An adaptive tissue characterization network for model-free visualization of dynamic contrast-enhanced magnetic resonance image data.

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) has become an important source of information to aid cancer diagnosis. Nevertheless, due to the multi-temporal nature of the three-dimensional volume data obtained from DCE-MRI, evaluation of the image data is a challenging task and tools are required to support the human expert. We investigate an approach for automatic localization and characterization of suspicious lesions in DCE-MRI data. It applies an artificial neural network (ANN) architecture which combines unsupervised and supervised techniques for voxel-by-voxel classification of temporal kinetic signals. The algorithm is easy to implement, allows for fast training and application even for huge data sets and can be directly used to augment the display of DCE-MRI data. To demonstrate that the system provides a reasonable assessment of kinetic signals, the outcome is compared with the results obtained from the model-based three-time-points (3TP) technique which represents a clinical standard protocol for analysing breast cancer lesions. The evaluation based on the DCE-MRI data of 12 cases indicates that, although the ANN is trained with imprecisely labeled data, the approach leads to an outcome conforming with 3TP without presupposing an explicit model of the underlying physiological process.

Evaluation of radiological features for breast tumour classification in clinical screening with machine learning methods.

OBJECTIVE: In this work, methods utilizing supervised and unsupervised machine learning are applied to analyze radiologically derived morphological and calculated kinetic tumour features. The features are extracted from dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) time-course data. MATERIAL: The DCE-MRI data of the female breast are obtained within the UK Multicenter Breast Screening Study. The group of patients imaged in this study is selected on the basis of an increased genetic risk for developing breast cancer. METHODS: The k-means clustering and self-organizing maps (SOM) are applied to analyze the signal structure in terms of visualization. We employ k-nearest neighbor classifiers (k-nn), support vector machines (SVM) and decision trees (DT) to classify features using a computer aided diagnosis (CAD) approach. RESULTS: Regarding the unsupervised techniques, clustering according to features indicating benign and malignant characteristics is observed to a limited extend. The supervised approaches classified the data with 74% accuracy (DT) and providing an area under the receiver-operator-characteristics (ROC) curve (AUC) of 0.88 (SVM). CONCLUSION: It was found that contour and wash-out type (WOT) features determined by the radiologists lead to the best SVM classification results. Although a fast signal uptake in early time-point measurements is an important feature for malignant/benign classification of tumours, our results indicate that the wash-out characteristics might be considered as important.