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EN
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EN
Artificial intelligence (AI) algorithms have an enormous potential to impact the field of radiology and diagnostic imaging, especially the field of cancer imaging. There have been efforts to use AI models to differentiate between benign and malignant breast lesions. However, most studies have been single-center studies without external validation. The present study examines the diagnostic efficacy of machine-learning algorithms in differentiating benign and malignant breast lesions using ultrasound images. Ultrasound images of 1259 solid non-cystic lesions from 3 different centers in 3 countries (Malaysia, Turkey, and Iran) were used for the machine-learning study. A total of 242 radiomics features were extracted from each breast lesion, and the robust features were considered for models’ development. Three machine-learning algorithms were used to carry out the classification task, namely, gradient boosting (XGBoost), random forest, and support vector machine. Sensitivity, specificity, accuracy, and area under the ROC curve (AUC) were determined to evaluate the models. Thirty-three robust features differed significantly between the two groups from all of the features. XGBoost, based on these robust features, showed the most favorable profile for all cohorts, as it achieved a sensitivity of 90.3%, specificity of 86.7%, the accuracy of 88.4%, and AUC of 0.890. The present study results show that incorporating selected robust radiomics features into well-curated machine-learning algorithms can generate high sensitivity, specificity, and accuracy in differentiating benign and malignant breast lesions. Furthermore, our results show that this optimal performance is preserved even in external validation datasets.
Twórcy
  • Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran
autor
  • Gleneagles Hospital Kuala Lumpur, Department of Radiology, Jln Ampang, Kampung Berembang, Kuala Lumpur, Malaysia
  • Department of Radiology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Turkey
  • Department of Biomedical Imaging, Universiti Malaya Research Imaging Centre, Faculty of Medicine, Universiti Malaya, Malaysia
  • Department of Radiology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Turkey
  • Department of Radiology, Faculty of Medicine, Urmia University of Medical Science, Urmia, Iran
  • Department of Biomedical Imaging, Universiti Malaya Research Imaging Centre, Faculty of Medicine, Universiti Malaya, Malaysia
  • Department of Biomedical Imaging, Universiti Malaya Research Imaging Centre, Faculty of Medicine, Universiti Malaya, Malaysia
  • Centre of Medical Imaging, Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Bandar Puncak Alam, Selangor, Malaysia
  • Medical Radiation Sciences Research Group, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  • Department of Radiology, Faculty of Medicine, Urmia University of Medical Science, Urmia, Iran
  • Department of Radiology Technology, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Ngee Ann Polytechnic, Department of Electronics and Computer Engineering, Singapore
  • Department of Biomedical Engineering, School of Science and Technology, SUSS University, Singapore
  • Department of Biomedical Informatics and Medical Engineering, Asia University, Taichung, Taiwan
  • Department of Radiology Technology, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-137c5a50-2534-452b-9f19-8d1d528670ba
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