Abstract
Breast mass evaluation is crucial for early breast cancer diagnosis via imaging. While Convolutional Neural Network (CNN)-based deep learning (DL) has enhanced this process, it suffers from computational complexity and limited spatial encoding. Vision Transformer (ViT)-based DL, more adept at encoding spatial information, presents a promising alternative. This study introduces a ViT-based transfer learning (TL) method for breast mass classification. Three ViT-based TL architectures pretrained on ImageNet were proposed and evaluated using ultrasound and mammogram datasets. Comparative analysis against ViT trained from scratch and CNN-based TL was conducted. Results showed the ViT-based TL method achieving the highest area under curve (AUC) of 1 ± 0 for both datasets, outperforming ViT from scratch and yielding similar or better performance compared to CNN-based TL. Despite its computational cost, ViT-based TL demonstrates superior classification capabilities for breast mass images. This research provides a foundational framework for future studies exploring ViT-based TL in breast cancer diagnosis.
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Data Availability
In this study, we used publicly available mammogram datasets from Mendeley Data (https://data.mendeley.com/datasets/ywsbh3ndr8/2, accessed last on July 10, 2023) and ultrasound breast images from Mendeley Data (https://data.mendeley.com/datasets/wmy84gzngw/1, accessed last on July 10, 2023) and Kaggle (https://www.kaggle.com/datasets/aryashah2k/breast-ultrasoundimages-dataset, accessed last on July 10, 2023).
References
Sung H, Ferlay J, Siegel RL et al (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 71:209–249. https://doi.org/10.3322/caac.21660
McCormack V, McKenzie F, Foerster M et al (2020) Breast cancer survival and survival gap apportionment in sub-Saharan Africa (ABC-DO): a prospective cohort study. Lancet Glob Heal 8:e1203–e1212. https://doi.org/10.1016/S2214-109X(20)30261-8
Seely JM, Alhassan T (2018) Screening for Breast Cancer in 2018—What Should We be Doing Today? Curr Oncol 25:115–124. https://doi.org/10.3747/co.25.3770
Liu H, Zhan H, Sun D, Zhang Y (2020) Comparison of BSGI, MRI, mammography, and ultrasound for the diagnosis of breast lesions and their correlations with specific molecular subtypes in Chinese women. BMC Med Imaging 20:1–10. https://doi.org/10.1186/s12880-020-00497-w
Ayana G, Ryu J, Choe S (2022) Ultrasound-Responsive Nanocarriers for Breast Cancer Chemotherapy. Micromachines 13:1508. https://doi.org/10.3390/mi13091508
Ayana G, Dese K, Raj H et al (2022) De-Speckling Breast Cancer Ultrasound Images Using a Rotationally Invariant Block Matching Based Non-Local Means (RIBM-NLM) Method. Diagnostics 12:862. https://doi.org/10.3390/diagnostics12040862
Woods RW, Sisney GS, Salkowski LR et al (2011) The Mammographic Density of a Mass Is a Significant Predictor of Breast Cancer. Radiology 258:417–425. https://doi.org/10.1148/radiol.10100328
Aboutalib SS, Mohamed AA, Berg WA et al (2018) Deep learning to distinguish recalled but benign mammography images in breast cancer screening. Clin Cancer Res 24:5902–5909. https://doi.org/10.1158/1078-0432.CCR-18-1115
Giampietro RR, Cabral MVG, Lima SAM et al (2020) Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis. Sci Rep 10:7991. https://doi.org/10.1038/s41598-020-64802-x
Zheng J, Lin D, Gao Z et al (2020) Deep Learning Assisted Efficient AdaBoost Algorithm for Breast Cancer Detection and Early Diagnosis. IEEE Access 8:96946–96954. https://doi.org/10.1109/ACCESS.2020.2993536
Burt JR, Torosdagli N, Khosravan N et al (2018) Deep learning beyond cats and dogs: recent advances in diagnosing breast cancer with deep neural networks. Br J Radiol 91:20170545. https://doi.org/10.1259/bjr.20170545
McKinney SM, Sieniek M, Godbole V et al (2020) International evaluation of an AI system for breast cancer screening. Nature 577:89–94. https://doi.org/10.1038/s41586-019-1799-6
Ayana G, Dese K, Choe S (2021) Transfer Learning in Breast Cancer Diagnoses via Ultrasound Imaging. Cancers (Basel) 13:738. https://doi.org/10.3390/cancers13040738
