Abstract

Purpose The objective of this study is to investigate the use of texture analysis (TA) of magnetic resonance image (MRI) enhanced scan and machine learning methods for distinguishing different grades in breast invasive ductal carcinoma (IDC). Preoperative prediction of the grade of IDC can provide reference for different clinical treatments, so it has important practice values in clinic. Methods Firstly, a breast cancer segmentation model based on discrete wavelet transform (DWT) and K-means algorithm is proposed. Secondly, TA was performed and the Gabor wavelet analysis is used to extract the texture feature of an MRI tumor. Then, according to the distance relationship between the features, key features are sorted and feature subsets are selected. Finally, the feature subset is classified by using a support vector machine and adjusted parameters to achieve the best classification effect. Results By selecting key features for classification prediction, the classification accuracy of the classification model can reach 81.33%. 3-, 4-, and 5-fold cross-validation of the prediction accuracy of the support vector machine model is 77.79%~81.94%. Conclusion The pathological grading of IDC can be predicted and evaluated by texture analysis and feature extraction of breast tumors. This method can provide much valuable information for doctors' clinical diagnosis. With further development, the model demonstrates high potential for practical clinical use.

Highlights

  • Breast cancer (BC) is one of the most common malignances in women [1]

  • In order to reduce mistaken recognition resulting from segmentation, the system adopted the two-dimensional discrete wavelet transform (DWT) to eliminate the noise of magnetic resonance imaging (MRI) [13]

  • TP is used to represent the number of infiltrating ductal carcinoma (IDC) grade III samples, and TN is used to represent the number of IDC grade 2 samples

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Summary

Introduction

Breast cancer (BC) is one of the most common malignances in women [1]. The recent survey found that the occurrence rate grows rapidly in China, especially in developed regions. The most common histological type of breast cancer is invasive or infiltrating ductal carcinoma (IDC), which accounts for up to 70% of all BC cases. The most common current method for histological grading of IDC is the “Elston and Eills method,” which is the latest modification of the “Bloom and Richardson method” [2]. There are two kinds of IDC treatment: breast conserving surgery and total mastectomy. Different grades of IDC correspond to different treatments. IDC grade diagnosis is usually established using stereotactic biopsy. Preoperative prediction of the grade of invasive ductal carcinoma can provide reference for doctors’ treatment [3].

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