Automatic classification of ultrasound breast lesions using a deep convolutional neural network mimicking human decision-making.

Abstract:

OBJECTIVES:To evaluate a deep convolutional neural network (dCNN) for detection, highlighting, and classification of ultrasound (US) breast lesions mimicking human decision-making according to the Breast Imaging Reporting and Data System (BI-RADS). METHODS AND MATERIALS:One thousand nineteen breast ultrasound images from 582 patients (age 56.3 ± 11.5 years) were linked to the corresponding radiological report. Lesions were categorized into the following classes: no tissue, normal breast tissue, BI-RADS 2 (cysts, lymph nodes), BI-RADS 3 (non-cystic mass), and BI-RADS 4-5 (suspicious). To test the accuracy of the dCNN, one internal dataset (101 images) and one external test dataset (43 images) were evaluated by the dCNN and two independent readers. Radiological reports, histopathological results, and follow-up examinations served as reference. The performances of the dCNN and the humans were quantified in terms of classification accuracies and receiver operating characteristic (ROC) curves. RESULTS:In the internal test dataset, the classification accuracy of the dCNN differentiating BI-RADS 2 from BI-RADS 3-5 lesions was 87.1% (external 93.0%) compared with that of human readers with 79.2 ± 1.9% (external 95.3 ± 2.3%). For the classification of BI-RADS 2-3 versus BI-RADS 4-5, the dCNN reached a classification accuracy of 93.1% (external 95.3%), whereas the classification accuracy of humans yielded 91.6 ± 5.4% (external 94.1 ± 1.2%). The AUC on the internal dataset was 83.8 (external 96.7) for the dCNN and 84.6 ± 2.3 (external 90.9 ± 2.9) for the humans. CONCLUSION:dCNNs may be used to mimic human decision-making in the evaluation of single US images of breast lesion according to the BI-RADS catalog. The technique reaches high accuracies and may serve for standardization of highly observer-dependent US assessment. KEY POINTS:• Deep convolutional neural networks could be used to classify US breast lesions. • The implemented dCNN with its sliding window approach reaches high accuracies in the classification of US breast lesions. • Deep convolutional neural networks may serve for standardization in US BI-RADS classification.

journal_name

Eur Radiol

journal_title

European radiology

authors

Ciritsis A,Rossi C,Eberhard M,Marcon M,Becker AS,Boss A

doi

10.1007/s00330-019-06118-7

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

5458-5468

issue

10

eissn

0938-7994

issn

1432-1084

pii

10.1007/s00330-019-06118-7

journal_volume

29

pub_type

杂志文章
  • High-resolution CT of paediatric lung disease.

    abstract::High-resolution computed tomography (HRCT) has improved our understanding of many lung diseases in adults. The technique is used less often in children due to concerns regarding radiation dose. However, HRCT may provide important diagnostic information in a variety of lung diseases in children including airways diseas...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s003300100865

    authors: Copley SJ,Padley SP

    更新日期:2001-01-01 00:00:00

  • Topogram-based automated selection of the tube potential and current in thoraco-abdominal trauma CT - a comparison to fixed kV with mAs modulation alone.

    abstract:OBJECTIVE:To investigate the impact of automated attenuation-based tube potential selection on image quality and exposure parameters in polytrauma patients undergoing contrast-enhanced thoraco-abdominal CT. METHODS:One hundred patients were examined on a 16-slice device at 120 kV with 190 ref.mAs and automated mA modu...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-014-3197-7

    authors: Frellesen C,Stock W,Kerl JM,Lehnert T,Wichmann JL,Nau C,Geiger E,Wutzler S,Beeres M,Schulz B,Bodelle B,Ackermann H,Vogl TJ,Bauer RW

    更新日期:2014-07-01 00:00:00

  • Quantitative susceptibility mapping in combination with water-fat separation for simultaneous liver iron and fat fraction quantification.

    abstract:PURPOSES:To evaluate the feasibility of simultaneous quantification of liver iron concentration (LIC) and fat fraction (FF) using water-fat separation and quantitative susceptibility mapping (QSM). METHODS:Forty-five patients suspected of liver iron overload (LIO) were included. A volumetric interpolated breath-hold e...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-017-5263-4

    authors: Lin H,Wei H,He N,Fu C,Cheng S,Shen J,Wang B,Yan X,Liu C,Yan F

    更新日期:2018-08-01 00:00:00

  • Radioembolisation with (90)Y-labelled resin microspheres in the treatment of liver metastasis from breast cancer.