Ayana G, Park J, Jeong J-W, Choe S (2022) A Novel Multistage Transfer Learning for Ultrasound Breast Cancer Image Classification. Diagnostics 12:135. https://doi.org/10.3390/diagnostics12010135
Ayana G, Park J, Choe S (2022) Patchless Multi-Stage Transfer Learning for Improved Mammographic Breast Mass Classification. Cancers (Basel) 14:1280. https://doi.org/10.3390/cancers14051280
Wang X, Liang G, Zhang Y et al (2020) Inconsistent Performance of Deep Learning Models on Mammogram Classification. J Am Coll Radiol 17:796–803. https://doi.org/10.1016/j.jacr.2020.01.006
Dese Gebremeskel K, Chung Kwa T, Hakkins Raj K et al (2021) Automatic Early Detection and Classification of Leukemia from Microscopic Blood Image. Abyssinia J Sci Technol 3:1–10. https://doi.org/10.20372/ajec.2021.v1.i1.160
Dese K, Ayana G, Lamesgin Simegn G (2022) Low cost, non-invasive, and continuous vital signs monitoring device for pregnant women in low resource settings (Lvital device). HardwareX 11:e00276. https://doi.org/10.1016/j.ohx.2022.e00276
Dese K, Raj H, Ayana G et al (2021) Accurate Machine-Learning-Based classification of Leukemia from Blood Smear Images. Clin Lymphoma Myeloma Leuk 21:e903–e914. https://doi.org/10.1016/j.clml.2021.06.025
Lotter W, Diab AR, Haslam B et al (2021) Robust breast cancer detection in mammography and digital breast tomosynthesis using an annotation-efficient deep learning approach. Nat Med 27:244–249. https://doi.org/10.1038/s41591-020-01174-9
Lotter W, Sorensen G, Cox D (2017) A multi-scale CNN and curriculum learning strategy for mammogram classification. Lect Notes Comput Sci (including Subser Lect Notes Artif Intell Lect Notes Bioinformatics) 10553 LNCS:169–177. https://doi.org/10.1007/978-3-319-67558-9_20
Hosseini H, Xiao B, Jaiswal M, Poovendran R (2017) On the limitation of convolutional neural networks in recognizing negative images. Proc - 16th IEEE Int Conf Mach Learn Appl ICMLA 2017 2017-Decem:352–358. https://doi.org/10.1109/ICMLA.2017.0-136
Chougrad H, Zouaki H, Alheyane O (2018) Deep Convolutional Neural Networks for breast cancer screening. Comput Methods Programs Biomed 157:19–30. https://doi.org/10.1016/j.cmpb.2018.01.011
Li H, Niu J, Li D, Zhang C (2021) Classification of breast mass in two-view mammograms via deep learning. IET Image Process 15:454–467. https://doi.org/10.1049/ipr2.12035
Agnes SA, Anitha J, Pandian SIA, Peter JD (2020) Classification of Mammogram Images Using Multiscale all Convolutional Neural Network (MA-CNN). J Med Syst 44:30. https://doi.org/10.1007/s10916-019-1494-z
Xie L, Zhang L, Hu T et al (2020) Neural networks model based on an automated multi-scale method for mammogram classification. Knowledge-Based Syst 208:106465. https://doi.org/10.1016/j.knosys.2020.106465
Carneiro G, Nascimento J, Bradley AP (2017) Automated Analysis of Unregistered Multi-View Mammograms with Deep Learning. IEEE Trans Med Imaging 36:2355–2365. https://doi.org/10.1109/TMI.2017.2751523
Dhungel N, Carneiro G, Bradley AP (2017) A deep learning approach for the analysis of masses in mammograms with minimal user intervention. Med Image Anal 37:114–128. https://doi.org/10.1016/j.media.2017.01.009
Huynh BQ, Li H, Giger ML (2016) Digital mammographic tumor classification using transfer learning from deep convolutional neural networks. J Med Imaging 3:034501. https://doi.org/10.1117/1.JMI.3.3.034501
Kooi T, Gubern-Merida A, Mordang J-J, et al (2016) A Comparison Between a Deep Convolutional Neural Network and Radiologists for Classifying Regions of Interest in Mammography. Lect Notes Comput Sci (including Subser Lect Notes Artif Intell Lect Notes Bioinformatics) 9699:V–VI. https://doi.org/10.1007/978-3-319-41546-8
Mudeng V, ChoeWoon S (2022) Deep neural network incorporating domain and resolution transformations model for histopathological image classification. Comput Electr Eng 104:108468. https://doi.org/10.1016/j.compeleceng.2022.108468
Dosovitskiy A, Beyer L, Kolesnikov A, et al (2020) An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale
Raghu M, Unterthiner T, Kornblith S, et al (2021) Do Vision Transformers See Like Convolutional Neural Networks?
