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A decision support tool for the diagnosis of breast cancer based upon Fuzzy ARTMAP

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Abstract

This paper presents research into the application of the fuzzy ARTMAP neural network model to the diagnosis of cancer from fine-needle aspirates of the breast. Trained fuzzy ARTMAP networks are differently pruned so as to maximise accuracy, sensitivity and specificity. The differently pruned networks are then employed in a ‘cascade’ of networks intended to separate cases into ‘certain’ and ‘suspicious’ classes. This mimics the predictive behaviour of a human pathologist. The fuzzy ARTMAP model also provides symbolic rule extraction facilities and the validity of the derived rules for this domain is discussed. Additionally, results are provided showing the effects upon network performance of different input features and different observers. The implications of the findings are discussed.

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References

  1. Hayes-Roth F, Waterman DA, Lenat DB. Building Expert Systems. Addison-Wesley, London, 1983

    Google Scholar 

  2. Bounds DG, Lloyd PJ, Mathew BG. A comparison of neural network and other pattern recognition approaches to the diagnosis of low back disorders. Neural Networks 1990; 3: 583–591

    Google Scholar 

  3. Egmont-Petersen M, Talmon JL, Brender J, McNair P. On the quality of neural network classifiers. Artif Intell in Medicine 1994; 6: 359–381

    Google Scholar 

  4. Harrison RF, Marshall SJ, Kennedy RL. A connectionist aid to the early diagnosis of myocardial infarction. Proc Third Euro Conf Artif Intell in Medicine, Maastricht, 1991: 119–128

  5. Apolloni B, Avanzini G, Cesa-Bianci N, Ronchini G. Diagnosis of epilepsy via backpropagation. Proc Int Joint Conf Neural Networks 1990: 571–574

  6. Pizzi N, Choo LP, Mansfield J, Halliday WC, Mantsch HH, Somorjal RL. Neural network classification of infrared spectra of control and Alzheimer's diseased tissue. Artif Intell in Medicine 1997; 7: 67–79

    Google Scholar 

  7. Cross SS, Harrison RF, Kennedy RL. Introduction to Neural networks. Lancet 1995; 346: 1075–1079

    Google Scholar 

  8. Baxt WG. Application of artificial neural networks to clinical medicine. Lancet 1995; 346: 1135–1138

    Google Scholar 

  9. Dybowski R, Gant V. Artificial neural networks in pathology and medical laboratories. Lancet 1995; 346: 1203–1207

    Google Scholar 

  10. Rumelhart DE, Hinton GE, Williams RJ. Learning representations by back-propagating errors. Nature 1986; 323: 533–536

    Google Scholar 

  11. Moody J, Darken C. Fast learning in networks of locally-tuned processing units. Neural Computation 1989; 1: 281–294

    Google Scholar 

  12. Cybenko G. Approximations by superpositions of a sigmoidal function. Mathematics of Control, Signals and Systems 1989; 2: 303–314

    Google Scholar 

  13. Park J, Sandberg I. Universal approximation using radial basis function networks. Neural Computation 1991; 3: 246–257

    Google Scholar 

  14. Richard M, Lippman R. Neural network classifiers estimate Bayesian a posteriori probabilities. Neural Computation 1991; 3: 461–483

    Google Scholar 

  15. Carpenter G, Grossberg S. The ART of adaptive pattern recognition by a self-organising neural network. Computer 1988; 21: 77–88

    Google Scholar 

  16. Sharkey NE, Sharkey AJC. An analysis of catastrophic interference. Connection Science 1995; 7: 301–329

    Google Scholar 

  17. Ma Z, Harrison RF. GR2: a hybrid knowledge-based system using general rules. Proc Int Joint Conf Artif Intell, Montreal, 1995: 488–493

  18. Downs J, Harrison RF, Kennedy RL, Cross SS. Application of the fuzzy ARTMAP neural network model to medical pattern classification tasks. Artif Intell in Medicine 1996; 8: 403–428

    Google Scholar 

  19. Carpenter G, Grossberg S, Reynolds J. ARTMAP: Supervised real-time learning and classification of non-stationary data by a self-organizing neural network. Neural Networks 1991; 4: 565–588

    Google Scholar 

  20. Underwood JCE. Tumours: benign and malignant. In: Underwood JCE (ed), General and Systematic Pathology, Churchill Livingstone, Edinburgh, 1992. pp. 223–246

    Google Scholar 

  21. Elston CW, Ellis IO. Pathology and breast screening. Histopathology 1990; 16: 109–118

    Google Scholar 

  22. Wolberg WH, Mangasarian OL. Computer-designed expert systems for breast cytology diagnosis. Analytical and Quantitative Cytology and Histology 1993; 15: 67–74

    Google Scholar 

  23. Start RD, Silcocks PB, Cross SS, Smith JHF. Problems with audit of a new fine-needle aspiration service in a district general hospital. Pathology 1992; 167: 141A

