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Optimizing the CAD Process for Detecting Mammographic Lesions by a New Generation Algorithm Using Linear Classifiers and a Gradient Based Approach

Philippe Bamberger1, Isaac Leichter1, 2, Nicolas Merlet1, Eli Ratner1, Glenn Fung3 and Richard Lederman4

(1)  Siemens Computer Aided Diagnosis, Jerusalem, Israel
(2)  Dept. of Medical Engineering, Jerusalem College of Technology, Jerusalem, Israel
(3)  Siemens Medical, Malvern, PA, USA
(4)  Department of Radiology, Hadassah University Hospital, Jerusalem, Israel
Abstract
This study evaluates the performance of a new generation algorithm designed to both increase detection sensitivity of cancers and to markedly reduce the false mark rate. In the advanced algorithm, several improvements were implemented. The algorithm for the initial detection of potential mass candidates was upgraded to ignore dense areas that do not represent masses. For the initial detection of potential clusters candidates, the advanced algorithm considers interdependence between various stages of the parametric clusterization process and implements automatic performance optimization. Moreover, the advanced algorithm includes a one-step global classification model, which assigns a score to each candidate lesion, instead of sequential multi-step filtration at various steps of the algorithm. Both the advanced and the previous algorithm were run on 83 malignant cases, with proven pathology, and on 523 normal screening cases that were consecutively culled from 4 clinical sites. The overall sensitivity of the advanced algorithm was 86%, compared to a sensitivity of 84% for the previous one. The false mark (FM) rate per case, decreased from 3.20 for the previous algorithm, to 1.39 for the advanced one. The advanced algorithm reduced both mass FMs and cluster FMs. In conclusion, the new algorithm outperforms the old one with a slight increase in sensitivity and with a substantial reduction in false mark rate for both masses and clusters.

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