Evidence map›Paper›PMID 34132495›Full record

ArticleCancer medicine2021

Application of deep learning in the detection of breast lesions with four different breast densities.

Hongmei Li, Jing Ye, Hao Liu, Yichuan Wang, Binbin Shi, Juan Chen, Aiping Kong, Qing Xu, Junhui Cai

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Hongmei LiDepartment of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, China.ORCID 0000-0002-1243-651X
Jing YeDepartment of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, China.ORCID 0000-0002-9976-6553
Hao LiuYizhun Medical AI, Beijing, China.ORCID 0000-0002-0237-2735
Yichuan WangYizhun Medical AI, Beijing, China.ORCID 0000-0002-1723-3084
Binbin ShiDepartment of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, China.ORCID 0000-0001-6257-5289
Juan ChenDepartment of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, China.ORCID 0000-0003-3746-2009
Aiping KongDepartment of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, China.ORCID 0000-0002-9127-4474
Qing XuDepartment of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, China.ORCID 0000-0001-9817-302X
Junhui CaiDepartment of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, China.ORCID 0000-0002-3569-9806

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis retrospective study evaluated the model from populations with different breast densities and showed the model's performance on malignancy prediction.

methodsA total of 608 mammograms were collected from Northern Jiangsu People's Hospital in Yangzhou City. The data from this province have not been used in the training or evaluation data set. The model consists of three submodules, lesion detection (Mask-rcnn), lesion registration between craniocaudal view and mediolateral oblique view, malignancy prediction network (ResNet). The data set used to train the model was obtained from nine institutions across six cities. For normal cases, there were no annotations. Here, we adopted the free-response receiver operating characteristic (FROC) curve as the indicator to evaluate the detection performance of all cancers and triple-negative breast cancer (TNBC). The FROC curves are also shown for mass/distortion/asymmetry and typical benign calcification in two kinds of populations with four types of breast density.

resultsThe sensitivity to mass/distortion/asymmetry for the four types of breast (A, B, C, D) are 0.94, 0.92, 0.89, and 0.72, respectively, when false positive per image is 0.25, while these values are 1.00, 0.95, 0.92, and 0.90, respectively, for the amorphous calcification lesions. The sensitivity for the cancer is 0.85 at the same false-positive rate. The TNBC accounts for about 10%-20% of all breast cancers and is more aggressive with poor prognosis than other breast cancers. Herein, we also evaluated performance on the TNBC cases. Our results show that Yizhun AI could detect 75% TNBC lesions at the same false-positive level mentioned above.

conclusionThe Yizhun AI model used in our work has good diagnostic efficiency for different types of breast, even for the extremely dense breast. It has a guiding role in the clinical diagnosis of breast cancer. The performance of Yizhun AI on mass/distortion/asymmetry is affected by breast density significantly compared to that on amorphous calcification.

Indexed as

Breast DensityDeep LearningAdultAgedBreast NeoplasmsCalcinosisFemaleHumansMammographyMiddle AgedRetrospective StudiesROC CurveSensitivity and SpecificityTriple Negative Breast Neoplasmsbreast densityfalse-positivesensitivityYizhun AI

Identifiers

PMID34132495
PMCPMC8290249

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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.