Title
Applying a CAD-generated imaging marker to assess short-term breast cancer risk.
Abstract
Although whether using computer-aided detection (CAD) helps improve radiologists' performance in reading and interpreting mammograms is controversy due to higher false-positive detection rates, objective of this study is to investigate and test a new hypothesis that CAD-generated false-positives, in particular, the bilateral summation of false-positives, is a potential imaging marker associated with short-term breast cancer risk. An image dataset involving negative screening mammograms acquired from 1,044 women was retrospectively assembled. Each case involves 4 images of craniocaudal (CC) and mediolateral oblique (MLO) view of the left and right breasts. In the next subsequent mammography screening, 402 cases were positive for cancer detected and 642 remained negative. A CAD scheme was applied to process all "prior" negative mammograms. Some features from CAD scheme were extracted, which include detection seeds, the total number of false-positive regions, an average of detection scores and the sum of detection scores in CC and MLO view images. Then the features computed from two bilateral images of left and right breasts from either CC or MLO view were combined. In order to predict the likelihood of each testing case being positive in the next subsequent screening, two logistic regression models were trained and tested using a leave-one-case-out based cross-validation method. Data analysis demonstrated the maximum prediction accuracy with an area under a ROC curve of AUC=0.65 +/- 0.017 and the maximum adjusted odds ratio of 4.49 with a 95% confidence interval of [2.95, 6.83]. The results also illustrated an increasing trend in the adjusted odds ratio and risk prediction scores (p<0.01). Thus, the study showed that CAD-generated false-positives might provide a new quantitative imaging marker to help assess short-term breast cancer risk.
Year
DOI
Venue
2018
10.1117/12.2291527
Proceedings of SPIE
Keywords
DocType
Volume
Computer-aided detection (CAD),assessment of short-term cancer risk,false-positive detections,mammography screening
Conference
10575
ISSN
Citations 
PageRank 
0277-786X
0
0.34
References 
Authors
0
6
Name
Order
Citations
PageRank
Seyedehnafiseh Mirniaharikandehei112.04
Ali Zarafshani201.01
M. Heidari324.08
Yunzhi Wang4114.37
Faranak Aghaei503.72
Bin Zheng613528.83