Objective.Automated detection and segmentation of breast masses in ultrasound images are critical for breast cancer diagnosis, but remain challenging due to limited image quality and complex breast tissues. This study aims to develop a deep learning-based method that enables accurate breast mass detection and segmentation in ultrasound images.Approach.A novel convolutional neural network-based framework that combines the You Only Look Once (YOLO) v5 network and the Global-Local (GOLO) strategy was developed. First, YOLOv5 was applied to locate the mass regions of interest (ROIs). Second, a Global Local-Connected Multi-Scale Selection (GOLO-CMSS) network was developed to segment the masses. The GOLO-CMSS operated on both the entire images globally and mass ROIs locally, and then integrated the two branches for a final segmentation output. Particularly, in global branch, CMSS applied Multi-Scale Selection (MSS) modules to automatically adjust the receptive fields, and Multi-Input (MLI) modules to enable fusion of shallow and deep features at different resolutions. The USTC dataset containing 28 477 breast ultrasound images was collected for training and test. The proposed method was also tested on three public datasets, UDIAT, BUSI and TUH. The segmentation performance of GOLO-CMSS was compared with other networks and three experienced radiologists.Main results.YOLOv5 outperformed other detection models with average precisions of 99.41%, 95.15%, 93.69% and 96.42% on the USTC, UDIAT, BUSI and TUH datasets, respectively. The proposed GOLO-CMSS showed superior segmentation performance over other state-of-the-art networks, with Dice similarity coefficients (DSCs) of 93.19%, 88.56%, 87.58% and 90.37% on the USTC, UDIAT, BUSI and TUH datasets, respectively. The mean DSC between GOLO-CMSS and each radiologist was significantly better than that between radiologists (p< 0.001).Significance.Our proposed method can accurately detect and segment breast masses with a decent performance comparable to radiologists, highlighting its great potential for clinical implementation in breast ultrasound examination.

UNASSIGNED: The objective of this study was to develop a fully automatic mass segmentation method called AMS-U-Net for digital breast tomosynthesis (DBT), a popular breast cancer screening imaging modality. The aim was to address the challenges posed by the increasing number of slices in DBT, which leads to higher mass contouring workload and decreased treatment efficiency.
UNASSIGNED: The study used 50 slices from different DBT volumes for evaluation. The AMS-U-Net approach consisted of four stages: image pre-processing, AMS-U-Net training, image segmentation, and post-processing. The model performance was evaluated by calculating the true positive ratio (TPR), false positive ratio (FPR), F-score, intersection over union (IoU), and 95% Hausdorff distance (pixels) as they are appropriate for datasets with class imbalance.
UNASSIGNED: The model achieved 0.911, 0.003, 0.911, 0.900, 5.82 for TPR, FPR, F-score, IoU, and 95% Hausdorff distance, respectively.
UNASSIGNED: The AMS-U-Net model demonstrated impressive visual and quantitative results, achieving high accuracy in mass segmentation without the need for human interaction. This capability has the potential to significantly increase clinical efficiency and workflow in DBT for breast cancer screening.

OBJECTIVE: Deep learning approaches are being increasingly applied for medical computer-aided diagnosis (CAD). However, these methods generally target only specific image-processing tasks, such as lesion segmentation or benign state prediction. For the breast cancer screening task, single feature extraction models are generally used, which directly extract only those potential features from the input mammogram that are relevant to the target task. This can lead to the neglect of other important morphological features of the lesion as well as other auxiliary information from the internal breast tissue. To obtain more comprehensive and objective diagnostic results, in this study, we developed a multi-task fusion model that combines multiple specific tasks for CAD of mammograms.
METHODS: We first trained a set of separate, task-specific models, including a density classification model, a mass segmentation model, and a lesion benignity-malignancy classification model, and then developed a multi-task fusion model that incorporates all of the mammographic features from these different tasks to yield comprehensive and refined prediction results for breast cancer diagnosis.
RESULTS: The experimental results showed that our proposed multi-task fusion model outperformed other related state-of-the-art models in both breast cancer screening tasks in the publicly available datasets CBIS-DDSM and INbreast, achieving a competitive screening performance with area-under-the-curve scores of 0.92 and 0.95, respectively.
CONCLUSIONS: Our model not only allows an overall assessment of lesion types in mammography but also provides intermediate results related to radiological features and potential cancer risk factors, indicating its potential to offer comprehensive workflow support to radiologists.

