A Large Model for Non-invasive and Personalized Management of Breast Cancer from Multiparametric MRI

Fuente: arXiv
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Autores principales: Luo, Luyang, Wu, Mingxiang, Li, Mei, Xin, Yi, Wang, Qiong, Vardhanabhuti, Varut, Chu, Winnie CW, Li, Zhenhui, Zhou, Juan, Rajpurkar, Pranav, Chen, Hao
Formato: Preprint
Publicado: 2024
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author Luo, Luyang
Wu, Mingxiang
Li, Mei
Xin, Yi
Wang, Qiong
Vardhanabhuti, Varut
Chu, Winnie CW
Li, Zhenhui
Zhou, Juan
Rajpurkar, Pranav
Chen, Hao
author_facet Luo, Luyang
Wu, Mingxiang
Li, Mei
Xin, Yi
Wang, Qiong
Vardhanabhuti, Varut
Chu, Winnie CW
Li, Zhenhui
Zhou, Juan
Rajpurkar, Pranav
Chen, Hao
contents Breast Magnetic Resonance Imaging (MRI) demonstrates the highest sensitivity for breast cancer detection among imaging modalities and is standard practice for high-risk women. Interpreting the multi-sequence MRI is time-consuming and prone to subjective variation. We develop a large mixture-of-modality-experts model (MOME) that integrates multiparametric MRI information within a unified structure, leveraging breast MRI scans from 5,205 female patients in China for model development and validation. MOME matches four senior radiologists' performance in identifying breast cancer and outperforms a junior radiologist. The model is able to reduce unnecessary biopsies in Breast Imaging-Reporting and Data System (BI-RADS) 4 patients, classify triple-negative breast cancer, and predict pathological complete response to neoadjuvant chemotherapy. MOME further supports inference with missing modalities and provides decision explanations by highlighting lesions and measuring modality contributions. To summarize, MOME exemplifies an accurate and robust multimodal model for noninvasive, personalized management of breast cancer patients via multiparametric MRI. Code is available at https://github.com/LLYXC/MOME/tree/main.
format Preprint
id arxiv_https___arxiv_org_abs_2408_12606
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A Large Model for Non-invasive and Personalized Management of Breast Cancer from Multiparametric MRI
Luo, Luyang
Wu, Mingxiang
Li, Mei
Xin, Yi
Wang, Qiong
Vardhanabhuti, Varut
Chu, Winnie CW
Li, Zhenhui
Zhou, Juan
Rajpurkar, Pranav
Chen, Hao
Computer Vision and Pattern Recognition
Artificial Intelligence
Breast Magnetic Resonance Imaging (MRI) demonstrates the highest sensitivity for breast cancer detection among imaging modalities and is standard practice for high-risk women. Interpreting the multi-sequence MRI is time-consuming and prone to subjective variation. We develop a large mixture-of-modality-experts model (MOME) that integrates multiparametric MRI information within a unified structure, leveraging breast MRI scans from 5,205 female patients in China for model development and validation. MOME matches four senior radiologists' performance in identifying breast cancer and outperforms a junior radiologist. The model is able to reduce unnecessary biopsies in Breast Imaging-Reporting and Data System (BI-RADS) 4 patients, classify triple-negative breast cancer, and predict pathological complete response to neoadjuvant chemotherapy. MOME further supports inference with missing modalities and provides decision explanations by highlighting lesions and measuring modality contributions. To summarize, MOME exemplifies an accurate and robust multimodal model for noninvasive, personalized management of breast cancer patients via multiparametric MRI. Code is available at https://github.com/LLYXC/MOME/tree/main.
title A Large Model for Non-invasive and Personalized Management of Breast Cancer from Multiparametric MRI
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2408.12606