Mammography-based artificial intelligence for breast cancer detection, diagnosis, and BI-RADS categorization using multi-view and multi-level convolutional neural networks
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Le résumé fourni par la source
PURPOSE: We developed an artificial intelligence system (AIS) using multi-view multi-level convolutional neural networks for breast cancer detection, diagnosis, and BI-RADS categorization support in mammography. METHODS: Twenty-four thousand eight hundred sixty-six breasts from 12,433 Asian women between August 2012 and December 2018 were enrolled. The study consisted of three parts: (1) evaluation of AIS performance in malignancy diagnosis; (2) stratified analysis of BI-RADS 3-4 subgroups with AIS; and (3) reassessment of BI-RADS 0 breasts with AIS assistance. We further evaluate AIS by conducting a counterbalance-designed AI-assisted study, where ten radiologists read 1302 cases with/without AIS assistance. The area under the receiver operating characteristic curve (AUC), sensitivity, specificity, accuracy, and F1 score were measured. RESULTS: The AIS yielded AUC values of 0.995, 0.933, and 0.947 for malignancy diagnosis in the validation set, testing set 1, and testing set 2, respectively. Within BI-RADS 3-4 subgroups with pathological results, AIS downgraded 83.1% of false-positives into benign groups, and upgraded 54.1% of false-negatives into malignant groups. AIS also successfully assisted radiologists in identifying 7 out of 43 malignancies initially diagnosed with BI-RADS 0, with a specificity of 96.7%. In the counterbalance-designed AI-assisted study, the average AUC across ten readers significantly improved with AIS assistance (p = 0.001). CONCLUSION: AIS can accurately detect and diagnose breast cancer on mammography and further serve as a supportive tool for BI-RADS categorization. CRITICAL RELEVANCE STATEMENT: An AI risk assessment tool employing deep learning algorithms was developed and validated for enhancing breast cancer diagnosis from mammograms, to improve risk stratification accuracy, particularly in patients with dense breasts, and serve as a decision support aid for radiologists. KEY POINTS: The false positive and negative rates of mammography diagnosis remain high. The AIS can yield a high AUC for malignancy diagnosis. The AIS is important in stratifying BI-RADS categorization.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Mammography-based artificial intelligence for breast cancer detection, diagnosis, and BI-RADS categorization using multi-view and multi-level convolutional neural networks
- Date Crossref
- 21/05/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Zhengzhou University Department of Radiology pays non établi dans la noticeUniversité ou école supérieure
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Henan Provincial People's Hospital pays non établi dans la noticeÉtablissement de santé
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Zhengzhou People's Hospital pays non établi dans la noticeÉtablissement de santé
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United Imaging Healthcare (China) pays non établi dans la noticeEntreprise
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Henan Cancer Hospital pays non établi dans la noticeÉtablissement de santé
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First Affiliated Hospital of Zhengzhou University pays non établi dans la noticeÉtablissement de santé
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Third Affiliated Hospital of Zhengzhou University pays non établi dans la noticeÉtablissement de santé
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Zhengzhou Central Hospital Department of Radiology pays non établi dans la noticeÉtablissement de santé
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United Imaging Intelligence (China) pays non établi dans la noticeEntreprise
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ShanghaiTech University pays non établi dans la noticeUniversité ou école supérieure
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Imaging Diagnosis of Neurological Diseases and Research Laboratory of Henan Province pays non établi dans la noticeStructure de recherche
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Beijing United Imaging Research Institute of Intelligent Imaging pays non établi dans la noticeStructure de recherche
Department of Radiology — Zhengzhou University, Henan Provincial People's Hospital et Zhengzhou People's Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.