A robust and efficient AI assistant for breast tumor segmentation from DCE-MRI via a spatial-temporal framework.

A robust and efficient AI assistant for breast tumor segmentation from DCE-MRI via a spatial-temporal framework.
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DOI:
10.1016/j.patter.2023.100826
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发表时间:
2023-09-08
期刊:
影响因子:
6.5
通讯作者:
Shen, Dinggang
Shen, Dinggang
中科院分区:
其他
文献类型:
--
作者:
Zhang, Jiadong;Cui, Zhiming;Shi, Zhenwei;Jiang, Yingjia;Zhang, Zhiliang;Dai, Xiaoting;Yang, Zhenlu;Gu, Yuning;Zhou, Lei;Han, Chu;Huang, Xiaomei;Ke, Chenglu;Li, Suyun;Xu, Zeyan;Gao, Fei;Zhou, Luping;Wang, Rongpin;Liu, Jun;Zhang, Jiayin;Ding, Zhongxiang;Sun, Kun;Li, Zhenhui;Liu, Zaiyi;Shen, Dinggang

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Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) allows screening, follow up, and diagnosis for breast tumor with high sensitivity. Accurate tumor segmentation from DCE-MRI can provide crucial information of tumor location and shape, which significantly influences the downstream clinical decisions. In this paper, we aim to develop an artificial intelligence (AI) assistant to automatically segment breast tumors by capturing dynamic changes in multi-phase DCE-MRI with a spatial-temporal framework. The main advantages of our AI assistant include (1) robustness, i.e., our model can handle MR data with different phase numbers and imaging intervals, as demonstrated on a large-scale dataset from seven medical centers, and (2) efficiency, i.e., our AI assistant significantly reduces the time required for manual annotation by a factor of 20, while maintaining accuracy comparable to that of physicians. More importantly, as the fundamental step to build an AI-assisted breast cancer diagnosis system, our AI assistant will promote the application of AI in more clinical diagnostic practices regarding breast cancer. A robust and efficient AI assistant is developed for breast cancer segmentation A large set of DCE-MRI data from seven medical centers is used to train our AI assistant A specifically designed spatial-temporal transformer is used to capture dynamics Our AI assistant has potential for building an automated breast cancer diagnosis system Breast cancer is the most common cancer affecting women worldwide. Early detection and diagnosis are crucial for better treatment outcomes and improved survival rates. However, high incidence of breast cancer puts a significant burden on clinicians, while training experienced breast imaging clinicians is time-consuming. This raises the need for developing a robust AI assistant for assisting clinicians for breast cancer diagnosis. To this end, we collected a very large set of breast DCE-MRI data from seven medical centers for developing such a breast AI assistant, which can also be used as a foundational step for building an automated breast cancer diagnosis system to facilitate future smart medicine. Clinical breast cancer diagnosis can be time-consuming and laborious. In this study, we have developed an AI assistant to automatically segment breast tumors from DCE-MRI data, trained on a very large set of data with a specially designed spatiotemporal transformer. Experimental results show that our AI assistant can produce more accurate results even than clinicians while also using significantly less time. This indicates the potential of our AI assistant in real clinical applications.
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