Region-of-Interest Optimization for Deep-Learning-Based Breast Cancer Detection in Mammograms

The early detection and diagnosis of breast cancer may increase survival rates and reduce overall treatment costs. The cancer of the breast is a severe and potentially fatal disease that impacts individuals worldwide. Mammography is a widely utilized imaging technique for breast cancer surveillance and diagnosis. However, images produced with mammography frequently contain noise, poor contrast, and other anomalies that hinder radiologists from interpreting the images. This study develops a novel deep-learning technique for breast cancer detection using mammography images. The proposed procedure consists of two primary steps: region-of-interest (ROI) (1) extraction and (2) classification. At the beginning of the procedure, a YOLOX model is utilized to distinguish breast tissue from the background and to identify ROIs that may contain lesions. In the second phase, the EfficientNet or ConvNeXt model is applied to the data to identify benign or malignant ROIs. The proposed technique is validated using a large dataset of mammography images from various institutions and compared to several baseline methods. The pF1 index is used to measure the effectiveness of the technique, which aims to establish a balance between the number of false positives and false negatives, and is a harmonic mean of accuracy and recall. The proposed method outperformed existing methods by an average of 8.0%, obtaining superior levels of precision and sensitivity, and area under the receiver operating characteristics curve (ROC AUC) and the precision–recall curve (PR AUC). In addition, ablation research was conducted to investigate the effects of the procedure’s numerous components. According to the findings, the proposed technique is another choice that could enhance the detection and diagnosis of breast cancer using mammography images.