Automated breast cancer risk estimation on routine CT thorax scans by deep learning segmentation

Author(s):  
Stijn De Buck ◽  
Jeroen Bertels ◽  
Chelsey Vanbilsen ◽  
Tanguy Dewaele ◽  
Chantal Van Ongeval ◽  
...  
2019 ◽  
Vol 47 (1) ◽  
pp. 110-118 ◽  
Author(s):  
Dooman Arefan ◽  
Aly A. Mohamed ◽  
Wendie A. Berg ◽  
Margarita L. Zuley ◽  
Jules H. Sumkin ◽  
...  

2021 ◽  
Vol 13 (578) ◽  
pp. eaba4373 ◽  
Author(s):  
Adam Yala ◽  
Peter G. Mikhael ◽  
Fredrik Strand ◽  
Gigin Lin ◽  
Kevin Smith ◽  
...  

Improved breast cancer risk models enable targeted screening strategies that achieve earlier detection and less screening harm than existing guidelines. To bring deep learning risk models to clinical practice, we need to further refine their accuracy, validate them across diverse populations, and demonstrate their potential to improve clinical workflows. We developed Mirai, a mammography-based deep learning model designed to predict risk at multiple timepoints, leverage potentially missing risk factor information, and produce predictions that are consistent across mammography machines. Mirai was trained on a large dataset from Massachusetts General Hospital (MGH) in the United States and tested on held-out test sets from MGH, Karolinska University Hospital in Sweden, and Chang Gung Memorial Hospital (CGMH) in Taiwan, obtaining C-indices of 0.76 (95% confidence interval, 0.74 to 0.80), 0.81 (0.79 to 0.82), and 0.79 (0.79 to 0.83), respectively. Mirai obtained significantly higher 5-year ROC AUCs than the Tyrer-Cuzick model (P < 0.001) and prior deep learning models Hybrid DL (P < 0.001) and Image-Only DL (P < 0.001), trained on the same dataset. Mirai more accurately identified high-risk patients than prior methods across all datasets. On the MGH test set, 41.5% (34.4 to 48.5) of patients who would develop cancer within 5 years were identified as high risk, compared with 36.1% (29.1 to 42.9) by Hybrid DL (P = 0.02) and 22.9% (15.9 to 29.6) by the Tyrer-Cuzick model (P < 0.001).


2020 ◽  
pp. canprevres.0154.2020
Author(s):  
Julian O. Kim ◽  
Daniel J. Schaid ◽  
Celine M. Vachon ◽  
Andrew Cooke ◽  
Fergus J. Couch ◽  
...  

2019 ◽  
Vol 46 (4) ◽  
pp. 1938-1946 ◽  
Author(s):  
Maya Alsheh Ali ◽  
Mikael Eriksson ◽  
Kamila Czene ◽  
Per Hall ◽  
Keith Humphreys

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Aimilia Gastounioti ◽  
Meng-Kang Hsieh ◽  
Eric Cohen ◽  
Lauren Pantalone ◽  
Emily F. Conant ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231653 ◽  
Author(s):  
Suzanne C. Wetstein ◽  
Allison M. Onken ◽  
Christina Luffman ◽  
Gabrielle M. Baker ◽  
Michael E. Pyle ◽  
...  

Radiology ◽  
2020 ◽  
Vol 294 (2) ◽  
pp. 265-272 ◽  
Author(s):  
Karin Dembrower ◽  
Yue Liu ◽  
Hossein Azizpour ◽  
Martin Eklund ◽  
Kevin Smith ◽  
...  

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