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Magnetic Resonance Imaging01:24

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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Tracking the Mammary Architectural Features and Detecting Breast Cancer with Magnetic Resonance Diffusion Tensor Imaging
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3T-MRI Artificial Intelligence in Patients with Invasive Breast Cancer to Predict Distant Metastasis Status: A Pilot

Alessandro Calabrese1, Domiziana Santucci2,3, Michela Gravina4

  • 1Department of Radiology, University of Rome "Sapienza", Viale del Policlinico 155, 00161 Roma, Italy.

Cancers
|January 8, 2023
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Summary

Deep learning models show limited success in predicting breast cancer metastasis risk using MRI. Further research is needed to improve the accuracy of these advanced diagnostic tools for early breast cancer patients.

Keywords:
3T-MRI Dynamic Contrast-Enhanced sequences (DCE)Deep Learning (DL)breast cancerconvolution neural network (CNN)metastasis

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Area of Science:

  • Radiology and Medical Imaging
  • Artificial Intelligence in Medicine
  • Oncology

Background:

  • Breast cancer metastasis remains a significant cause of mortality despite decreasing incidence.
  • A substantial percentage of early-stage breast cancer patients succumb to distant metastases.

Purpose of the Study:

  • To assess the efficacy of a Deep Learning Convolutional Neural Network (CNN) model in predicting distant metastasis risk.
  • Utilize 3T-MRI Dynamic Contrast-Enhanced (DCE) sequences for metastasis prediction.

Main Methods:

  • Retrospective analysis of 157 breast cancer patients' 3T-MRI DCE examinations.
  • Application of a Voxel Based (VB) NET CNN model with a single variable size bounding box (SVB) option.
  • Evaluation of CNN performance using accuracy, sensitivity, specificity, and Area Under the ROC Curve (AUC).

Main Results:

  • The VB-NET CNN model achieved 52.50% sensitivity, 80.51% specificity, 73.42% accuracy, and 68.56% AUC.
  • Identified significant correlations between distant metastasis risk and tumor size, PgR, and HER2 expression.

Conclusions:

  • The current Deep Learning approach demonstrates insufficient ability to predict distant metastasis in breast cancer patients.
  • Further development is required to enhance the predictive performance of CNNs for breast cancer metastasis.