    Google Scholar 

  24. Wells CA, Ellis IO, Zakhour HD, Wilson AR. Guidelines for cytology procedures and reporting on fine needle aspirates of the breast. Cytopathology 1994; 5: 316–334

    Google Scholar 

  25. Heathfield HA, Kirkham N, Ellis IO, Winstanley G. Computer assisted diagnosis of fine needle aspirates of the breast. J Clinical Pathology 1990; 43: 168–170

    Google Scholar 

  26. Hamilton PW, Anderson N, Bartels PH, Thompson D. Expert system support using Bayesian belief networks in the diagnosis of fine needle aspiration biopsy specimens of the breast. J Clinical Pathology 1994; 47: 329–336

    Google Scholar 

  27. Downs J, Harrison RF, Cross SS. A neural network decision support tool for the diagnosis of breast cancer. In: Hallam J (ed), Hybrid Problems, Hybrid Solutions, IOS Press, Amsterdam, 1995, pp. 51–60

    Google Scholar 

  28. Downs J, Harrison RF, Cross SS. Evaluating a neural network decision-support tool for the diagnosis of breast cancer. Proc Fifth Euro Conf Artif Intell in Medicine (AIME-95), Pavia, Italy, 1995: 239–250

  29. Carpenter G, Grossberg S. A massively parallel architecture for a self-organizing neural pattern recognition machine. Computer Vision, Graphics and Image Processing 1987; 37: 54–115

    Google Scholar 

  30. Grossberg S. Competitive learning: from interactive activation to adaptive resonance. Cognitive Sci 1987; 11: 23–63

    Google Scholar 

  31. Carpenter G. Distributed activation, search and learning by ART and ARTMAP neural networks. Research Report CAS/CNS-96-006, University of Boston, Boston, USA, 1996

    Google Scholar 

  32. Carpenter G, Grossberg S, Rosen D. Fuzzy ART: Fast, stable learning and categorisation of analogue patterns by an adaptive resonance system. Neural Networks 1991; 4: 759–771

    Google Scholar 

  33. Carpenter G, Grossberg S, Markuzon S, Reynolds J, Rosen D. Fuzzy ARTMAP: A neural network architecture for incremental supervised learning of analog multi-dimensional maps. IEEE Trans Artif Neural Networks 1992; 3: 698–712

    Google Scholar 

  34. Kasuba T. Simplified fuzzy ARTMAP. AI Expert 1993; 8: 18–25

    Google Scholar 

  35. Marriott S, Harrison RF. A modified fuzzy ARTMAP architecture for the approximation of noisy mappings. Neural Networks 1995; 8: 619–642

    Google Scholar 

  36. Towell GG, Shavlik JW. Extracting refined rules from knowledge-based neural networks. Machine Learning 1993; 13: 71–101

    Google Scholar 

  37. Carpenter G, Tan A-H. Rule extraction, fuzzy ART-MAP and medical databases. Proc World Congress on Neural Networks 1993: 501–506

  38. Downs J, Harrison RF, Kennedy RL. A prototype neural network decision-support tool for the diagnosis of acute myocardial infarction. Proc Fifth Euro Conf Artif Intell in Medicine (AIME-95), Pavia, Italy, 1995: 355–366

  39. Trott PA. Aspiration cytodiagnosis of the breast. Diagnostic Oncology 1991; 1: 79–87

    Google Scholar 

  40. Bottles K, Chan JS, Holly EA, Chiu S, Miller TR. Cytologic criteria for fibroadenoma. Am J Clinical Pathology 1988; 89: 707–713

    Google Scholar 

  41. Quincey C, Raitt N, Bell J, Ellis IO. Intracytoplasmic lumina — a useful diagnostic feature of adenocarcinomas. Histopathology 1991; 19: 83–87

    Google Scholar 

  42. Stork DG. Self-organisation, pattern recognition and adaptive resonance networks. J Neural Network Comput 1989; 1: 26–42

    Google Scholar 

  43. Bland M. An Introduction to Medical Statistics, Oxford University Press, Oxford, 1987

    Google Scholar 

  44. Goodman PH, Kaburlasos VG, Egbert DD, Carpenter G, Grossberg S, Reynolds J, Rosen D et al. Fuzzy ARTMAP neural network compared to linear discriminant analysis prediction of the length of hospital stay in patients with pneumonia. In: Marks RJ (ed), Fuzzy Logic Technology and Applications. IEEE Technical Activities Board, Piscataway, 1994: 424–429

    Google Scholar 

  45. Hamilton PW, Bartels PH, Montironi R, Anderson N, Thompson D. Improved diagnostic decision-making in pathology: do inference networks hold the key? J Pathology 1995; 175: 1–6

    Google Scholar 

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Correspondence to R. F. Harrison.

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Downs, J., Harrison, R.F. & Cross, S.S. A decision support tool for the diagnosis of breast cancer based upon Fuzzy ARTMAP. Neural Comput & Applic 7, 147–165 (1998). https://doi.org/10.1007/BF01414167

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