Mass segmentation is one of the fundamental tasks used when identifying breast cancer due to the comprehensive information it provides, including the location, size, and border of the masses. Despite significant improvement in the performance of the task, certain properties of the data, such as pixel class imbalance and the diverse appearance and sizes of masses, remain challenging. Recently, there has been a surge in articles proposing to address pixel class imbalance through the formulation of the loss function. While demonstrating an enhancement in performance, they mostly fail to address the problem comprehensively. In this paper, we propose a new perspective on the calculation of the loss that enables the binary segmentation loss to incorporate the sample-level information and region-level losses in a hybrid loss setting. We propose two variations of the loss to include mass size and density in the loss calculation. Also, we introduce a single loss variant using the idea of utilizing mass size and density to enhance focal loss. We tested the proposed method on benchmark datasets: CBIS-DDSM and INbreast. Our approach outperformed the baseline and state-of-the-art methods on both datasets.

OBJECTIVE: Both mass detection and segmentation in digital mammograms play a crucial role in early breast cancer detection and treatment. Furthermore, clinical experience has shown that they are the upstream tasks of pathological classification of breast lesions. Recent advancements in deep learning have made the analyses faster and more accurate. This study aims to develop a deep learning model architecture for breast cancer mass detection and segmentation using the mammography.
METHODS: In this work we proposed a double shot model for mass detection and segmentation simultaneously using a combination of YOLO (You Only Look Once) and LOGO (Local-Global) architectures. Firstly, we adopted YoloV5L6, the state-of-the-art object detection model, to position and crop the breast mass in mammograms with a high resolution; Secondly, to balance training efficiency and segmentation performance, we modified the LOGO training strategy to train the whole images and cropped images on the global and local transformer branches separately. The two branches were then merged to form the final segmentation decision.
RESULTS: The proposed YOLO-LOGO model was tested on two independent mammography datasets (CBIS-DDSM and INBreast). The proposed model performs significantly better than previous works. It achieves true positive rate 95.7% and mean average precision 65.0% for mass detection on CBIS-DDSM dataset. Its performance for mass segmentation on CBIS-DDSM dataset is F1-score=74.5% and IoU=64.0%. The similar performance trend is observed in another independent dataset INBreast as well.
CONCLUSIONS: The proposed model has a higher efficiency and better performance, reduces computational requirements, and improves the versatility and accuracy of computer-aided breast cancer diagnosis. Hence it has the potential to enable more assistance for doctors in early breast cancer detection and treatment, thereby reducing mortality.

Mammography is the primary medical imaging method used for routine screening and early detection of breast cancer in women. However, the process of manually inspecting, detecting, and delimiting the tumoral massess in 2D images is a very time-consuming task, subject to human errors due to fatigue. Therefore, integrated computer-aided detection systems have been proposed, based on modern computer vision and machine learning methods. In the present work, mammogram images from the publicly available Inbreast dataset are first converted to pseudo-color and then used to train and test a Mask R-CNN deep neural network. The most common approach is to start with a dataset and split the images into train and test set randomly. However, since there are often two or more images of the same case in the dataset, the way the dataset is split may have an impact on the results. Our experiments show that random partition of the data can produce unreliable training, so the dataset must be split using case-wise partition for more stable results. In experimental results, the method achieves an average true positive rate of 0.936 with 0.063 standard deviation using random partition and 0.908 with 0.002 standard deviation using case-wise partition, showing that case-wise partition must be used for more reliable results.

OBJECTIVE: Breast mass segmentation in mammograms remains a crucial yet challenging topic in computer-aided diagnosis systems. Existing algorithms mainly used mass-centered patches to achieve mass segmentation, which is time-consuming and unstable in clinical diagnosis. Therefore, we aim to directly perform fully automated mass segmentation in whole mammograms with deep learning solutions.
METHODS: In this work, we propose a novel dual contextual affinity network (a.k.a., DCANet) for mass segmentation in whole mammograms. Based on the encoder-decoder structure, two lightweight yet effective contextual affinity modules including the global-guided affinity module (GAM) and the local-guided affinity module (LAM) are proposed. The former aggregates the features integrated by all positions and captures long-range contextual dependencies, aiming to enhance the feature representations of homogeneous regions. The latter emphasizes semantic information around each position and exploits contextual affinity based on the local field-of-view, aiming to improve the indistinction among heterogeneous regions.
RESULTS: The proposed DCANet is greatly demonstrated on two public mammographic databases including the DDSM and the INbreast, achieving the Dice similarity coefficient (DSC) of 85.95% and 84.65%, respectively. Both segmentation performance and computational efficiency outperform the current state-of-the-art methods.
CONCLUSIONS: According to extensive qualitative and quantitative analyses, we believe that the proposed fully automated approach has sufficient robustness to provide fast and accurate diagnoses for possible clinical breast mass segmentation.

