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Deep learning radiomics can predict axillary lymph node status in early-stage breast cancer

Author

Listed:
  • Xueyi Zheng

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

  • Zhao Yao

    (Fudan University)

  • Yini Huang

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

  • Yanyan Yu

    (Paul C. Lauterbur Research Center for Biomedical Imaging, Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences)

  • Yun Wang

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

  • Yubo Liu

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

  • Rushuang Mao

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

  • Fei Li

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

  • Yang Xiao

    (Paul C. Lauterbur Research Center for Biomedical Imaging, Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences)

  • Yuanyuan Wang

    (Fudan University
    The key laboratory of medical imaging computing and computer assisted intervention of Shanghai)

  • Yixin Hu

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

  • Jinhua Yu

    (Fudan University
    The key laboratory of medical imaging computing and computer assisted intervention of Shanghai)

  • Jianhua Zhou

    (Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine)

Abstract

Accurate identification of axillary lymph node (ALN) involvement in patients with early-stage breast cancer is important for determining appropriate axillary treatment options and therefore avoiding unnecessary axillary surgery and complications. Here, we report deep learning radiomics (DLR) of conventional ultrasound and shear wave elastography of breast cancer for predicting ALN status preoperatively in patients with early-stage breast cancer. Clinical parameter combined DLR yields the best diagnostic performance in predicting ALN status between disease-free axilla and any axillary metastasis with areas under the receiver operating characteristic curve (AUC) of 0.902 (95% confidence interval [CI]: 0.843, 0.961) in the test cohort. This clinical parameter combined DLR can also discriminate between low and heavy metastatic burden of axillary disease with AUC of 0.905 (95% CI: 0.814, 0.996) in the test cohort. Our study offers a noninvasive imaging biomarker to predict the metastatic extent of ALN for patients with early-stage breast cancer.

Suggested Citation

  • Xueyi Zheng & Zhao Yao & Yini Huang & Yanyan Yu & Yun Wang & Yubo Liu & Rushuang Mao & Fei Li & Yang Xiao & Yuanyuan Wang & Yixin Hu & Jinhua Yu & Jianhua Zhou, 2020. "Deep learning radiomics can predict axillary lymph node status in early-stage breast cancer," Nature Communications, Nature, vol. 11(1), pages 1-9, December.
  • Handle: RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-15027-z
    DOI: 10.1038/s41467-020-15027-z
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    Cited by:

    1. Zhao Yao & Ting Luo & YiJie Dong & XiaoHong Jia & YinHui Deng & GuoQing Wu & Ying Zhu & JingWen Zhang & Juan Liu & LiChun Yang & XiaoMao Luo & ZhiYao Li & YanJun Xu & Bin Hu & YunXia Huang & Cai Chang, 2023. "Virtual elastography ultrasound via generative adversarial network for breast cancer diagnosis," Nature Communications, Nature, vol. 14(1), pages 1-12, December.

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