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Fiona J. Gilbert

Publications and source records attributed to Fiona J. Gilbert.

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A European Multi-Center Breast Cancer MRI Dataset

Early detection of breast cancer is critical for improving patient outcomes. While mammography remains the primary screening modality, magnetic resonance imaging (MRI) is increasingly recommended as a supplemental tool for women with dense breast tissue and those at elevated risk. However, the acquisition and interpretation of multiparametric breast MRI are time-consuming and require specialized expertise, limiting scalability in clinical practice. Artificial intelligence (AI) methods have shown promise in supporting breast MRI interpretation, but their development is hindered by the limited availability of large, diverse, and publicly accessible datasets. To address this gap, we present a publicly available, multi-centre breast MRI dataset collected across six clinical institutions in five European countries. The dataset comprises 741 examinations from women undergoing screening or diagnostic breast MRI and includes malignant, benign, and non-lesion cases. Data were acquired using heterogeneous scanners, field strengths, and acquisition protocols, reflecting real-world clinical variability. In addition, we report baseline benchmark experiments using a transformer-based model to illustrate potential use cases of the dataset and to provide reference performance for future methodological comparisons.

eess.IV

MAMMO: A Deep Learning Solution for Facilitating Radiologist-Machine Collaboration in Breast Cancer Diagnosis

With an aging and growing population, the number of women requiring either screening or symptomatic mammograms is increasing. To reduce the number of mammograms that need to be read by a radiologist while keeping the diagnostic accuracy the same or better than current clinical practice, we develop Man and Machine Mammography Oracle (MAMMO) - a clinical decision support system capable of triaging mammograms into those that can be confidently classified by a machine and those that cannot be, thus requiring the reading of a radiologist. The first component of MAMMO is a novel multi-view convolutional neural network (CNN) with multi-task learning (MTL). MTL enables the CNN to learn the radiological assessments known to be associated with cancer, such as breast density, conspicuity, suspicion, etc., in addition to learning the primary task of cancer diagnosis. We show that MTL has two advantages: 1) learning refined feature representations associated with cancer improves the classification performance of the diagnosis task and 2) issuing radiological assessments provides an additional layer of model interpretability that a radiologist can use to debug and scrutinize the diagnoses provided by the CNN. The second component of MAMMO is a triage network, which takes as input the radiological assessment and diagnostic predictions of the first network's MTL outputs and determines which mammograms can be correctly and confidently diagnosed by the CNN and which mammograms cannot, thus needing to be read by a radiologist. Results obtained on a private dataset of 8,162 patients show that MAMMO reduced the number of radiologist readings by 42.8% while improving the overall diagnostic accuracy in comparison to readings done by radiologists alone. We analyze the triage of patients decided by MAMMO to gain a better understanding of what unique mammogram characteristics require radiologists' expertise.

cs.CV

A method for exploratory repeated-measures analysis applied to a breast-cancer screening study

When a model may be fitted separately to each individual statistical unit, inspection of the point estimates may help the statistician to understand between-individual variability and to identify possible relationships. However, some information will be lost in such an approach because estimation uncertainty is disregarded. We present a comparative method for exploratory repeated-measures analysis to complement the point estimates that was motivated by and is demonstrated by analysis of data from the CADET II breast-cancer screening study. The approach helped to flag up some unusual reader behavior, to assess differences in performance, and to identify potential random-effects models for further analysis.

stat.AP