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A new CNN architecture for efficient classification of ultrasound breast tumor images with activation map clustering based prediction validation

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Abstract

Effective ultrasound (US) analysis for preliminary breast tumor diagnosis is constrained due to the presence of complex echogenic patterns. Implementing pretrained models of convolutional neural networks (CNNs) which mostly focuses on natural images and using transfer learning seldom gives good results in medical domain. In this work, a CNN architecture, StepNet, with step-wise incremental convolution layers for each downsampled block was developed for classification of breast tumors as benign/malignant. To increase noise robustness and as an improvement over existing methodologies, neutrosophic preprocessing was performed, and the enhanced images were appended to the original image during training and data augmentation. The final layers’ activation maps are clustered using fuzzy c-means clustering which qualify as a validation method for the prediction of StepNet. Using neutrosophic preprocessing alone had increased the validation accuracy from 0.84 to 0.93, while using neutrosophic preprocessing and augmentation had increased the accuracy to 0.98. StepNet has comparably less training and validation time than other state of the art architectures and methods and shows an increase in prediction accuracy even for challenging isoechoic and hypoechoic tumors.

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References

  1. Ren L, Liu Y, Tong Y, Cao X, Wu Y (2020) Multi-feature extraction and classification of breast tumor in ultrasound image. Chin J Med Instrum 44(4):294–301

    Google Scholar 

  2. Sivanandan R, Jayakumari J (2020) A novel approach to ultrasound image thresholding using phase gradients. Adv Commun Syst Netw:71–88

  3. Zhou S, Shi J, Zhu J, Cai Y, Wang R (2013) Shearlet-based texture feature extraction for classification of breast tumor in ultrasound image. Biomed Signal Process Control 8(6):688–696

    Article  Google Scholar 

  4. Al-Kadi OS, Chung DY, Coussios CC, Noble JA (2016) Heterogeneous tissue characterization using ultrasound: a comparison of fractal analysis backscatter models on liver tumors. Ultrasound Med Biol 42(7):1612–1626

    Article  Google Scholar 

  5. Jain N, Kumar V (2017) Liver ultrasound image segmentation using region-difference filters. J Digit Imaging 30(3):376–390

    Article  Google Scholar 

  6. Sivanandan R, Jayakumari J (2020) Neutrosophic texture-region difference-based fuzzy c-means clustering of ultrasound tumor images. Biomed Eng: Appl Basis Commun 32(06):2050049

    Google Scholar 

  7. Deng J, Dong W, Socher R, Li LJ, Li K, Fei-Fei L (2009) Imagenet: A large-scale hierarchical image database. IEEE Conf Comput Vis Pattern Recognit:248–255

  8. Cheng PM, Malhi HS (2017) Transfer learning with convolutional neural networks for classification of abdominal ultrasound images. J Digit Imaging 30(2):234–243

    Article  Google Scholar 

  9. Krizhevsky A, Sutskever I, Hinton GE (2012) Imagenet classification with deep convolutional neural networks. Adv Neural Inf Process Syst:1097–1105

  10. Simonyan K, Zisserman A (2014) Very deep convolutional networks for large-scale image recognition. arXiv preprint arXiv 1409(1556)

  11. He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. Proc IEEE Conf Comput Vision Pattern Recognit:770–778

  12. Szegedy C, Liu W, Jia Y, Sermanet P, Reed S, Anguelov D, Erhan D, Vanhoucke V, Rabinovich A (2015) Going deeper with convolutions. Proc IEEE Conf Comput Vision Pattern Recognit 2015:1–9

    Google Scholar 

  13. Chang YW, Chen YR, Ko CC, Lin WY, Lin KP (2020) A novel computer-aided-diagnosis system for breast ultrasound images based on BI-RADS categories. Appl Sci 10(5):1830

    Article  CAS  Google Scholar 

  14. Ciritsis A, Rossi C, Eberhard M, Marcon M, Becker AS, Boss A (2019) Automatic classification of ultrasound breast lesions using a deep convolutional neural network mimicking human decision-making. Eur Radiol 29(10):5458–5468

    Article  Google Scholar 

  15. Byra M, Galperin M, Ojeda-Fournier H, Olson L, O'Boyle M, Comstock C, Andre M (2019) Breast mass classification in sonography with transfer learning using a deep convolutional neural network and color conversion. Med Phys 46(2):746–755

    Article  Google Scholar 

  16. Chiao JY, Chen KY, Liao KY, Hsieh PH, Zhang G, Huang TC (2019) Detection and classification the breast tumors using mask R-CNN on sonograms. Medicine 98(19):e15200

    Article  Google Scholar 

  17. Simonyan K, Vedaldi A, Zisserman A (2013) Deep inside convolutional networks: visualising image classification models and saliency maps. arXiv preprint arXiv 1312(6034)

