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Machine Learning-Based Approaches for Breast Density Estimation from Mammograms: A Comprehensive Review
Khaldoon Alhusari1, Salam Dhou1
1Department of Computer Science and Engineering, American University of Sharjah, Sharjah P.O. Box 26666, United Arab Emirates.
Journal of Imaging
|February 25, 2025
Summary
Accurate breast density estimation from mammograms is crucial for early breast cancer detection. Machine learning, particularly deep learning models like CNNs, shows promise but faces challenges in subjectivity and cost.
Area of Science:
- Radiology and Medical Imaging
- Oncology
- Artificial Intelligence in Healthcare
Background:
- Breast cancer is the most common cancer in women, with breast density being a significant risk factor.
- High breast density can obscure tumors on mammograms, reducing detection sensitivity.
- Accurate breast density assessment is vital for risk stratification and early diagnosis.
Purpose of the Study:
- To conduct a comprehensive review of mammographic density estimation techniques.
- To focus on machine learning-based approaches for breast density assessment.
- To identify current limitations and suggest future research directions.
Main Methods:
- Review of visual, software-, machine learning-, and segmentation-based methods for mammographic density estimation.
- Categorization of machine learning methods into traditional and deep learning approaches.
- Analysis of commonly used models like Support Vector Machines (SVMs) and Convolutional Neural Networks (CNNs).
Main Results:
- Machine learning models, especially SVMs and CNNs, achieve high classification accuracies (76.70%–98.75%).
- Current methods are limited by subjectivity and cost-inefficiency.
- Deep learning models demonstrate significant potential in mammographic density estimation.
Conclusions:
- Machine learning offers powerful tools for objective and efficient mammographic density estimation.
- Future research should address subjectivity and cost barriers, exploring unsupervised segmentation and advanced models like transformers.
- Improved breast density estimation methods can enhance early breast cancer detection and diagnosis.

