BACKGROUND: Breast cancer has long been one of the major global life-threatening illnesses among women. Surgery and adjuvant therapy, coupled with early detection, could save many lives. This underscores the importance of mammography, a cost-effective and accurate method for early detection. Due to the poor contrast, noise and artifacts which results in difficulty for radiologists to diagnose, Computer-Aided Diagnosis (CAD) systems are hence developed. The extraction of breast region is a fundamental and crucial preparation step for further development of CAD systems. OBJECTIVE: The proposed method aims to extract breast region accurately from mammographic images where noise is suppressed, contrast is enhanced and pectoral muscle region is removed. METHODS: This paper presents a new deep learning-based breast region extraction method that combines pre-processing methods containing noise suppression using median filter, contrast enhancement using CLAHE and semantic segmentation using Deeplab v3+ model. RESULTS: The method is trained and evaluated on mini-MIAS dataset. It has also been evaluated on INbreast dataset. The results outperform those generated by other recent researches and are indicative of the capacity of the model to retain its accuracy and runtime advantage across different databases with different image resolutions. CONCLUSIONS: The proposed method shows state-of-the-art performance at extracting breast region from mammographic images. Wide range of evaluation on two commonly used mammography datasets proves the ability and adaptability of the method.
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