Feature extraction and classification of dynamic contrast-enhanced T2-weighted breast image data

• Published in: IEEE transactions on medical imaging 2001-12, Vol.20 (12), p.1293-1301
• Main Authors: Torheim, G., Godtliebsen, F., Axelson, D., Kvistad, K.A., Haraldseth, A., Rinck, P.A.
• Format: Article
• Language: English
• Subjects: Adenocarcinoma - classification; Adenocarcinoma - diagnosis; Adenocarcinoma, Mucinous - diagnosis; Adult; Aged; Breast cancer; Breast Neoplasms - classification; Breast Neoplasms - diagnosis; Carcinoma in Situ - diagnosis; Carcinoma, Ductal, Breast - diagnosis; Carcinoma, Lobular - diagnosis; Contrast Media - administration & dosage; Contrast Media - pharmacokinetics; Data acquisition; Data analysis; Feasibility Studies; Feature extraction; Female; Gadolinium DTPA; Humans; Image motion analysis; Magnetic analysis; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Mammography - methods; Middle Aged; Noise reduction; Noise robustness; Oncology; Radiographic Image Enhancement - methods; Radiographic Image Interpretation, Computer-Assisted - methods; Sensitivity and Specificity; Statistical methods; Stochastic Processes; Studies; Testing; Tissue
• ISSN: 0278-0062; 1558-254X
• DOI: 10.1109/42.974924

The relatively low specificity of dynamic contrast-enhanced T1-weighted magnetic resonance imaging (MR) imaging of breast cancer has lead several groups to investigate different approaches to data acquisition, one of them being the use of rapid T2*-weighted imaging. Analyses of such data are difficult due to susceptibility artifacts and breathing motion. One-hundred-twenty-seven patients with breast tumors underwent MR examination with rapid, single-slice T2*-weighted imaging of the tumor. Different methods for classifying the image data set using leave-one-out cross validation were tested. Furthermore, a semi-automatic region of interest (ROI) definition tool was presented and compared with manual ROI definitions from a previous study. Finally, pixel-by-pixel analysis was done and compared with ROI analysis. The analyses were done with and without noise reduction. The minimum enhancement parameter was the most robust and accurate of the parameters tested. The semi-automatic ROI definition method was fast and produced similar results as the manually defined ROIs. Noise reduction improved both sensitivity and specificity, but the improvement was not statistically significant. The pixel-based analysis methods used in the present study did not improve classification results. In conclusion, analysis of T2*-weighted breast images can be done in a rapid and robust manner by using semi-automatic ROI definition tools in combination with noise reduction. Minimum enhancement gives an indication of malignancy in T2*-weighted imaging.