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Artificial intelligence for breast cancer detection in mammography: experience of use of the ScreenPoint Medical Transpara system in 310 Japanese women

Background To compare the breast cancer detection performance in digital mammograms of a panel of three unaided human readers (HR) versus a stand-alone artificial intelligence (AI)-based Transpara system in a population of Japanese women. Methods The subjects were 310 Japanese female outpatients who...

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Published in:Breast cancer (Tokyo, Japan) Japan), 2020-07, Vol.27 (4), p.642-651
Main Authors: Sasaki, Michiro, Tozaki, Mitsuhiro, Rodríguez-Ruiz, Alejandro, Yotsumoto, Daisuke, Ichiki, Yumi, Terawaki, Aiko, Oosako, Shunichi, Sagara, Yasuaki, Sagara, Yoshiaki
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container_title Breast cancer (Tokyo, Japan)
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creator Sasaki, Michiro
Tozaki, Mitsuhiro
Rodríguez-Ruiz, Alejandro
Yotsumoto, Daisuke
Ichiki, Yumi
Terawaki, Aiko
Oosako, Shunichi
Sagara, Yasuaki
Sagara, Yoshiaki
description Background To compare the breast cancer detection performance in digital mammograms of a panel of three unaided human readers (HR) versus a stand-alone artificial intelligence (AI)-based Transpara system in a population of Japanese women. Methods The subjects were 310 Japanese female outpatients who underwent digital mammographic examinations between January 2018 and October 2018. A panel of three HR provided a Breast Imaging Reporting and Data System (BI-RADS) score, and Transpara system provided an interactive decision support score and an examination-based cancer likelihood score. The area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were compared under each of reading conditions. Results The AUC was higher for human readers than with stand-alone Transpara system (human readers 0.816; Transpara system 0.706; difference 0.11; P  
doi_str_mv 10.1007/s12282-020-01061-8
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Methods The subjects were 310 Japanese female outpatients who underwent digital mammographic examinations between January 2018 and October 2018. A panel of three HR provided a Breast Imaging Reporting and Data System (BI-RADS) score, and Transpara system provided an interactive decision support score and an examination-based cancer likelihood score. The area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were compared under each of reading conditions. Results The AUC was higher for human readers than with stand-alone Transpara system (human readers 0.816; Transpara system 0.706; difference 0.11; P  &lt; 0.001). The sensitivity of the unaided HR for diagnosis was 89% and specificity was 86%. The sensitivity of stand-alone Transpara system for cutoff scores of 4 and 7 were 93% and 85%, and specificities were 45% and 67%, respectively. Conclusions Although the diagnostic performance of Transpara system was statistically lower than that of HR, the recent advances in AI algorithms are expected to reduce the difference between computers and human experts in detecting breast cancer.</description><identifier>ISSN: 1340-6868</identifier><identifier>EISSN: 1880-4233</identifier><identifier>DOI: 10.1007/s12282-020-01061-8</identifier><identifier>PMID: 32052311</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Artificial Intelligence ; Breast - diagnostic imaging ; Breast cancer ; Breast Neoplasms - diagnosis ; Cancer ; Cancer Research ; Comparative analysis ; Decision Support Systems, Clinical ; Diagnosis ; Early Detection of Cancer - methods ; Early Detection of Cancer - standards ; Female ; Humans ; Japan ; Mammography ; Mammography - methods ; Mammography - standards ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oncology ; Original Article ; Radiographic Image Interpretation, Computer-Assisted - methods ; Radiologists - standards ; Reference Standards ; Retrospective Studies ; ROC Curve ; Surgery ; Surgical Oncology ; Women ; Young Adult</subject><ispartof>Breast cancer (Tokyo, Japan), 2020-07, Vol.27 (4), p.642-651</ispartof><rights>The Japanese Breast Cancer Society 2020</rights><rights>COPYRIGHT 2020 