    abstract:OBJECTIVES:Metastatic breast cancer is a heterogeneous disease, commonly affecting the liver. We report our experience with (90)Y radioembolisation (RE) and its effects on the survival of patients with treatment-refractory breast cancer liver metastases. METHODS:A total of 77 female patients affected by breast cancer ...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-012-2556-5

    authors: Cianni R,Pelle G,Notarianni E,Saltarelli A,Rabuffi P,Bagni O,Filippi L,Cortesi E

    更新日期:2013-01-01 00:00:00

  • Letter to the Editor re: Are intravenous injections of contrast media really less nephrotoxic than intra-arterial injections?

    abstract:UNLABELLED:In a recent paper, the authors oppose the opinion that " intra-arterial administration of iodinated-based contrast media (CM) appears to pose a greater risk of contrast-induced nephropathy (CIN) than intravenous administration" . As nephrologists, we are happy to have the opportunity to offer our expertise i...

    journal_title:European radiology

    pub_type: 评论,信件

    doi:10.1007/s00330-012-2720-y

    authors: Stratta P,Izzo C,Canavese C,Quaglia M

    更新日期:2013-05-01 00:00:00

  • Radiological and clinical predictors of long-term outcome in rotator cuff calcific tendinitis.

    abstract:OBJECTIVES:Knowledge on the epidemiology and long-term course of rotator cuff calcific tendinitis (RCCT) is scarce. We assessed demographics, radiological characteristics, and their association with long-term outcomes in a large patient group. METHODS:Baseline demographics, radiological characteristics and treatment w...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-016-4224-7

    authors: de Witte PB,van Adrichem RA,Selten JW,Nagels J,Reijnierse M,Nelissen RG

    更新日期:2016-10-01 00:00:00

  • Radiofrequency ablation for non-spinal osteoid osteomas in 557 patients.

    abstract:OBJECTIVES:To present the results of biopsy and computed tomography (CT) guided radiofrequency ablation (RFA) for non-spinal osteoid osteomas, and compare the results before and after procedural modifications. METHODS:We retrospectively studied 557 patients with non-spinal osteoid osteomas treated with biopsy and CT-g...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-011-2240-1

    authors: Rimondi E,Mavrogenis AF,Rossi G,Ciminari R,Malaguti C,Tranfaglia C,Vanel D,Ruggieri P

    更新日期:2012-01-01 00:00:00

  • Magnetic resonance imaging for detection of parametrial invasion in cervical cancer: An updated systematic review and meta-analysis of the literature between 2012 and 2016.

    abstract:OBJECTIVE:To review the diagnostic performance of MRI for detection of parametrial invasion (PMI) in cervical cancer patients. METHODS:MEDLINE and EMBASE databases were searched for studies providing diagnostic performance of MRI for detecting PMI in patients with cervical cancer. Studies published between 2012 and 20...

    journal_title:European radiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00330-017-4958-x

    authors: Woo S,Suh CH,Kim SY,Cho JY,Kim SH

    更新日期:2018-02-01 00:00:00

  • Renal cell carcinoma containing fat mimicking angiomyolipoma: demonstration with CT scan and histopathology.

    abstract::We report a case of a large renal tumour containing small amounts of fat and some calcification that proved to be a renal cell carcinoma. The CT appearance of the tumour was suggestive of an angiomyolipoma. Although the overwhelming majority of renal masses containing fat are angiomyolipomas, in the presence of calcif...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s003300050367

    authors: Hammadeh MY,Thomas K,Philp T,Singh M

    更新日期:1998-01-01 00:00:00

  • Dynamic MR imaging of osteoid osteomas: correlation of semiquantitative and quantitative perfusion parameters with patient symptoms and treatment outcome.

    abstract:OBJECTIVE:To evaluate the relationship between multiple MR perfusion parameters and symptoms of patients with osteoid osteomas after percutaneous laser therapy. METHODS:MR perfusion studies of 20 patients diagnosed with an osteoid osteoma, treated with CT-guided percutaneous laser therapy, were retrospectively evaluat...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-013-2867-1

    authors: Teixeira PA,Chanson A,Beaumont M,Lecocq S,Louis M,Marie B,Sirveaux F,Blum A