Mehta S, Lu X, Wu W et al (2022) End-to-End diagnosis of breast biopsy images with transformers. Med Image Anal 79:102466. https://doi.org/10.1016/j.media.2022.102466
He Z, Lin M, Xu Z et al (2022) Deconv-transformer ( DecT ): A histopathological image classification model for breast cancer based on color deconvolution and transformer architecture. Inf Sci (Ny) 608:1093–1112. https://doi.org/10.1016/j.ins.2022.06.091
Gheflati B, Rivaz H (2021) Vision Transformer for Classification of Breast Ultrasound Images
Saidnassim N, Abdikenov B, Kelesbekov R, et al (2021) Self-supervised Visual Transformers for Breast Cancer Diagnosis. 2021 Asia-Pacific Signal Inf Process Assoc Annu Summit Conf APSIPA ASC 2021 - Proc 423–427
Chen X, Zhang K, Abdoli N et al (2022) Transformers Improve Breast Cancer Diagnosis from Unregistered Multi-View Mammograms. Diagnostics 12:1549. https://doi.org/10.3390/diagnostics12071549
Ayana G, Dese K, Dereje Y et al (2023) Vision-Transformer-Based Transfer Learning for Mammogram Classification. Diagnostics 13:178. https://doi.org/10.3390/diagnostics13020178
Ayana G, Choe S (2022) BUViTNet: Breast Ultrasound Detection via Vision Transformers. Diagnostics 12:2654. https://doi.org/10.3390/diagnostics12112654
Heath M, Bowyer K, Kopans D, et al (2001) The Digital Database for Screening Mammography. In: Proceedings of the Fifth International Workshop on Digital Mammography. 212–218
Heath M, Bowyer K, Kopans D et al (1998) Current Status of the Digital Database for Screening Mammography. Computational Imaging and Vision, vol 13. Springer, Dordrecht, pp 457–460
Moreira IC, Amaral I, Domingues I et al (2012) INbreast: Toward a Full-field Digital Mammographic Database. Acad Radiol 19:236–248. https://doi.org/10.1016/j.acra.2011.09.014
Suckling J, Parker J, Dance D, et al (1994) The Mammographic Image Analysis Society Digital Mammogram Database Experta Medica. In: Int. Congr. Ser. 1069
Rodrigues PS (2018) Breast Ultrasound Image. Mendeley Data. https://doi.org/10.17632/wmy84gzngw.1
Al-Dhabyani W, Gomaa M, Khaled H, Fahmy A (2020) Dataset of breast ultrasound images. Data Br 28:104863. https://doi.org/10.1016/j.dib.2019.104863
Tougui I, Jilbab A, El MJ (2021) Impact of the choice of cross-validation techniques on the results of machine learning-based diagnostic applications. Healthc Inform Res 27:189–199. https://doi.org/10.4258/HIR.2021.27.3.189
Funding
This work was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (RS-2023–00240521) and project for Industry-University-Research Institute platform cooperation R&D funded by Korea Ministry of SMEs and Startups in 2022 (S3310765).
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Conceptualization: Gelan Ayana and Se-woon Choe; Methodology: Gelan Ayana and Se-woon Choe; Formal analysis and investigation: Gelan Ayana and Se-woon Choe; Writing—original draft preparation: Gelan Ayana and Se-woon Choe; Writing—review and editing: Gelan Ayana and Se-woon Choe; Funding acquisition: Se-woon Choe; Resources: Se-woon Choe; Supervision: Se-woon Choe.
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Ayana, G., Choe, Sw. Vision Transformers-Based Transfer Learning for Breast Mass Classification From Multiple Diagnostic Modalities. J. Electr. Eng. Technol. (2024). https://doi.org/10.1007/s42835-024-01904-w
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DOI: https://doi.org/10.1007/s42835-024-01904-w