Study on automatic detection and classification of breast nodule using deep convolutional neural network system

• Published in: Journal of thoracic disease Vol. 12; no. 9; pp. 4690 - 4701
• Main Authors: Wang, Feiqian, Liu, Xiaotong, Yuan, Na, Qian, Buyue, Ruan, Litao, Yin, Changchang, Jin, Ciping
• Format: Journal Article
• Language: English
• Published: China AME Publishing Company 01-09-2020
• Subjects: Original; automated breast ultrasound (ABUS); Deep convolutional neural networks (CNN); computer-aided diagnosis (CAD); breast nodule
• ISSN: 2072-1439; 2077-6624
• DOI: 10.21037/jtd-19-3013

Conventional ultrasound manual scanning and artificial diagnosis approaches in breast are considered to be operator-dependence, slight slow and error-prone. In this study, we used Automated Breast Ultrasound (ABUS) machine for the scanning, and deep convolutional neural network (CNN) technology, a kind of Deep Learning (DL) algorithm, for the detection and classification of breast nodules, aiming to achieve the automatic and accurate diagnosis of breast nodules.
Two hundred and ninety-three lesions from 194 patients with definite pathological diagnosis results (117 benign and 176 malignancy) were recruited as case group. Another 70 patients without breast diseases were enrolled as control group. All the breast scans were carried out by an ABUS machine and then randomly divided into training set, verification set and test set, with a proportion of 7:1:2. In the training set, we constructed a detection model by a three-dimensionally U-shaped convolutional neural network (3D U-Net) architecture for the purpose of segment the nodules from background breast images. Processes such as residual block, attention connections, and hard mining were used to optimize the model while strategies of random cropping, flipping and rotation for data augmentation. In the test phase, the current model was compared with those in previously reported studies. In the verification set, the detection effectiveness of detection model was evaluated. In the classification phase, multiple convolutional layers and fully-connected layers were applied to set up a classification model, aiming to identify whether the nodule was malignancy.
Our detection model yielded a sensitivity of 91% and 1.92 false positive subjects per automatically scanned imaging. The classification model achieved a sensitivity of 87.0%, a specificity of 88.0% and an accuracy of 87.5%.
Deep CNN combined with ABUS maybe a promising tool for easy detection and accurate diagnosis of breast nodule.