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Area of Science:

  • Radiology
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Breast cancer is a leading cause of mortality in women, with early diagnosis via mammography crucial for survival.
  • Manual interpretation of mammograms is challenging, necessitating automated tools for improved accuracy and efficiency.
  • This study evaluates machine learning (ML) radiomics against deep learning (DL) for breast lesion classification.

Purpose of the Study:

  • To compare the diagnostic performance of ML-based radiomics and DL models for classifying breast lesions.
  • To assess the effectiveness of these automated approaches in distinguishing benign from malignant findings on mammograms.
  • To determine which AI methodology offers superior accuracy for breast cancer diagnosis.

Main Methods:

  • Radiomics features were extracted using matRadiomics from 1219 mammograms (CBIS-DDSM database).
  • Linear Discriminant Analysis (LDA) was the best-performing ML model, validated externally on 222 images.
  • The EfficientNetB6 deep learning model was implemented for comparative analysis.

Main Results:

  • LDA achieved moderate AUCs (68.28% microcalcifications, 61.53% masses) in validation.
  • External validation showed similar LDA performance (66.9% microcalcifications, 61.5% masses).
  • EfficientNetB6 DL model significantly outperformed LDA, reaching AUCs of 81.52% (microcalcifications) and 76.24% (masses).

Conclusions:

  • Machine learning radiomics shows limitations in accurately diagnosing breast lesions from mammograms.
  • Deep learning, specifically EfficientNetB6, demonstrates superior performance and enhanced diagnostic accuracy.
  • DL holds significant potential to aid clinicians in improving breast cancer diagnosis and patient management.