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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Preprint |
| Published: |
2025
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| Subjects: | |
| Online Access: | https://arxiv.org/abs/2509.20271 |
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| _version_ | 1866918147326476288 |
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| author | Huang, Fuxiang Zhu, Jiayi Yu, Yunfang Xie, Yu Guo, Yuan Kong, Qingcong Wu, Mingxiang Jiang, Xinrui Yang, Shu Ma, Jiabo Liu, Ziyi Xu, Zhe Chen, Zhixuan Tan, Yujie He, Zifan Mao, Luhui Wang, Xi Hou, Junlin Zhang, Lei Luo, Qiong Li, Zhenhui Yao, Herui Chen, Hao |
| author_facet | Huang, Fuxiang Zhu, Jiayi Yu, Yunfang Xie, Yu Guo, Yuan Kong, Qingcong Wu, Mingxiang Jiang, Xinrui Yang, Shu Ma, Jiabo Liu, Ziyi Xu, Zhe Chen, Zhixuan Tan, Yujie He, Zifan Mao, Luhui Wang, Xi Hou, Junlin Zhang, Lei Luo, Qiong Li, Zhenhui Yao, Herui Chen, Hao |
| contents | Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer-related mortality in women globally. Mammography is essential for the early detection and diagnosis of breast lesions. Despite recent progress in foundation models (FMs) for mammogram analysis, their clinical translation remains constrained by several fundamental limitations, including insufficient diversity in training data, limited model generalizability, and a lack of comprehensive evaluation across clinically relevant tasks. Here, we introduce VersaMammo, a versatile foundation model for mammograms, designed to overcome these limitations. We curated the largest multi-institutional mammogram dataset to date, comprising 706,239 images from 21 sources. To improve generalization, we propose a two-stage pre-training strategy to develop VersaMammo, a mammogram foundation model. First, a teacher model is trained via self-supervised learning to extract transferable features from unlabeled mammograms. Then, supervised learning combined with knowledge distillation transfers both features and clinical knowledge into VersaMammo. To ensure a comprehensive evaluation, we established a benchmark comprising 92 specific tasks, including 68 internal tasks and 24 external validation tasks, spanning 5 major clinical task categories: lesion detection, segmentation, classification, image retrieval, and visual question answering. VersaMammo achieves state-of-the-art performance, ranking first in 50 out of 68 specific internal tasks and 20 out of 24 external validation tasks, with average ranks of 1.5 and 1.2, respectively. These results demonstrate its superior generalization and clinical utility, offering a substantial advancement toward reliable and scalable breast cancer screening and diagnosis. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2509_20271 |
| institution | arXiv |
| publishDate | 2025 |
| record_format | arxiv |
| spellingShingle | A Versatile Foundation Model for AI-enabled Mammogram Interpretation Huang, Fuxiang Zhu, Jiayi Yu, Yunfang Xie, Yu Guo, Yuan Kong, Qingcong Wu, Mingxiang Jiang, Xinrui Yang, Shu Ma, Jiabo Liu, Ziyi Xu, Zhe Chen, Zhixuan Tan, Yujie He, Zifan Mao, Luhui Wang, Xi Hou, Junlin Zhang, Lei Luo, Qiong Li, Zhenhui Yao, Herui Chen, Hao Computer Vision and Pattern Recognition Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer-related mortality in women globally. Mammography is essential for the early detection and diagnosis of breast lesions. Despite recent progress in foundation models (FMs) for mammogram analysis, their clinical translation remains constrained by several fundamental limitations, including insufficient diversity in training data, limited model generalizability, and a lack of comprehensive evaluation across clinically relevant tasks. Here, we introduce VersaMammo, a versatile foundation model for mammograms, designed to overcome these limitations. We curated the largest multi-institutional mammogram dataset to date, comprising 706,239 images from 21 sources. To improve generalization, we propose a two-stage pre-training strategy to develop VersaMammo, a mammogram foundation model. First, a teacher model is trained via self-supervised learning to extract transferable features from unlabeled mammograms. Then, supervised learning combined with knowledge distillation transfers both features and clinical knowledge into VersaMammo. To ensure a comprehensive evaluation, we established a benchmark comprising 92 specific tasks, including 68 internal tasks and 24 external validation tasks, spanning 5 major clinical task categories: lesion detection, segmentation, classification, image retrieval, and visual question answering. VersaMammo achieves state-of-the-art performance, ranking first in 50 out of 68 specific internal tasks and 20 out of 24 external validation tasks, with average ranks of 1.5 and 1.2, respectively. These results demonstrate its superior generalization and clinical utility, offering a substantial advancement toward reliable and scalable breast cancer screening and diagnosis. |
| title | A Versatile Foundation Model for AI-enabled Mammogram Interpretation |
| topic | Computer Vision and Pattern Recognition |
| url | https://arxiv.org/abs/2509.20271 |