  18. Mahendran A, Vedaldi A (2015) Understanding deep image representations by inverting them. Proc IEEE Conf Comput Vision Pattern Recognit 2015:5188–5196

    Google Scholar 

  19. Shrikumar A, Greenside P, Kundaje A (2017) Learning important features through propagating activation differences. arXiv preprint arXiv 1704(02685)

  20. Ribeiro MT, Singh S, Guestrin C (2016) “Why should I trust you?” Explaining the predictions of any classifier. Proc 22nd ACM SIGKDD Int Conf Knowledge Discovery Data Mining:1135–1144

  21. Torrey L, Shavlik J (2010) Transfer learning. Handbook Res Mach Learning Appl Trends: Algorithms Methods Tech:242–264

  22. Amit G, Ben-Ari R, Hadad O, Monovich E, Granot N, Hashoul S (2017) Classification of breast MRI lesions using small-size training sets: comparison of deep learning approaches. Med Imaging Comput-Aided Diagnosis 10134:101341H

    Google Scholar 

  23. Shin HC, Roth HR, Gao M, Lu L, Xu Z, Nogues I, Yao J, Mollura D, Summers RM (2016) Deep convolutional neural networks for computer-aided detection: CNN architectures, dataset characteristics and transfer learning. IEEE Transact Med Imaging 35(5):1285–1298

    Article  Google Scholar 

  24. Liu S, Wang Y, Yang X, Lei B, Liu L, Li SX, Ni D, Wang T (2019) Deep learning in medical ultrasound analysis: a review. Engineering 5(2):261–275

    Article  Google Scholar 

  25. Goodfellow IJ, Shlens J, Szegedy C (2014) Explaining and harnessing adversarial examples. arXiv preprint arXiv 1412(6572)

  26. Haji SO, Yousif RZ (2019) A novel neutrosophic method for automatic seed point selection in thyroid nodule images. BioMed Research International

  27. Lotfollahi M, Gity M, Ye JY, Far AM (2018) Segmentation of breast ultrasound images based on active contours using neutrosophic theory. J Med Ultrason 45(2):205–212

    Article  Google Scholar 

  28. Salama AA, Smarandache F, Eisa M (2014) Introduction to image processing via neutrosophic techniques. Infinite Study.

  29. Salama AA, Smarandache F, ElGhawalby H (2018) Neutrosophic approach to grayscale image domain. Neutrosophic Sets Syst 21:13–19

    Google Scholar 

  30. Lin M, Chen Q, Yan S (2013) Network in network. arXiv preprint arXiv 1312(4400)

  31. Zhou B, Khosla A, Lapedriza A, Oliva A, Torralba A (2016) Learning deep features for discriminative localization. Proc IEEE Conf Comput Vision Pattern Recognit 2921(2929)

  32. Klimonda Z, Karwat P, Dobruch-Sobczak K, Piotrzkowska-Wróblewska H, Litniewski J (2019) Breast-lesions characterization using quantitative ultrasound features of peritumoral tissue. Sci Rep 9(1):1–9

    Article  CAS  Google Scholar 

  33. Chuang KS, Tzeng HL, Chen S, Wu J, Chen TJ (2006) Fuzzy c-means clustering with spatial information for image segmentation. Comput Med Imaging Graph 30(1):9–15

    Article  Google Scholar 

  34. Han S, Kang HK, Jeong JY, Park MH, Kim W, Bang WC, Seong YK (2017) A deep learning framework for supporting the classification of breast lesions in ultrasound images. Phys Med Biol 62(19):7714–7728

    Article  Google Scholar 

  35. Tanaka H, Chiu SW, Watanabe T, Kaoku S, Yamaguchi T (2019) Computer-aided diagnosis system for breast ultrasound images using deep learning. Phys Med Biol 64(23):235013

    Article  Google Scholar 

  36. Meng F, Zheng Y, Zhang Q, Mu X, Xu X, Zhang H, Ding L (2015) Noninvasive evaluation of liver fibrosis using real-time tissue elastography and transient elastography (FibroScan). J Ultrasound Med 34(3):403–410

    Article  Google Scholar 

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Acknowledgements

The authors would like to express their sincere gratitude for the support and suggestions of Dr. Vinoo Jacob, Dept. of Radiology, Cosmopoliton Hospital Pvt. Ltd., Kerala, India.

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Correspondence to Revathy Sivanandan.

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Sivanandan, R., Jayakumari, J. A new CNN architecture for efficient classification of ultrasound breast tumor images with activation map clustering based prediction validation. Med Biol Eng Comput 59, 957–968 (2021). https://doi.org/10.1007/s11517-021-02357-3

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