    更新日期:2013-09-01 00:00:00

  • CT colonography polyp matching: differences between experienced readers.

    abstract::The purpose of this study was to investigate if experienced readers differ when matching polyps shown by both CT colonography (CTC) and optical colonoscopy (OC) and to explore the reasons for discrepancy. Twenty-eight CTC cases with corresponding OC were presented to eight experienced CTC readers. Cases represented a ...

    journal_title:European radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00330-009-1328-3

    authors: Liedenbaum MH,de Vries AH,Halligan S,Bossuyt PM,Dachman AH,Dekker E,Florie J,Gryspeerdt SS,Jensch S,Johnson CD,Laghi A,Taylor SA,Stoker J

    更新日期:2009-07-01 00:00:00

  • Cardiac pathologies in female carriers of Duchenne muscular dystrophy assessed by cardiovascular magnetic resonance imaging.

    abstract:OBJECTIVES:Duchenne muscular dystrophy (DMD) is the most common and severe dystrophinopathy. DMD carriers rarely present with clinical symptoms, but may suffer from cardiac involvement. Because echocardiographic findings are inconsistent and cardiac magnetic resonance imaging (CMRI) data are limited, this study sought ...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-015-3694-3

    authors: Schelhorn J,Schoenecker A,Neudorf U,Schemuth H,Nensa F,Nassenstein K,Forsting M,Schara U,Schlosser T

    更新日期:2015-10-01 00:00:00

  • CT halo sign as an imaging marker for response to adoptive cell therapy in metastatic melanoma with pulmonary metastases.

    abstract:OBJECTIVES:The halo sign refers to a zone of ground-glass attenuation surrounding a pulmonary nodule. Pulmonary metastatic nodules exhibiting a halo sign are seen mainly in hypervascular tumours. We describe the appearance of a halo sign following treatment of adoptive transfer of autologous tumour-infiltrating lymphoc...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-014-3129-6

    authors: Shrot S,Schachter J,Shapira-Frommer R,Besser MJ,Apter S

    更新日期:2014-06-01 00:00:00

  • Imaging the cranial nerves: Part I: methodology, infectious and inflammatory, traumatic and congenital lesions.

    abstract::Many disease processes manifest either primarily or secondarily by cranial nerve deficits. Neurologists, ENT surgeons, ophthalmologists and maxillo-facial surgeons are often confronted with patients with symptoms and signs of cranial nerve dysfunction. Seeking the cause of this dysfunction is a common indication for i...

    journal_title:European radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00330-006-0575-9

    authors: Borges A,Casselman J

    更新日期:2007-08-01 00:00:00

  • Tumour 18 F-FDG Uptake on preoperative PET/CT may predict axillary lymph node metastasis in ER-positive/HER2-negative and HER2-positive breast cancer subtypes.

    abstract:OBJECTIVES:To evaluate the association between tumour FDG uptake on preoperative PET/CT and axillary lymph node metastasis (ALNM) according to breast cancer subtype. METHODS:The records of 671 patients with invasive breast cancer who underwent (18) F-FDG PET/CT and surgery were reviewed. Using immunohistochemistry, tu...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-014-3452-y

    authors: Kim JY,Lee SH,Kim S,Kang T,Bae YT

    更新日期:2015-04-01 00:00:00

  • Feasibility of contrast material volume reduction in coronary artery imaging using 320-slice volume CT.

    abstract:OBJECTIVE:To assess reduced volumes of contrast agent on image quality for coronary computed tomography angiography (CCTA) by using single-beat cardiac imaging with 320-slice CT. MATERIALS AND METHODS:Forty consecutive male patients (mean age: 55.8 years) undergoing CCTA with body weight

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-009-1692-z

    authors: Hein PA,May J,Rogalla P,Butler C,Hamm B,Lembcke A

    更新日期:2010-06-01 00:00:00

  • Lumbar spine radiology: analysis of the posteroanterior projection.

