Evidence map›Paper›PMID 38303004›Full record

ArticleBreast cancer research : BCR2024

Improving lesion detection in mammograms by leveraging a Cycle-GAN-based lesion remover.

Juhun Lee, Robert M Nishikawa

Abstract read
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Article in Breast cancer research : BCR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Mammo-GAN-Assisted Deep Network Training Scheme for Lesion Detection.Journal of imaging informatics in medicine · 2026
    Article
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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Juhun LeeDepartment of Radiology, The University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA, 15237, USA. leej15@upmc.edu.
Robert M NishikawaDepartment of Radiology, The University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA, 15237, USA.

Funding

Developing a personalized breast cancer screening tool using sequential mammogramsR37CA248207 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, JUHUN · 2020 to 2025
$2.5M
Detecting Mammographically-Occult Cancer in Women with Dense Breasts Using Digital Breast TomosynthesisR01CA269540 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Juhun Lee · 2023 to 2026
$1.4M
NCI NIH HHS R01 CA269540NCI NIH HHS R37 CA248207NIH HHS R37-CA248207
6 · The paper itself

Abstract

backgroundThe wide heterogeneity in the appearance of breast lesions and normal breast structures can confuse computerized detection algorithms. Our purpose was therefore to develop a Lesion Highlighter (LH) that can improve the performance of computer-aided detection algorithms for detecting breast cancer on screening mammograms.

methodsWe hypothesized that a Cycle-GAN based Lesion Remover (LR) could act as an LH, which can improve the performance of lesion detection algorithms. We used 10,310 screening mammograms from 4,832 women that included 4,942 recalled lesions (BI-RADS 0) and 5,368 normal results (BI-RADS 1). We divided the dataset into Train:Validate:Test folds with the ratios of 0.64:0.16:0.2. We segmented image patches (400 × 400 pixels) from either lesions marked by MQSA radiologists or normal tissue in mammograms. We trained a Cycle-GAN to develop two GANs, where each GAN transferred the style of one image to another. We refer to the GAN transferring the style of a lesion to normal breast tissue as the LR. We then highlighted the lesion by color-fusing the mammogram after applying the LR to its original. Using ResNet18, DenseNet201, EfficientNetV2, and Vision Transformer as backbone architectures, we trained three deep networks for each architecture, one trained on lesion highlighted mammograms (Highlighted), another trained on the original mammograms (Baseline), and Highlighted and Baseline combined (Combined). We conducted ROC analysis for the three versions of each deep network on the test set.

resultsThe Combined version of all networks achieved AUCs ranging from 0.963 to 0.974 for identifying the image with a recalled lesion from a normal breast tissue image, which was statistically improved (p-value < 0.001) over their Baseline versions with AUCs that ranged from 0.914 to 0.967.

conclusionsOur results showed that a Cycle-GAN based LR is effective for enhancing lesion conspicuity and this can improve the performance of a detection algorithm.

Indexed as

Breast NeoplasmsAlgorithmsBreastFemaleHumansMammographyROC CurveComputer-aided detectionConvolutional neural networkCycle generative adversarial networkLesion highlight

Identifiers

PMID38303004
PMCPMC10832219

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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.