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-726f50092efa3fc8b359834d90d371560672e071c96a0d76e70f6a4cf8468d5a3</citedby><cites>FETCH-LOGICAL-c504t-726f50092efa3fc8b359834d90d371560672e071c96a0d76e70f6a4cf8468d5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32052311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sasaki, Michiro</creatorcontrib><creatorcontrib>Tozaki, Mitsuhiro</creatorcontrib><creatorcontrib>Rodríguez-Ruiz, Alejandro</creatorcontrib><creatorcontrib>Yotsumoto, Daisuke</creatorcontrib><creatorcontrib>Ichiki, Yumi</creatorcontrib><creatorcontrib>Terawaki, Aiko</creatorcontrib><creatorcontrib>Oosako, Shunichi</creatorcontrib><creatorcontrib>Sagara, Yasuaki</creatorcontrib><creatorcontrib>Sagara, Yoshiaki</creatorcontrib><title>Artificial intelligence for breast cancer detection in mammography: experience of use of the ScreenPoint Medical Transpara system in 310 Japanese women</title><title>Breast cancer (Tokyo, Japan)</title><addtitle>Breast Cancer</addtitle><addtitle>Breast Cancer</addtitle><description>Background To compare the breast cancer detection performance in digital mammograms of a panel of three unaided human readers (HR) versus a stand-alone artificial intelligence (AI)-based Transpara system in a population of Japanese women. Methods The subjects were 310 Japanese female outpatients who underwent digital mammographic examinations between January 2018 and October 2018. A panel of three HR provided a Breast Imaging Reporting and Data System (BI-RADS) score, and Transpara system provided an interactive decision support score and an examination-based cancer likelihood score. The area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were compared under each of reading conditions. Results The AUC was higher for human readers than with stand-alone Transpara system (human readers 0.816; Transpara system 0.706; difference 0.11; P  &lt; 0.001). The sensitivity of the unaided HR for diagnosis was 89% and specificity was 86%. The sensitivity of stand-alone Transpara system for cutoff scores of 4 and 7 were 93% and 85%, and specificities were 45% and 67%, respectively. 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Public Health</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Radiographic Image Interpretation, Computer-Assisted - methods</subject><subject>Radiologists - standards</subject><subject>Reference Standards</subject><subject>Retrospective Studies</subject><subject>ROC Curve</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Women</subject><subject>Young Adult</subject><issn>1340-6868</issn><issn>1880-4233</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kc-KFDEQxhtR3HX1BTxIwIuXXitJd5LxNiyuf1hRcD2HTLoym2U6aZM0Ok_i625mehUEkRwqVH7fl6K-pnlO4ZwCyNeZMqZYCwxaoCBoqx40p1QpaDvG-cN65x20Qgl10jzJ-Rag4xLE4-aEM-gZp_S0-bVOxTtvvdkRHwrudn6LwSJxMZFNQpMLsaY2EhmwoC0-hgqS0Yxj3CYz3ezfEPw5YfJHWXRkzsdSbpB8tQkxfInVmXzCwdv6y3UyIU8mGZL3ueB4cOMUyEczmYBV-yOOGJ42j5zZZXx2X8-ab5dvry_et1ef3324WF-1toeutJIJ1wOsGDrDnVUb3q8U74YVDFzSXoCQDEFSuxIGBilQghOms051Qg294WfNq8V3SvH7jLno0Wdb11BniXPWjPed5KIDqOjLBd2aHWofXCzJ2AOu1_IQBbCur9T5P6h6Bhy9jQGdr_2_BGwR2BRzTuj0lPxo0l5T0Iec9ZKzrjnrY85aVdGL-7HnzYjDH8nvYCvAFyDXp7DFpG_jnEJd5f9s7wA3ArKH</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Sasaki, Michiro</creator><creator>Tozaki, Mitsuhiro</creator><creator>Rodríguez-Ruiz, Alejandro</creator><creator>Yotsumoto, Daisuke</creator><creator>Ichiki, Yumi</creator><creator>Terawaki, Aiko</creator><creator>Oosako, Shunichi</creator><creator>Sagara, Yasuaki</creator><creator>Sagara, Yoshiaki</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20200701</creationdate><title>Artificial intelligence for breast cancer detection in mammography: experience of use of the ScreenPoint Medical Transpara system in 310 Japanese women</title><author>Sasaki, Michiro ; Tozaki, Mitsuhiro ; Rodríguez-Ruiz, Alejandro ; Yotsumoto, Daisuke ; Ichiki, Yumi ; Terawaki, Aiko ; Oosako, Shunichi ; Sagara, Yasuaki ; Sagara, Yoshiaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-726f50092efa3fc8b359834d90d371560672e071c96a0d76e70f6a4cf8468d5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Artificial Intelligence</topic><topic>Breast - diagnostic imaging</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>Comparative analysis</topic><topic>Decision