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Potential of computer‐aided diagnosis of high spectral and spatial resolution (HiSS) MRI in the classification of breast lesions
Author(s) -
Bhooshan Neha,
Giger Maryellen,
Medved Milica,
Li Hui,
Wood Abbie,
Yuan Yading,
Lan Li,
Marquez Angelica,
Karczmar Greg,
Newstead Gillian
Publication year - 2014
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.24145
Subject(s) - hiss , receiver operating characteristic , computer aided diagnosis , radiology , breast mri , medicine , mammography , breast cancer , physics , quantum mechanics , electron , cancer
Purpose To compare the performance of computer‐aided diagnosis (CADx) analysis of precontrast high spectral and spatial resolution (HiSS) MRI to that of clinical dynamic contrast‐enhanced MRI (DCE‐MRI) in the diagnostic classification of breast lesions. Materials and Methods Thirty‐four malignant and seven benign lesions were scanned using two‐dimensional (2D) HiSS and clinical 4D DCE‐MRI protocols. Lesions were automatically segmented. Morphological features were calculated for HiSS, whereas both morphological and kinetic features were calculated for DCE‐MRI. After stepwise feature selection, Bayesian artificial neural networks merged selected features, and receiver operating characteristic (ROC) analysis evaluated the performance with leave‐one‐lesion‐out validation. Results AUC (area under the ROC curve) values of 0.92 ± 0.06 and 0.90 ± 0.05 were obtained using CADx on HiSS and DCE‐MRI, respectively, in the task of classifying benign and malignant lesions. While we failed to show that the higher HiSS performance was significantly better than DCE‐MRI, noninferiority testing confirmed that HiSS was not worse than DCE‐MRI. Conclusion CADx of HiSS (without contrast) performed similarly to CADx on clinical DCE‐MRI; thus, computerized analysis of HiSS may provide sufficient information for diagnostic classification. The results are clinically important for patients in whom contrast agent is contra‐indicated. Even in the limited acquisition mode of 2D single slice HiSS, by using quantitative image analysis to extract characteristics from the HiSS images, similar performance levels were obtained as compared with those from current clinical 4D DCE‐MRI. As HiSS acquisitions become possible in 3D, CADx methods can also be applied. Because HiSS and DCE‐MRI are based on different contrast mechanisms, the use of the two protocols in combination may increase diagnostic accuracy. J. Magn. Reson. Imaging 2014;39:59–67. © 2013 Wiley Periodicals, Inc.