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Multi-path synergic fusion deep neural network framework for breast mass classification using digital breast tomosynthesis

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机构: [1]Guangzhou Med Univ, Affiliated Canc Hosp & Inst, Radiotherapy Ctr, Guangzhou 510095, Guangdong, Peoples R China [2]Southern Med Univ, Sch Biomed Engn, Guangzhou 510515, Guangdong, Peoples R China [3]Chenzhou 1 Peoples Hosp, Radiotherapy Ctr, Chenzhou 423000, Hunan, Peoples R China [4]Southern Med Univ, Nanfang Hosp, Dept Radiol, Guangzhou 510515, Guangdong, Peoples R China [5]PVmed Technol, Guangzhou 510275, Guangdong, Peoples R China [6]Guangzhou Univ Chinese Med, Affiliated Hosp 2, Guangzhou 510120, Guangdong, Peoples R China
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关键词: breast mammography deep learning neural network classification

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Objective. To develop and evaluate a multi-path synergic fusion (MSF) deep neural network model for breast mass classification using digital breast tomosynthesis (DBT). Methods. We retrospectively collected 441 patients who had undergone DBT in which the regions of interest (ROIs) covering the malignant/benign breast mass were extracted for model training and validation. In the proposed MSF framework, three multifaceted representations of the breast mass (gross mass, overview, and mass background) are extracted from the ROIs and independently processed by a multi-scale multi-level features enforced DenseNet (MMFED). The three MMFED sub-models are finally fused at the decision level to generate the final prediction. The advantages of the MMFED over the original DenseNet, as well as different fusion strategies embedded in MSF, were comprehensively compared. Results. The MMFED was observed to be superior to the original DenseNet, and multiple channel fusions in the MSF outperformed the single-channel MMFED and double-channel fusion with the best classification scores of area under the receiver operating characteristic (ROC) curve (87.03%), Accuracy (81.29%), Sensitivity (74.57%), and Specificity (84.53%) via the weighted fusion method embedded in MSF. The decision level fusion-based MSF was significantly better (in terms of the ROC curve) than the feature concatenation-based fusion (p< 0.05), the single MMFED using a fused three-channel image (p< 0.04), and the multiple MMFED end-to-end training (p< 0.004). Conclusions. Integrating multifaceted representations of the breast mass tends to increase benign/malignant mass classification performance and the proposed methodology was verified to be a promising tool to assist in clinical breast cancer screening.

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 3 区 工程:生物医学 3 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 工程:生物医学 3 区 核医学
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出版当年[2018]版:
Q2 ENGINEERING, BIOMEDICAL Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q2 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Guangzhou Med Univ, Affiliated Canc Hosp & Inst, Radiotherapy Ctr, Guangzhou 510095, Guangdong, Peoples R China
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