Support Systems, Clinical</topic><topic>Diagnosis</topic><topic>Early Detection of Cancer - methods</topic><topic>Early Detection of Cancer - standards</topic><topic>Female</topic><topic>Humans</topic><topic>Japan</topic><topic>Mammography</topic><topic>Mammography - methods</topic><topic>Mammography - standards</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Radiographic Image Interpretation, Computer-Assisted - methods</topic><topic>Radiologists - standards</topic><topic>Reference Standards</topic><topic>Retrospective Studies</topic><topic>ROC Curve</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sasaki, Michiro</creatorcontrib><creatorcontrib>Tozaki, Mitsuhiro</creatorcontrib><creatorcontrib>Rodríguez-Ruiz, Alejandro</creatorcontrib><creatorcontrib>Yotsumoto, Daisuke</creatorcontrib><creatorcontrib>Ichiki, Yumi</creatorcontrib><creatorcontrib>Terawaki, Aiko</creatorcontrib><creatorcontrib>Oosako, Shunichi</creatorcontrib><creatorcontrib>Sagara, Yasuaki</creatorcontrib><creatorcontrib>Sagara, Yoshiaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Breast cancer (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sasaki, Michiro</au><au>Tozaki, Mitsuhiro</au><au>Rodríguez-Ruiz, Alejandro</au><au>Yotsumoto, Daisuke</au><au>Ichiki, Yumi</au><au>Terawaki, Aiko</au><au>Oosako, Shunichi</au><au>Sagara, Yasuaki</au><au>Sagara, Yoshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Artificial intelligence for breast cancer detection in mammography: experience of use of the ScreenPoint Medical Transpara system in 310 Japanese women</atitle><jtitle>Breast cancer (Tokyo, Japan)</jtitle><stitle>Breast Cancer</stitle><addtitle>Breast Cancer</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>27</volume><issue>4</issue><spage>642</spage><epage>651</epage><pages>642-651</pages><issn>1340-6868</issn><eissn>1880-4233</eissn><abstract>Background To compare the breast cancer detection performance in digital mammograms of a panel of three unaided human readers (HR) versus a stand-alone artificial intelligence (AI)-based Transpara system in a population of Japanese women. Methods The subjects were 310 Japanese female outpatients who underwent digital mammographic examinations between January 2018 and October 2018. A panel of three HR provided a Breast Imaging Reporting and Data System (BI-RADS) score, and Transpara system provided an interactive decision support score and an examination-based cancer likelihood score. The area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were compared under each of reading conditions. Results The AUC was higher for human readers than with stand-alone Transpara system (human readers 0.816; Transpara system 0.706; difference 0.11; P  &lt; 0.001). The sensitivity of the unaided HR for diagnosis was 89% and specificity was 86%. The sensitivity of stand-alone Transpara system for cutoff scores of 4 and 7 were 93% and 85%, and specificities were 45% and 67%, respectively. Conclusions Although the diagnostic performance of Transpara system was statistically lower than that of HR, the recent advances in AI algorithms are expected to reduce the difference between computers and human experts in detecting breast cancer.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>32052311</pmid><doi>10.1007/s12282-020-01061-8</doi><tpages>10</tpages></addata></record>
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source Springer Nature
subjects Adult
Aged
Aged, 80 and over
Artificial Intelligence
Breast - diagnostic imaging
Breast cancer
Breast Neoplasms - diagnosis
Cancer
Cancer Research
Comparative analysis
Decision Support Systems, Clinical
Diagnosis
Early Detection of Cancer - methods
Early Detection of Cancer - standards
Female
Humans
Japan
Mammography
Mammography - methods
Mammography - standards
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Article
Radiographic Image Interpretation, Computer-Assisted - methods
Radiologists - standards
Reference Standards
Retrospective Studies
ROC Curve
Surgery
Surgical Oncology
Women
Young Adult
title Artificial intelligence for breast cancer detection in mammography: experience of use of the ScreenPoint Medical Transpara system in 310 Japanese women
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