    abstract::The use of the posteroanterior (PA) technique as a means of dose reduction has been used effectively in radiology departments for chest and abdominal examinations. The aim of this investigation was to establish if the PA lumbar spine projection offers any advantages over the traditional anteroposterior (AP) view in te...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s003309900272

    authors: Brennan PC,Madigan E

    更新日期:2000-01-01 00:00:00

  • Imaging of blunt chest trauma.

    abstract::In western European countries most blunt chest traumas are associated with motor vehicle and sport-related accidents. In Switzerland, 39 of 10,000 inhabitants were involved and severely injured in road accidents in 1998. Fifty two percent of them suffered from blunt chest trauma. According to the Swiss Federal Office ...

    journal_title:European radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s003300000435

    authors: Wicky S,Wintermark M,Schnyder P,Capasso P,Denys A

    更新日期:2000-01-01 00:00:00

  • Aneurysmal bone cyst of the cervical spine (2008:7b).

    abstract::Aneurysmal bone cysts (ABC) are rare, benign, but locally destructive bone tumors. They occur in the spine in 14% of cases, but only 2% are found in the cervical spine. This case report presents a 16-year-old female with an expansive aneurysmatic bone cyst with extensive bone destruction and instability in the cervica...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-008-0944-7

    authors: Pennekamp W,Peters S,Schinkel C,Kuhnen C,Nicolas V,Muhr G,Frangen TM

    更新日期:2008-10-01 00:00:00

  • Contrast-enhanced three-dimensional MR angiography in the assessment of subclavian artery diseases.

    abstract::The purpose of this prospective study was to determine the potential diagnostic value of 3D breath-hold contrast-enhanced MRA (CEMRA) in the evaluation of subclavian artery pathology, and to compare CEMRA and digital subtraction angiography (DSA) findings. The study group included 50 patients with suspicion of subclav...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s003300000454

    authors: Cosottini M,Zampa V,Petruzzi P,Ortori S,Cioni R,Bartolozzi C

    更新日期:2000-01-01 00:00:00

  • Clinical significance of acute and chronic ischaemic lesions in multiple cerebral vascular territories.

    abstract:OBJECTIVES:To investigate the association between acute and chronic ischaemic lesions in a multiple territory lesion pattern (MTLP) detected by 3-Tesla MRI and stroke aetiology, specifically atrial fibrillation-associated stroke. METHODS:We analysed data from the 1000+ study - a prospective, observational 3-Tesla MRI ...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-018-5684-8

    authors: Erdur H,Milles LS,Scheitz JF,Villringer K,Haeusler KG,Endres M,Audebert HJ,Fiebach JB,Nolte CH

    更新日期:2019-03-01 00:00:00

  • Radiomics nomogram of contrast-enhanced spectral mammography for prediction of axillary lymph node metastasis in breast cancer: a multicenter study.

    abstract:OBJECTIVE:This study aims to establish and validate a radiomics nomogram based on contrast-enhanced spectral mammography (CESM) for prediction of axillary lymph node (ALN) metastasis in breast cancer. METHODS:This retrospective study included 394 patients with breast cancer who underwent CESM examination in two hospit...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-020-07016-z

    authors: Mao N,Yin P,Li Q,Wang Q,Liu M,Ma H,Dong J,Che K,Wang Z,Duan S,Zhang X,Hong N,Xie H

    更新日期:2020-12-01 00:00:00

  • Diagnostic performance of reduced-dose CT with a hybrid iterative reconstruction algorithm for the detection of hypervascular liver lesions: a phantom study.

    abstract:OBJECTIVES:To investigate the diagnostic performance of reduced-dose CT with a hybrid iterative reconstruction (IR) algorithm for the detection of hypervascular liver lesions. METHODS:Thirty liver phantoms with or without simulated hypervascular lesions were scanned with a 320-slice CT scanner with control-dose (40 mA...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-016-4687-6

    authors: Nakamoto A,Tanaka Y,Juri H,Nakai G,Yoshikawa S,Narumi Y

    更新日期:2017-07-01 00:00:00

  • Ultrasound features of malignancy in the preoperative diagnosis of parathyroid cancer: a retrospective analysis of parathyroid tumours larger than 15 mm.

