Mario Alexis Monsivais Molina

Jorge Alberto Garza-Abdala, Gerardo Alejandro Fumagal-González, Beatriz A. Bosques-Palomo et al.

Early diagnosis of breast cancer is crucial for improving survival rates. Radiomics and deep learning (DL) have shown significant potential in assisting radiologists with early cancer detection. This paper aims to critically assess the performance of radiomics, DL, and ensemble techniques in detecting cancer from screening mammograms. Two independent datasets were used: the RSNA 2023 Breast Cancer Detection Challenge (11,913 patients) and a Mexican cohort from the TecSalud dataset (19,400 patients). The ConvNeXtV1-small DL model was trained on the RSNA dataset and validated on the TecSalud dataset, while radiomics models were developed using the TecSalud dataset and validated with a leave-one-year-out approach. The ensemble method consistently combined and calibrated predictions using the same methodology. Results showed that the ensemble approach achieved the highest area under the curve (AUC) of 0.87, compared to 0.83 for ConvNeXtV1-small and 0.80 for radiomics. In conclusion, ensemble methods combining DL and radiomics predictions significantly enhance breast cancer diagnosis from mammograms.

Sadam Hussain, Mansoor Ali, Usman Naseem et al.

Rising breast cancer (BC) occurrence and mortality are major global concerns for women. Deep learning (DL) has demonstrated superior diagnostic performance in BC classification compared to human expert readers. However, the predominant use of unimodal (digital mammography) features may limit the current performance of diagnostic models. To address this, we collected a novel multimodal dataset comprising both imaging and textual data. This study proposes a multimodal DL architecture for BC classification, utilising images (mammograms; four views) and textual data (radiological reports) from our new in-house dataset. Various augmentation techniques were applied to enhance the training data size for both imaging and textual data. We explored the performance of eleven SOTA DL architectures (VGG16, VGG19, ResNet34, ResNet50, MobileNet-v3, EffNet-b0, EffNet-b1, EffNet-b2, EffNet-b3, EffNet-b7, and Vision Transformer (ViT)) as imaging feature extractors. For textual feature extraction, we utilised either artificial neural networks (ANNs) or long short-term memory (LSTM) networks. The combined imaging and textual features were then inputted into an ANN classifier for BC classification, using the late fusion technique. We evaluated different feature extractor and classifier arrangements. The VGG19 and ANN combinations achieved the highest accuracy of 0.951. For precision, the VGG19 and ANN combination again surpassed other CNN and LSTM, ANN based architectures by achieving a score of 0.95. The best sensitivity score of 0.903 was achieved by the VGG16+LSTM. The highest F1 score of 0.931 was achieved by VGG19+LSTM. Only the VGG16+LSTM achieved the best area under the curve (AUC) of 0.937, with VGG16+LSTM closely following with a 0.929 AUC score.