Background. Breast cancer is a kind of cancer that starts in the epithelial tissue of the breast. Breast cancer has been on the rise in recent years, with a younger generation developing the disease. Magnetic resonance imaging (MRI) plays an important role in breast tumor detection and treatment planning in todays clinical practice. As manual segmentation grows more time-consuming and the observed topic becomes more diversified, automated segmentation becomes more appealing. Methodology. For MRI breast tumor segmentation, we propose a CNN-SVM network. The labels from the trained convolutional neural network are output using a support vector machine in this technique. During the testing phase, the convolutional neural networks labeled output, as well as the test grayscale picture, is passed to the SVM classifier for accurate segmentation. Results. We tested on the collected breast tumor dataset and found that our proposed combined CNN-SVM network achieved 0.93, 0.95, and 0.92 on DSC coefficient, PPV, and sensitivity index, respectively. We also compare with the segmentation frameworks of other papers, and the comparison results prove that our CNN-SVM network performs better and can accurately segment breast tumors. Conclusion. Our proposed CNN-SVM combined network achieves good segmentation results on the breast tumor dataset. The method can adapt to the differences in breast tumors and segment breast tumors accurately and efficiently. It is of great significance for identifying triple-negative breast cancer in the future.
4 October 2022 in Computational and Mathematical Methods in Medicine
Background and Objective. Breast cancer is a common malignant tumor that seriously threatens the health of women in my country and even around the world. The proliferation marker Ki-67 has been utilized to distinguish luminal B from luminal A tumors and is a reliable indicator of more aggressive breast cancer growth. If a reliable prediction method for breast cancer patients to avoid invasive damage can be found to predict Ki-67 before pathological examination, it will be very beneficial for doctors to formulate later treatment plans and provide more useful treatment options. Methodology. This paper proposes a tumor segmentation and prediction framework based on the combination of improved attention U-Net and SVM. The framework first improves on attention U-Net by introducing coefficients for learning multidimensional attention. Make the attention mechanism more aware of the main situation in the segmentation process. At the same time, the segmented breast MRI results and corresponding labels were input into the SVM classifier to accurately predict the expression of Ki-67. Results. The DSC, PPV, and sensitivity of our combined model are 0.94, 0.93, and 0.94, respectively, with better segmentation performance. And we compare with the segmentation frameworks of other papers and find that our combined model can make accurate segmentation of breast tumors. Conclusion. Our method can adapt to the variability of breast tumors and segment breast tumors accurately and efficiently. In the future, it can be widely used in clinical practice, so as to help the clinic better formulate a reasonable diagnosis and treatment plan for breast cancer patients.
Introduction: Dysphagia is common in chronic obstructive pulmonary disease (COPD), prompting the need for predictive models for this condition. In this study, we aimed to develop a nomogram model for dysphagia prediction in patients with COPD.Methods: Data from 300 patients with COPD were divided into the training (n = 210) and validation (n = 90) cohorts. Independent risk factors for dysphagia were identified using logistic regression and used to construct a nomogram model. The model’s predictive efficacy, accuracy, and clinical utility were evaluated using receiver operating characteristic curve analysis, calibration, decision curve analysis, and clinical impact curves.Results: Hypoglossal-hyoid shortening rate, hyoid-larynx shortening approximation distance, chin time of movement of the genioglossus, and distance of movement of the genioglossus were identified as independent risk factors. The nomogram exhibited areas under the curve of 0.834 and 0.804 in the training and validation cohorts, respectively, indicating good predictive efficacy and calibration.Conclusion: The nomogram model effectively predicts dysphagia occurrence in patients with COPD, providing a valuable tool for risk assessment.