MARC

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022 |a 1471-2342 
024 7 |a 10.1186/s12880-024-01353-x  |2 doi 
035 |a 3091290575 
045 2 |b d20240101  |b d20241231 
084 |a 58449  |2 nlm 
100 1 |a Wu, Linyong 
245 1 |a Ultrasound-based deep learning radiomics nomogram for differentiating mass mastitis from invasive breast cancer 
260 |b Springer Nature B.V.  |c 2024 
513 |a Journal Article 
520 3 |a BackgroundThe purpose of this study is to develop and validate the potential value of the deep learning radiomics nomogram (DLRN) based on ultrasound to differentiate mass mastitis (MM) and invasive breast cancer (IBC).Methods50 cases of MM and 180 cases of IBC with ultrasound Breast Imaging Reporting and Data System 4 category were recruited (training cohort, n = 161, validation cohort, n = 69). Based on PyRadiomics and ResNet50 extractors, radiomics and deep learning features were extracted, respectively. Based on supervised machine learning methods such as logistic regression, random forest, and support vector machine, as well as unsupervised machine learning methods using K-means clustering analysis, the differences in features between MM and IBC were analyzed to develop DLRN. The performance of DLRN had been evaluated by receiver operating characteristic curve, calibration, and clinical practicality.ResultsSupervised machine learning results showed that compared with radiomics models, especially random forest models, deep learning models were better at recognizing MM and IBC. The area under the curve (AUC) of the validation cohort was 0.84, the accuracy was 0.83, the sensitivity was 0.73, and the specificity was 0.83. Compared to radiomics or deep learning models, DLRN even further improved discrimination ability (AUC of 0.90 and 0.90, accuracy of 0.83 and 0.88 for training and validation cohorts), which had better clinical benefits and good calibratability. In addition, the information heterogeneity of deep learning features in MM and IBC was validated again through unsupervised machine learning clustering analysis, indicating that MM had a unique features phenotype.ConclusionThe DLRN developed based on radiomics and deep learning features of ultrasound images has potential clinical value in effectively distinguishing between MM and IBC. DLRN breaks through visual limitations and quantifies more image information related to MM based on computers, further utilizing machine learning to effectively utilize this information for clinical decision-making. As DLRN becomes an autonomous screening system, it will improve the recognition rate of MM in grassroots hospitals and reduce the possibility of incorrect treatment and overtreatment. 
653 |a Datasets 
653 |a Wavelet transforms 
653 |a Supervised learning 
653 |a Phenotypes 
653 |a Unsupervised learning 
653 |a Data systems 
653 |a Image processing 
653 |a Machine learning 
653 |a Radiomics 
653 |a Decision trees 
653 |a Heterogeneity 
653 |a Physicians 
653 |a Clustering 
653 |a Lymphatic system 
653 |a Biopsy 
653 |a Ultrasound 
653 |a Information processing 
653 |a Computers 
653 |a Ultrasonic imaging 
653 |a Decision making 
653 |a Software 
653 |a Womens health 
653 |a Deep learning 
653 |a Models 
653 |a Visual discrimination learning 
653 |a Clinical medicine 
653 |a Nomograms 
653 |a Cancer therapies 
653 |a Mammography 
653 |a Information systems 
653 |a Work experience 
653 |a Medical imaging 
653 |a Breast cancer 
653 |a Learning algorithms 
653 |a Mastitis 
653 |a Cluster analysis 
653 |a Artificial intelligence 
653 |a Support vector machines 
653 |a Ultrasonic testing 
653 |a Neural networks 
653 |a Visual discrimination 
653 |a Vector quantization 
653 |a Invasiveness 
700 1 |a Li, Songhua 
700 1 |a Wu, Chaojun 
700 1 |a Wu, Shaofeng 
700 1 |a Lin, Yan 
700 1 |a Dayou Wei 
773 0 |t BMC Medical Imaging  |g vol. 24 (2024), p. 1 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3091290575/abstract/embedded/ZKJTFFSVAI7CB62C?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3091290575/fulltext/embedded/ZKJTFFSVAI7CB62C?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3091290575/fulltextPDF/embedded/ZKJTFFSVAI7CB62C?source=fedsrch