision support system, a probability density function (PDF) graph is generated for each feature in order to find a threshold range to distinguish benign and malignant tumors. Based on the threshold range of particular features, a decision support system is developed in such a way that if at least eight out of nine features are within the threshold range, the image will be denoted as true predicted. With this algorithm, a test accuracy of 99.38% and an F1 Score of 99.05% is achieved, which means that our decision support system outperforms all the previously trained ML models. Moreover, after calculating individual class-based test accuracies, for the benign class, a test accuracy of 99.31% has been attained where only three benign instances are misclassified out of 437 instances, and for the malignant class, a test accuracy of 99.52% has been attained where only one malignant instance is misclassified out of 210 instances. This system is robust, time-effective, and reliable as the radiologists' criteria are followed and may aid specialists in making a diagnosis.
      pubtype: Academic Journal
      doctype:
        computer program
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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