    abstract:OBJECTIVE:Nearly all reported parathyroid cancers are >15 mm at presentation. The objective was to identify ultrasound criteria of malignancy in parathyroid lesions of >15 mm in size. MATERIALS AND METHODS:This study was approved by a local ethics committee. A retrospective review of patients identified from a databas...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-011-2141-3

    authors: Sidhu PS,Talat N,Patel P,Mulholland NJ,Schulte KM

    更新日期:2011-09-01 00:00:00

  • Inter-sonographer reproducibility of quantitative ultrasound outcomes and shear wave speed measured in the right lobe of the liver in adults with known or suspected non-alcoholic fatty liver disease.

    abstract:OBJECTIVES:To assess inter-sonographer reproducibility of ultrasound attenuation coefficient (AC), backscatter coefficient (BSC) and shear wave speed (SWS) in adults with known/suspected non-alcoholic fatty liver disease (NAFLD). METHODS:The institutional review board approved this HIPAA-compliant prospective study; i...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-018-5541-9

    authors: Han A,Labyed Y,Sy EZ,Boehringer AS,Andre MP,Erdman JW Jr,Loomba R,Sirlin CB,O'Brien WD Jr

    更新日期:2018-12-01 00:00:00

  • Coronavirus disease 2019 (COVID-19) imaging reporting and data system (COVID-RADS) and common lexicon: a proposal based on the imaging data of 37 studies.

    abstract:BACKGROUND:In the vast majority of the laboratory-confirmed coronavirus disease 2019 (COVID-19) patients, computed tomography (CT) examinations yield a typical pattern and the sensitivity of this modality has been reported to be 97% in a large-scale study. Structured reporting systems simplify the interpretation and re...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-020-06863-0

    authors: Salehi S,Abedi A,Balakrishnan S,Gholamrezanezhad A

    更新日期:2020-09-01 00:00:00

  • Abdominal spiral CT in children: which radiation exposure is required?

    abstract::We decided to test to what extent dose reduction is possible in abdominal spiral computed tomography (CT) in young children without loss of anatomic diagnostic information. A retrospective study was performed of 30 abdominal CT examinations of children aged 3 months to 7 years. These were divided into two groups: grou...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s003300100989

    authors: Wormanns D,Diederich S,Lenzen H,Lange P,Link TM,Ludwig K,Papke K,Hagedorn C,Heindel W

    更新日期:2001-01-01 00:00:00

  • Non-traumatic vascular emergencies: imaging and intervention in acute arterial conditions.

    abstract::Methods of imaging and intervention in acute non-traumatic vascular arterial conditions has changed substantially during recent years. Computed tomography, MRI angiography and, more recently, intravascular ultrasonography (IVUS) have replaced to a large extent conventional diagnostic angiography. An increasing number ...

    journal_title:European radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00330-002-1526-8

    authors: Cwikiel W,Midia M,Williams D

    更新日期:2002-11-01 00:00:00

  • Speed of sound ultrasound: comparison with proton density fat fraction assessed with Dixon MRI for fat content quantification of the lower extremity.

    abstract:OBJECTIVES:To compare speed of sound (SoS) ultrasound (US) of the calves with Dixon magnetic resonance imaging (MRI) for fat content quantification. MATERIALS AND METHODS:The study was approved by the local ethics committee. Fifty calf muscles of 35 women (age range 22-81 years) prospectively underwent an US and subse...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-020-06885-8

    authors: Ruby L,Kunut A,Nakhostin DN,Huber FA,Finkenstaedt T,Frauenfelder T,Sanabria SJ,Rominger MB

    更新日期:2020-10-01 00:00:00

  • Magnetisation transfer MR imaging of the kidney: evaluation at 3.0 T in association with renal function.

    abstract:OBJECTIVE:To evaluate the feasibility of using magnetisation transfer (MT) MRI of the kidney at 3.0 T to assess renal function. METHODS:Forty-four patients who underwent abdominal MRI on a 3.0-T system including gradient-echo (GRE) sequences with and without MT pulse were included. In each patient, MT ratio (MTR) of t...

    journal_title:European radiology

    pub_type: 杂志文章

    doi:10.1007/s00330-013-2841-y

    authors: Ito K,Hayashida M,Izumitani S,Fujimine T,Onishi T,Genba K

    更新日期:2013-08-01 00:00:00