Document Detail


Computer-aided US diagnosis of breast lesions by using cell-based contour grouping.
MedLine Citation:
PMID:  20501714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To develop a computer-aided diagnostic algorithm with automatic boundary delineation for differential diagnosis of benign and malignant breast lesions at ultrasonography (US) and investigate the effect of boundary quality on the performance of a computer-aided diagnostic algorithm. MATERIALS AND METHODS: This was an institutional review board-approved retrospective study with waiver of informed consent. A cell-based contour grouping (CBCG) segmentation algorithm was used to delineate the lesion boundaries automatically. Seven morphologic features were extracted. The classifier was a logistic regression function. Five hundred twenty breast US scans were obtained from 520 subjects (age range, 15-89 years), including 275 benign (mean size, 15 mm; range, 5-35 mm) and 245 malignant (mean size, 18 mm; range, 8-29 mm) lesions. The newly developed computer-aided diagnostic algorithm was evaluated on the basis of boundary quality and differentiation performance. The segmentation algorithms and features in two conventional computer-aided diagnostic algorithms were used for comparative study. RESULTS: The CBCG-generated boundaries were shown to be comparable with the manually delineated boundaries. The area under the receiver operating characteristic curve (AUC) and differentiation accuracy were 0.968 +/- 0.010 and 93.1% +/- 0.7, respectively, for all 520 breast lesions. At the 5% significance level, the newly developed algorithm was shown to be superior to the use of the boundaries and features of the two conventional computer-aided diagnostic algorithms in terms of AUC (0.974 +/- 0.007 versus 0.890 +/- 0.008 and 0.788 +/- 0.024, respectively). CONCLUSION: The newly developed computer-aided diagnostic algorithm that used a CBCG segmentation method to measure boundaries achieved a high differentiation performance.
Authors:
Jie-Zhi Cheng; Yi-Hong Chou; Chiun-Sheng Huang; Yeun-Chung Chang; Chui-Mei Tiu; Kuei-Wu Chen; Chung-Ming Chen
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Radiology     Volume:  255     ISSN:  1527-1315     ISO Abbreviation:  Radiology     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  746-54     Citation Subset:  AIM; IM    
Copyright Information:
Copyright RSNA, 2010
Affiliation:
Institute of Biomedical Engineering, College of Medicine, and College of Engineering, National Taiwan University, #1, Sec. 1, Jen-Ai Road, Taipei 100, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Algorithms*
Breast Diseases / pathology,  ultrasonography*
Diagnosis, Computer-Assisted / methods*
Diagnosis, Differential
Female
Humans
Logistic Models
Middle Aged
ROC Curve
Retrospective Studies
Ultrasonography, Mammary*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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