It is now widely accepted that image quality should be evaluated using task-based criteria, such as human-observer performance in a lesion-detection task. The channelized Hotelling observer (CHO) has been widely used as a surrogate for human observers in evaluating lesion detectability. In this paper, we propose that the problem of developing a numerical observer can be viewed as a system-identification or supervised-learning problem, in which the goal is to identify the unknown system of the human observer. Following this approach, we explore the possibility of replacing the Hotelling detector within the CHO with an algorithm that learns the relationship between measured channel features and human observer scores. Specifically, we develop a channelized support vector machine (CSVM) which we compare to the CHO in terms of its ability to predict human-observer performance. In the examples studied, we find that the CSVM is better able to generalize to unseen images than the CHO, and therefore may represent a useful improvement on the CHO methodology, while retaining its essential features.

In this paper we propose a microcalcification classification scheme, assisted by content-based mammogram retrieval, for breast cancer diagnosis. We recently developed a machine learning approach for mammogram retrieval where the similarity measure between two lesion mammograms was modeled after expert observers. In this work we investigate how to use retrieved similar cases as references to improve the performance of a numerical classifier. Our rationale is that by adaptively incorporating local proximity information into a classifier, it can help to improve its classification accuracy, thereby leading to an improved “second opinion” to radiologists. Our experimental results on a mammogram database demonstrate that the proposed retrieval-driven approach with an adaptive support vector machine (SVM) could improve the classification performance from 0.78 to 0.82 in terms of the area under the ROC curve.

Clustered microcalcifications (MC) in mammograms can be an important early sign of breast cancer in women. Their accurate detection is important in computer-aided detection (CADe). In this paper, we propose the use of a recently developed machine-learning technique--relevance vector machine (RVM)--for detection of MCs in digital mammograms. RVM is based on Bayesian estimation theory, of which a distinctive feature is that it can yield a sparse decision function that is defined by only a very small number of so-called relevance vectors. By exploiting this sparse property of the RVM, we develop computerized detection algorithms that are not only accurate but also computationally efficient for MC detection in mammograms. We formulate MC detection as a supervised-learning problem, and apply RVM as a classifier to determine at each location in the mammogram if an MC object is present or not. To increase the computation speed further, we develop a two-stage classification network, in which a computationally much simpler linear RVM classifier is applied first to quickly eliminate the overwhelming majority, non-MC pixels in a mammogram from any further consideration. The proposed method is evaluated using a database of 141 clinical mammograms (all containing MCs), and compared with a well-tested support vector machine (SVM) classifier. The detection performance is evaluated using free-response receiver operating characteristic (FROC) curves. It is demonstrated in our experiments that the RVM classifier could greatly reduce the computational complexity of the SVM while maintaining its best detection accuracy. In particular, the two-stage RVM approach could reduce the detection time from 250 s for SVM to 7.26 s for a mammogram (nearly 35-fold reduction). Thus, the proposed RVM classifier is more advantageous for real-time processing of MC clusters in mammograms.

In this paper, we investigate several state-of-the-art machine-learning methods for automated classification of clustered microcalcifications (MCs). The classifier is part of a computer-aided diagnosis (CADx) scheme that is aimed to assisting radiologists in making more accurate diagnoses of breast cancer on mammograms. The methods we considered were: support vector machine (SVM), kernel Fisher discriminant (KFD), relevance vector machine (RVM), and committee machines (ensemble averaging and AdaBoost), of which most have been developed recently in statistical learning theory. We formulated differentiation of malignant from benign MCs as a supervised learning problem, and applied these learning methods to develop the classification algorithm. As input, these methods used image features automatically extracted from clustered MCs. We tested these methods using a database of 697 clinical mammograms from 386 cases, which included a wide spectrum of difficult-to-classify cases. We analyzed the distribution of the cases in this database using the multidimensional scaling technique, which reveals that in the feature space the malignant cases are not trivially separable from the benign ones. We used receiver operating characteristic (ROC) analysis to evaluate and to compare classification performance by the different methods. In addition, we also investigated how to combine information from multiple-view mammograms of the same case so that the best decision can be made by a classifier. In our experiments, the kernel-based methods (i.e., SVM, KFD, and RVM) yielded the best performance (Az = 0.85, SVM), significantly outperforming a well-established, clinically-proven CADx approach that is based on neural network (Az = 0.80).

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