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Abstract

The interpretation of breast magnetic resonance imaging (MRI) in the healthcare field depends on the good knowledge and experience of radiologists. Recent developments in artificial intelligence (AI) have shown advances in the field of radiology. However, the desired levels have not been reached in the field of radiology yet. In this study, a novel model structure is proposed to characterize the diagnostic performance of AI technology for individual breast dynamic contrast material–enhanced (DCE) MRI sequences. In the proposed model structure, Inception-v3, EfficientNet-B3, and DenseNet-201 models were used as hybrids together with the Yolo-v3 algorithm to detect breast and cancer regions. In the proposed model, DCE-MRI sequences (T2, ADC, Diffusion, Non-Contrast Fat Non-Suppressed T1, Non-Contrast Fat Suppressed T1, Contrast Fat Suppressed T1, and Subtraction T1) were evaluated separately and validation was made, thus providing a unique perspective. According to the validation results, the model structure with the best performance was determined as Yolo-v3 + DenseNet-201. With this model structure, 92.41% accuracy, 0.5936 loss, 92.44% sensitivity, and 92.44% specificity rates were obtained. In addition, it was determined that the results obtained without using contrast material in the best model were 91.53% accuracy, 0.9646 loss, 92.19% sensitivity, and 92.19% specificity. Therefore, it is predicted that the need for contrast material use can be reduced with the help of this model structure.
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Authors and Affiliations

İsmail Akgül
1
ORCID: ORCID
Volkan Kaya
1
ORCID: ORCID
Erdal Karavaş
2
ORCID: ORCID
Sonay Aydin
3
ORCID: ORCID
Ahmet Baran
1
ORCID: ORCID

  1. Department of Computer Engineering, Faculty of Engineering and Architecture, Erzincan Binali Yıldırım University, Türkiye
  2. Department of Radiology, Faculty of Medicine, Bandırma Onyedi Eylül University, Balıkesir, Türkiye
  3. Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan, Türkiye
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Abstract

Automated motion reduction in dynamic infrared imaging is on demand in clinical applications, since movement disarranges time−temperature series of each pixel, thus originating thermal artifacts that might bias the clinical decision. All previously proposed registration methods are feature based algorithms requiring manual intervention. The aim of this work is to optimize the registration strategy specifically for Breast Dynamic Infrared Imaging and to make it user−independent. We implemented and evaluated 3 different 3D time−series registration methods: 1. Linear affine, 2. Non−linear Bspline, 3. Demons applied to 12 datasets of healthy breast thermal images. The results are evaluated through normalized mutual information with average values of 0.70 ±0.03, 0.74 ±0.03 and 0.81 ±0.09 (out of 1) for Affine, Bspline and Demons registration, respectively, as well as breast boundary overlap and Jacobian determinant of the deformation field. The statistical analysis of the results showed that symmetric diffeomorphic Demons’ registration method outperforms also with the best breast alignment and non−negative Jacobian values which guarantee image similarity and anatomical consistency of the transformation, due to homologous forces enforcing the pixel geometric disparities to be shortened on all the frames. We propose Demons’ registration as an effective technique for time−series dynamic infrared registration, to stabilize the local temperature oscillation.

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Authors and Affiliations

S. Riyahi-Alam
V. Agostini
F. Molinari
M. Knaflitz

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