A MULTI RECONSTRUCTION STUDY OF BREAST DENSITY ESTIMATION USING DEEP LEARNING
BREAST DENSITY ESTIMATION USING DEEP LEARNING
model2025-11-22https://doi.org/10.1148/atlas.1763845577580
61

Overview

Schema Version

https://atlas.rsna.org/schemas/2025-11/model.json

Name

A MULTI RECONSTRUCTION STUDY OF BREAST DENSITY ESTIMATION USING DEEP LEARNING

Link

https://arxiv.org/pdf/2202.08238

Indexing

Keywords: Breast Density, Multi-view Imaging, Deep Learning, Mammography Screening, Tomosynthesis Projection
Content: BR, BQ, OI

Author(s)

Vikash Gupta
Mutlu Demirer
Robert W. Maxwell
Richard D. White
Barbaros S. Erdal

Organization(s)

Mayo Clinic

Comments

This paper presents a deep learning approach for breast density estimation using a multi-reconstruction strategy, combining various mammography acquisition protocols to improve model generalizability and performance.

Model

Architecture

The model uses transfer learning with Inception-V3, pre-trained on the ImageNet dataset. The last layers of the original Inception-V3 model were replaced with a fully connected layer containing 1024 nodes, followed by four output nodes with softmax activation. Training was performed using Keras with TensorFlow-1.10, an initial learning rate of 0.001 on a stochastic gradient descent optimizer with a batch size of 8, and terminated after 50 epochs. Traditional augmentation routines (random rotation, horizontal and vertical flipping, random crops, and translation) were applied.

Clinical benefit

Increased accuracy of breast density measurement beyond the quartile BI-RADS schema, aiding in recognizing individuals predisposed to breast cancer and improving real-world deployment and automatic reporting by being more generalizable across different imaging protocols.

Clinical workflow phase

Breast cancer screening, mammogram interpretation.

Degree of automation

Automated breast density classification.

Indications for use

Estimation of breast density categories (A, B, C, D) from mammographic images for breast cancer risk assessment.

Input

Full Field Digital Mammography (FFDM), Hologic’s 2D Intelligent view, C-view, 2D tomographic projections, XCCM (exaggerated cranio-caudal medial), XCCL (exaggerated cranio-caudal lateral), Latero medial, and Medio-lateral mammography views.

Instructions

The model should be used with a variety of mammography acquisition protocols, including FFDM, C-View, Tomosynthesis Projection, Intelligent 2D, XCCL, XCCM, Latero medial, and Medio-lateral images. It is designed to perform comparably or better than models trained on single acquisition protocols. Continuous learning by adding more data as it is acquired is recommended for further improvement and generalizability.

Limitations

Previous deep learning models for breast density estimation often rely on single acquisition protocols, limiting dataset size and generalizability, and performing poorly on images from different protocols. This study aims to mitigate these limitations by using a multi-reconstruction approach.

Output

Description: Classification of breast density into four standardized BI-RADS categories: almost entirely fat (A), scattered fibroglandular density (B), heterogeneously dense (C), and extremely dense (D).

Recommendation

Researchers should combine images from different acquisition protocols to produce more generalizable neural network models capable of continuous learning as more data is collected.

Reproducibility

The model's architecture (Inception-V3 with specific modifications), training framework (Keras/TensorFlow), optimizer (stochastic gradient descent), learning rate (0.001), batch size (8), epochs (50), and augmentation techniques are detailed, providing a basis for reproducibility.

Use

Intended: Breast Density Estimation, Breast Cancer Risk Assessment, Mammogram Interpretation, Automated Reporting

User

Intended: Diagnostic Radiologist, Oncologist, Researcher, Physician