Evidence map›Paper›PMID 42163690›Full record

ArticleCurrent medical imaging2026

FGOOPNet: A Fuzzy Deep Learning Approach for Mammographic Breast Cancer Classification

Ho Dat Tran, Anh Cang Phan, Thuong Cang Phan

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Article in Current medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ho Dat TranCan Tho University, Can Tho, Vietnam.ORCID 0009-0003-3339-9847
Anh Cang PhanVinh Long University of Technology Education, Vinh Long, Vietnam.ORCID 0000-0002-1470-5496
Thuong Cang PhanCan Tho University, Can Tho, Vietnam.ORCID 0000-0002-4807-2463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBreast cancer continues to threaten millions of women globally, and early detection is essential for saving lives. However, inconsistencies in radiological interpretation and uncertainty in lesion assessment limit diagnostic reliability. This study proposes FGOOPNet, a fuzzy deep ensemble model designed to enhance mammographic breast cancer classification accuracy and decision transparency.

methodsSeven complementary CNN architectures, InceptionV3, ResNet-50V2, ResNet-152, DenseNet-121, DenseNet-201, VGG19, and Xception, were integrated into a unified ensemble framework using the Geometrically Optimum and Online Weighted Ensemble (GOOWE) strategy. GOOWE computes classifier weights through a geometrically optimal least-squares projection, assigning stronger influence to models with lower validation errors. To further refine decision boundaries and quantify predictive uncertainty, a Gaussian-based fuzzy inference module was applied to the ensemble outputs. The proposed system was evaluated on a hybrid dataset combining the public VinDr-Mammo database with an expert-annotated private cohort from regional hospitals, with performance assessed using accuracy, F1-score, and robustness under multiple experimental settings.

resultsFGOOPNet achieved 98.4% accuracy and highly balanced F1-scores for both benign and malignant classes, outperforming individual CNN models and conventional ensemble techniques. The fuzzy inference layer improved reliability in borderline cases by filtering low-confidence predictions and reducing misclassification. DISCUSSION: The results demonstrate that combining GOOWE weighting with fuzzy Gaussian reasoning enhances both predictive performance and interpretability. This uncertainty-aware mechanism helps address limitations in conventional CAD systems, particularly in heterogeneous breast tissue and visually ambiguous regions.

conclusionFGOOPNet offers a robust and explainable solution for mammographic breast cancer classification, highlighting its potential for integration into clinical decision-support workflows. Future work will focus on extending the model to multi-modal imaging and large-scale multi-center validation.

Indexed as

Breast NeoplasmsDeep LearningFuzzy LogicMammographyClassification AlgorithmsConvolutional Neural NetworksEnsemble LearningFemaleHumansReproducibility of ResultsSoft ComputingBreast cancerCAD systemsDeep learningEnsemble learningFuzzy Gaussian membershipGOOWEMammography

Identifiers

PMID42163690
PMCPMC13587121

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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.