Breast cancer is a leading cause of mortality affecting women across the world. Early detection and diagnosis can decrease the mortality rate due to this cancer. Machine learning-based models are gaining popularity for biomedical applications due to the ability of nonlinear mapping between input and output patterns using supervised training phase. The research work in the paper is focused on the optimal adaptive threshold for mammogram mass segmentation, and detection in order to assist radiologist in accurate diagnosis Legendre neural network with single layer is used to develop the model, and the training is performed through Block Based Normalized Sign-Sign Least Mean Square (BBNSSLMS) algorithm. Legendre neural network expands the input vector using standard Legendre polynomial, and the recursive update principle is followed for the weight vector in higher dimension. The optimal threshold is indirectly used for proper segmentation of mammogram mass. The proposed segmentation method involves training phase with 30 images and testing phase by 151 images obtained from standard Mammogram Image Analysis Society (MIAS) database. The proposed model achieved a sensitivity of 95% and accuracy of 96% with false positives per image calculated as 1.19. • Threshold selection is carried out using single-layer Legendre NN with reduced computational complexity. BNSSLMS algorithm process the data samples block wise instead of sample by sample basis. Optimal threshold is generated according to the varying image properties which helps in correct segmentation and detection. • Due to sparse nature of the adaptive model, more numbers of weight coefficients are tending to zero which also helps in faster convergence. Mammogram Mass Detection Steps.

Digital breast tomosynthesis (DBT) is an emerging breast cancer screening and diagnostic modality that uses quasi-three-dimensional breast images to provide detailed assessments of the dense tissue within the breast. In this study, a framework of a 3D-Mask region-based convolutional neural network (3D-Mask RCNN) computer-aided diagnosis (CAD) system was developed for mass detection and segmentation with a comparative analysis of performance on patient subgroups with different clinicopathological characteristics. To this end, 364 samples of DBT data were used and separated into a training dataset (n = 201) and a testing dataset (n = 163). The detection and segmentation results were evaluated on the testing set and on subgroups of patients with different characteristics, including different age ranges, lesion sizes, histological types, lesion shapes and breast densities. The results of our 3D-Mask RCNN framework were compared with those of the 2D-Mask RCNN and Faster RCNN methods. For lesion-based mass detection, the sensitivity of 3D-Mask RCNN-based CAD was 90% with 0.8 false positives (FPs) per lesion, whereas the sensitivity of the 2D-Mask RCNN- and Faster RCNN-based CAD was 90% at 1.3 and 2.37 FPs/lesion, respectively. For breast-based mass detection, the 3D-Mask RCNN generated a sensitivity of 90% at 0.83 FPs/breast, and this framework is better than the 2D-Mask RCNN and Faster RCNN, which generated a sensitivity of 90% with 1.24 and 2.38 FPs/breast, respectively. Additionally, the 3D-Mask RCNN achieved significantly (p < 0.05) better performance than the 2D methods on subgroups of samples with characteristics of ages ranged from 40 to 49 years, malignant tumors, spiculate and irregular masses and dense breast, respectively. Lesion segmentation using the 3D-Mask RCNN achieved an average precision (AP) of 0.934 and a false negative rate (FNR) of 0.053, which are better than those achieved by the 2D methods. The results suggest that the 3D-Mask RCNN CAD framework has advantages over 2D-based mass detection on both the whole data and subgroups with different characteristics.

In this paper, we propose four variants of the Markov random field model by using constrained clustering for breast mass segmentation. These variants were tested with a set of images extracted from a public database. The obtained results have shown that the proposed variants, which allow to include additional information in the form of constraints to the clustering process, present better visual segmentation results than the original model, as well as a lower final energy which implies a better quality in the final segmentation. Specifically, the centroid initialization method used by our variants allows us to locate about 90% of the regions of interest that contain a mass, which subsequently with the pairwise constraints helped us recover a maximum of 93% of the masses. The segmentation results are also quantitatively evaluated using three supervised segmentation measures. These measures show that the mass segmentation quality of the proposed variants, considering the breast density level, is consistent with the corresponding segmentation annotated by specialized radiologists.