4.7 Article

Classification of malignant tumors in breast ultrasound using a pretrained deep residual network model and support vector machine

Journal

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.compmedimag.2020.101829

Keywords

Computer-aided diagnosis; Ultrasound imaging; Deep residual network; Support vector machine; Sequential minimal optimization

Funding

  1. Ministry of Science and Technology and Changhua Christian Hospital, Taiwan [MOST-108-2314-B-371-008, 105-2314-B-371-002, 109-CCH-MST-179, 109-CCH-IRP-105]

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In this study, a combination of deep learning network and support vector machine was used for breast tumor classification, showing improved diagnostic accuracy and efficiency. Experimental results on 2099 breast ultrasound images demonstrated a sensitivity of 94.34% and a specificity of 93.22% for malignant images.
In this study, a transfer learning method was utilized to recognize and classify benign and malignant breast tumors, using two-dimensional breast ultrasound (US) images, to decrease the effort expended by physicians and improve the quality of clinical diagnosis. The pretrained deep residual network model was utilized for image feature extraction from the convolutional layer of the trained network; whereas, the linear support vector machine (SVM), with a sequential minimal optimization solver, was used to classify the extracted feature. We used an image dataset with 2099 unlabeled two-dimensional breast US images, collected from 543 patients (benign: 302, malignant: 241). The classification performance yielded a sensitivity of 94.34 % and a specificity of 93.22 % for malignant images (Area under curve = 0.938). The positive and negative predictive values were 92.6 and 94.8, respectively. A comparison between the diagnosis made by the physician and the automated classification by a trained classifier, showed that the latter had significantly better outcomes. This indicates the potential applicability of the proposed approach that incorporates both the pretrained deep learning network and a well-trained classifier, to improve the quality and efficacy of clinical diagnosis.

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