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Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
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TrEnD: A transformer-based encoder-decoder model with adaptive patch embedding for mass segmentation in mammograms.

Dongdong Liu1,2, Bo Wu1,2, Changbo Li3

  • 1School of Biomedical Engineering, Capital Medical University, Beijing, China.

Medical Physics
|January 7, 2023
PubMed
Summary
This summary is machine-generated.

This study introduces a deep learning model for automated breast mass segmentation in mammograms, achieving high accuracy. The TrEnD model significantly improves diagnostic assistance for breast cancer detection.

Keywords:
attention mechanismbreast massmammogramssegmentationtransformer

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Oncology

Background:

  • Breast cancer is a leading cause of cancer in women, necessitating accurate mammogram analysis.
  • Radiologist interpretation of mammograms is time-intensive and error-prone, highlighting the need for automated solutions.
  • Computer-aided diagnostic (CAD) systems are crucial for efficient and reliable breast tumor detection and segmentation.

Purpose of the Study:

  • To develop a fully automatic and effective deep learning model for accurate breast mass segmentation in mammograms.
  • To address challenges in segmentation, including low contrast, varied shapes, and fuzzy boundaries of masses.
  • To enhance the performance of computer-aided diagnostic systems for breast cancer diagnosis.

Main Methods:

  • A transformer-based encoder-decoder model (TrEnD) was proposed, featuring adaptive patch embedding (APE) for optimized patch processing.
  • A hierarchical transformer-encoder and attention-gated-decoder structure was employed to refine feature extraction and suppress irrelevant background activations.
  • A dual-branch design was utilized for parallel extraction and fusion of global and local features, enhancing contextual understanding and information integrity.

Main Results:

  • The TrEnD model achieved high segmentation performance, with Dice coefficients of 92.20% and 91.83% on CBIS-DDSM and INbreast datasets, respectively.
  • Intersection over Union (IoU) scores reached 85.81% and 85.29% on the respective datasets, outperforming existing state-of-the-art methods.
  • The inclusion of APE and attention-gated modules led to significant improvements in Dice (6.54%) and IoU (10.07%) metrics.

Conclusions:

  • The proposed TrEnD network demonstrates effectiveness in automatic breast mass segmentation.
  • The model shows significant potential for assisting radiologists in clinical breast cancer diagnosis.
  • Quantitative and qualitative assessments confirm the robustness and efficacy of the developed segmentation approach.