Skip to main content

Distinction between benign and malignant breast masses at breast ultrasound using deep learning method with convolutional neural network

Abstract

Purpose

We aimed to use deep learning with convolutional neural network (CNN) to discriminate between benign and malignant breast mass images from ultrasound.

Materials and Methods

We retrospectively gathered 480 images of 96 benign masses and 467 images of 144 malignant masses for training data. Deep learning model was constructed using CNN architecture GoogLeNet and analyzed test data: 48 benign masses, 72 malignant masses. Three radiologists interpreted these test data. Sensitivity, specificity, accuracy, and area under the receiver operating characteristic curve (AUC) were calculated.

Results

The CNN model and radiologists had a sensitivity of 0.958 and 0.583–0.917, specificity of 0.925 and 0.604–0.771, and accuracy of 0.925 and 0.658–0.792, respectively. The CNN model had equal or better diagnostic performance compared to radiologists (AUC = 0.913 and 0.728–0.845, p = 0.01–0.14).

Conclusion

Deep learning with CNN shows high diagnostic performance to discriminate between benign and malignant breast masses on ultrasound.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin. 2018;68:7–30.

    Article  PubMed  Google Scholar 

  2. Kornecki A. Current status of breast ultrasound. Can Assoc Radiol J. 2011;62:31–40.

    Article  PubMed  Google Scholar 

  3. Newell MS, Mahoney MC. Ultrasound-guided percutaneous breast biopsy. Tech Vasc Interv Radiol. 2014;17:23–31.

    Article  PubMed  Google Scholar 

  4. D’Orsi C, Sickles E, Mendelson E, Morris E. Breast imaging reporting and data system. 5th ed. Reston: American College of Radiology; 2013.

    Google Scholar 

  5. Rao AA, Feneis J, Lalonde C, Ojeda-Fournier H. A pictorial review of changes in the BI-RADS fifth edition. Radiographics. 2016;36:623–39.

    Article  PubMed  Google Scholar 

  6. Youk JH, Son EJ, Gweon HM, Kim H, Park YJ, Kim JA. Comparison of strain and shear wave elastography for the differentiation of benign from malignant breast lesions, combined with B-mode ultrasonography: qualitative and quantitative assessments. Ultrasound Med Biol. 2014;40:2336–44.

    Article  PubMed  Google Scholar 

  7. Yasaka K, Akai H, Kunimatsu A, Kiryu S, Abe O. Deep learning with convolutional neural network in radiology. Jpn J Radiol. 2018;36:257–72.

    Article  PubMed  Google Scholar 

  8. Chartrand G, Cheng PM, Vorontsov E, Drozdzal M, Turcotte S, Pal CJ, et al. Deep learning: a primer for radiologists. Radiographics. 2017;37:2113–31.

    Article  PubMed  Google Scholar 

  9. Lakhani P, Sundaram B. Deep learning at chest radiography: automated classification of pulmonary tuberculosis by using convolutional neural networks. Radiology. 2017;284:574–82.

    Article  PubMed  Google Scholar 

  10. Hamidinekoo A, Denton E, Rampun A, Honnor K, Zwiggelaar R. Deep learning in mammography and breast histology, an overview and future trends. Med Image Anal. 2018;47:45–67.

    Article  PubMed  Google Scholar 

  11. Yasaka K, Akai H, Kunimatsu A, Kiryu S, Abe O. Deep learning with convolutional neural network in radiology. Jpn J Radiol. 2018;36:257–72.

    Article  PubMed  Google Scholar 

  12. Szegedy C, Liu W, Jia Y, Sermanet P, Reed S, Anguelov D, et al. Going deeper with convolutions. In: Proceeding of IEEE international conference on computer vision pattern recognition; 2015. p. 1–9.

  13. Ioffe S, Szegedy C. Batch normalization: accelerating deep network training by reducing internal covariate shift. arXiv:1502.03167 (2015).

  14. Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48:452–8.

    Article  CAS  PubMed  Google Scholar 

  15. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.

    Article  CAS  PubMed  Google Scholar 

  16. Demircioğlu Ö, Uluer M, Arıbal E. How many of the biopsy decisions taken at inexperienced breast radiology units were correct? J Breast Health. 2017;13:23–6.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Han S, Kang HK, Jeong JY, Park MH, Kim W, Bang WC, et al. A deep learning framework for supporting the classification of breast lesions in ultrasound images. Phys Med Biol. 2017;62:7714–28.

    Article  PubMed  Google Scholar 

  18. Huang Q, Zhang F, Li X. Machine learning in ultrasound computer-aided diagnostic systems: a survey. Biomed Res Int. 2018;4(2018):5137904.

    Google Scholar 

  19. Shin HC, Roth HR, Gao M, Lu L, Xu Z, Nogues I, et al. Deep convolutional neural networks for computer-aided detection: CNN architectures, dataset characteristics and transfer learning. IEEE Trans Med Imaging. 2016;35:1285–98.

    Article  PubMed  Google Scholar 

  20. Shi J, Zhou S, Liu X, Zhang Q, Lu M, Wang T. Stacked deep polynomial network based representation learning for tumor classification with small ultrasound image dataset. Neurocomputing. 2016;194:87–94.

    Article  Google Scholar 

  21. Stoffel E, Becker AS, Wurnig MC, Marcon M, Ghafoor S, Berger N, et al. Distinction between phyllodes tumor and fibroadenoma in breast ultrasound using deep learning image analysis. Eur J Radiol Open. 2018;24:165–70.

    Article  Google Scholar 

  22. Kumar V, Webb JM, Gregory A, Denis M, Meixner DD, Bayat M, et al. Automated and real-time segmentation of suspicious breast masses using convolutional neural network. PLoS ONE. 2018;16(13):e0195816.

    Article  CAS  Google Scholar 

  23. M Claesen, B De Moor. Hyperparameter search in machine learning. arXiv:1502.02127 (2015).

Download references

Acknowledgements

For this study, Kazunori Kubota and Tomoyuki Fujioka received grant (KAKENHI-PROJECT-16K10270; https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16K10270/).

Funding

Kazunori Kubota and Tomoyuki Fujioka received grant (KAKENHI-PROJECT-16K10270; https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16K10270/).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mio Mori.

Ethics declarations

Conflict of interest

All the authors and their institution have no conflicts of interest.

Ethical approval

All procedures used in this research were approved by the Ethical Committee of Tokyo Medical and Dental University, Medical Hospital.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fujioka, T., Kubota, K., Mori, M. et al. Distinction between benign and malignant breast masses at breast ultrasound using deep learning method with convolutional neural network. Jpn J Radiol 37, 466–472 (2019). https://doi.org/10.1007/s11604-019-00831-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-019-00831-5

Keywords