Evidence map›Paper›PMID 33383334›Full record

ArticleMedical image analysis2021

An interpretable classifier for high-resolution breast cancer screening images utilizing weakly supervised localization.

Yiqiu Shen, Nan Wu, Jason Phang, Jungkyu Park, Kangning Liu, Sudarshini Tyagi, Laura Heacock, S Gene Kim, Linda Moy, Kyunghyun Cho and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Medical image analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
16.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 196 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Yiqiu ShenCenter for Data Science, New York University, 60 5th Ave, New York, NY 10011, USA.
Nan WuCenter for Data Science, New York University, 60 5th Ave, New York, NY 10011, USA.
Jason PhangCenter for Data Science, New York University, 60 5th Ave, New York, NY 10011, USA.
Jungkyu ParkDepartment of Radiology, NYU School of Medicine, 530 1st Ave, New York, NY 10016, USA.
Kangning LiuCenter for Data Science, New York University, 60 5th Ave, New York, NY 10011, USA.
Sudarshini TyagiDepartment of Computer Science, Courant Institute of Mathematical Sciences, New York University, 251 Mercer St, New York, NY 10012, USA.
Laura HeacockDepartment of Radiology, NYU School of Medicine, 530 1st Ave, New York, NY 10016, USA; Perlmutter Cancer Center, NYU Langone Health, 160 E 34th St, New York, NY 10016, USA.
S Gene KimDepartment of Radiology, NYU School of Medicine, 530 1st Ave, New York, NY 10016, USA; Center for Advanced Imaging Innovation and Research, NYU Langone Health, 660 1st Ave, New York, NY 10016, USA; Perlmutter Cancer Center, NYU Langone Health, 160 E 34th St, New York, NY 10016, USA.
Linda MoyDepartment of Radiology, NYU School of Medicine, 530 1st Ave, New York, NY 10016, USA; Center for Advanced Imaging Innovation and Research, NYU Langone Health, 660 1st Ave, New York, NY 10016, USA; Perlmutter Cancer Center, NYU Langone Health, 160 E 34th St, New York, NY 10016, USA.
Kyunghyun ChoCenter for Data Science, New York University, 60 5th Ave, New York, NY 10011, USA; Department of Computer Science, Courant Institute of Mathematical Sciences, New York University, 251 Mercer St, New York, NY 10012, USA.
Krzysztof J GerasCenter for Data Science, New York University, 60 5th Ave, New York, NY 10011, USA; Department of Radiology, NYU School of Medicine, 530 1st Ave, New York, NY 10016, USA; Center for Advanced Imaging Innovation and Research, NYU Langone Health, 660 1st Ave, New York, NY 10016, USA. Electronic address: k.j.geras@nyu.edu.
New York University · USNYU Langone Health · USCourant Institute of Mathematical Sciences · USAdvanced Imaging Research (United States) · US

Funding

TR&D 4: Revealing Microstructure: Biophysical modeling and validation for discovery and clinical careP41EB017183 · NIBIB · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Hersh Chandarana · 2014 to 2026
$19.3M
Reducing recall rates of screening mammography with deep convolutional neural networkR21CA225175 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MOY, LINDA · 2018 to 2019
$395k
NCI NIH HHS R21 CA225175NIBIB NIH HHS P41 EB017183
6 · The paper itself

Abstract

Medical images differ from natural images in significantly higher resolutions and smaller regions of interest. Because of these differences, neural network architectures that work well for natural images might not be applicable to medical image analysis. In this work, we propose a novel neural network model to address these unique properties of medical images. This model first uses a low-capacity, yet memory-efficient, network on the whole image to identify the most informative regions. It then applies another higher-capacity network to collect details from chosen regions. Finally, it employs a fusion module that aggregates global and local information to make a prediction. While existing methods often require lesion segmentation during training, our model is trained with only image-level labels and can generate pixel-level saliency maps indicating possible malignant findings. We apply the model to screening mammography interpretation: predicting the presence or absence of benign and malignant lesions. On the NYU Breast Cancer Screening Dataset, our model outperforms (AUC = 0.93) ResNet-34 and Faster R-CNN in classifying breasts with malignant findings. On the CBIS-DDSM dataset, our model achieves performance (AUC = 0.858) on par with state-of-the-art approaches. Compared to ResNet-34, our model is 4.1x faster for inference while using 78.4% less GPU memory. Furthermore, we demonstrate, in a reader study, that our model surpasses radiologist-level AUC by a margin of 0.11.

Indexed as

Breast NeoplasmsBreastEarly Detection of CancerFemaleHumansMammographyNeural Networks, ComputerBreast cancer screeningDeep learningHigh-resolution image classificationWeakly supervised localization

Identifiers

PMID33383334
PMCPMC7828643
OpenAlexW3112635222

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.