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Deep learning performance for detection and classification of microcalcifications on mammography
Filippo Pesapane1, Chiara Trentin2, Federica Ferrari2
1Breast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy. filippo.pesapane@ieo.it.
European Radiology Experimental
|November 7, 2023
Summary
This study developed an artificial intelligence (AI) tool to accurately detect and classify microcalcifications on mammograms. The AI models show promise in assisting radiologists with breast cancer screening.
Area of Science:
- Medical Imaging
- Artificial Intelligence in Healthcare
- Radiology
Background:
- Mammography is vital for early breast cancer detection, but radiologist capacity is limited.
- Artificial intelligence (AI) offers a solution for evaluating microcalcifications in mammograms.
- This study focused on developing and testing an AI model for microcalcification analysis.
Purpose of the Study:
- To develop and evaluate an AI model for the localization and characterization of microcalcifications on mammograms.
- To assess the performance of different neural networks (AlexNet, ResNet18, ResNet34) in detecting and classifying microcalcifications.
- To determine the potential of AI to support radiologists in mammogram interpretation.
Main Methods:
- A dataset of 1,986 mammograms from 1,000 patients was annotated by expert radiologists.
- Three neural networks (AlexNet, ResNet18, ResNet34) were trained, validated, and tested.
- Performance was evaluated using metrics such as sensitivity, specificity, and Area Under the Curve (AUC).
Main Results:
- AlexNet achieved the highest performance with 0.98 AUC for detection and 0.94 AUC for classification.
- ResNet18 and ResNet34 also demonstrated high accuracy in detection (0.98 AUC) and classification (0.92 AUC).
- The AI models showed high sensitivity and specificity in identifying malignant and benign microcalcifications.
Conclusions:
- The developed AI models accurately detect and characterize microcalcifications on mammography.
- AI-based systems can significantly assist radiologists in interpreting mammograms.
- This research underscores the importance of reliable deep learning models for breast cancer screening.

