Abstract--Data scarcity hinders deep learning for medical imaging. We propose a framework for breast cancer classification in thermograms that addresses this using a Diffusion Probabilistic Model (DPM) for data augmentation. Our DPM-based augmentation is shown to be superior to both traditional methods and a ProGAN baseline. The framework fuses deep features from a pre-trained ResNet-50 with handcrafted nonlinear features (e.g., Fractal Dimension) derived from U-Net segmented tumors. An XGBoost classifier trained on these fused features achieves 98.0% accuracy and 98.1% sensitivity. Ablation studies and statistical tests confirm that both the DPM augmentation and the nonlinear feature fusion are critical, statistically significant components of this success. This work validates the synergy between advanced generative models and interpretable features for creating highly accurate medical diagnostic tools.

Breast cancer remains one of the leading causes of cancer-related deaths worldwide. Early detection is crucial for improving patient outcomes, yet the diagnostic process is often complex and prone to inconsistencies among pathologists. Computer-aided diagnostic approaches have significantly enhanced breast cancer detection, particularly in binary classification (benign vs. malignant). However, these methods face challenges in multiclass classification, leading to frequent mispredictions. In this work, we propose a novel adaptive learning approach for multiclass breast cancer classification using H&E-stained histopathology images. First, we introduce a misprediction risk analysis framework that quantifies and ranks the likelihood of an image being mislabeled by a classifier. This framework leverages an interpretable risk model that requires only a small number of labeled samples for training. Next, we present an adaptive learning strategy that fine-tunes classifiers based on the specific characteristics of a given dataset. This approach minimizes misprediction risk, allowing the classifier to adapt effectively to the target workload. We evaluate our proposed solutions on real benchmark datasets, demonstrating that our risk analysis framework more accurately identifies mispredictions compared to existing methods. Furthermore, our adaptive learning approach significantly improves the performance of state-of-the-art deep neural network classifiers.

Deep learning models have achieved promising results in breast cancer classification, yet their 'black-box' nature raises interpretability concerns. This research addresses the crucial need to gain insights into the decision-making process of convolutional neural networks (CNNs) for mammogram classification, specifically focusing on the underlying reasons for the CNN's predictions of breast cancer. For CNNs trained on the Mammographic Image Analysis Society (MIAS) dataset, we compared the post-hoc interpretability techniques LIME, Grad-CAM, and Kernel SHAP in terms of explanatory depth and computational efficiency. The results of this analysis indicate that Grad-CAM, in particular, provides comprehensive insights into the behavior of the CNN, revealing distinctive patterns in normal, benign, and malignant breast tissue. We discuss the implications of the current findings for the use of machine learning models and interpretation techniques in clinical practice.

Breast cancer classification stands as a pivotal pillar in ensuring timely diagnosis and effective treatment. This study with histopathological images underscores the profound significance of harnessing the synergistic capabilities of colour space ensembling and quantum-classical stacking to elevate the precision of breast cancer classification. By delving into the distinct colour spaces of RGB, HSV and CIE L*u*v, the authors initiated a comprehensive investigation guided by advanced methodologies. Employing the DenseNet121 architecture for feature extraction the authors have capitalized on the robustness of Random Forest, SVM, QSVC, and VQC classifiers. This research encompasses a unique feature fusion technique within the colour space ensemble. This approach not only deepens our comprehension of breast cancer classification but also marks a milestone in personalized medical assessment. The amalgamation of quantum and classical classifiers through stacking emerges as a potent catalyst, effectively mitigating the inherent constraints of individual classifiers, paving a robust path towards more dependable and refined breast cancer identification. Through rigorous experimentation and meticulous analysis, fusion of colour spaces like RGB with HSV and RGB with CIE L*u*v, presents an classification accuracy, nearing the value of unity. This underscores the transformative potential of our approach, where the fusion of diverse colour spaces and the synergy of quantum and classical realms converge to establish a new horizon in medical diagnostics. Thus the implications of this research extend across medical disciplines, offering promising avenues for advancing diagnostic accuracy and treatment efficacy.

Deep learning has shown to have great potential in medical applications. In critical domains as such, it is of high interest to have trustworthy algorithms which are able to tell when reliable assessments cannot be guaranteed. Detecting out-of-distribution (OOD) samples is a crucial step towards building a safe classifier. Following a previous study, showing that it is possible to classify breast cancer in point-of-care ultrasound images, this study investigates OOD detection using three different methods: softmax, energy score and deep ensembles. All methods are tested on three different OOD data sets. The results show that the energy score method outperforms the softmax method, performing well on two of the data sets. The ensemble method is the most robust, performing the best at detecting OOD samples for all three OOD data sets.

Traditional deep learning approaches for breast cancer classification has predominantly concentrated on single-view analysis. In clinical practice, however, radiologists concurrently examine all views within a mammography exam, leveraging the inherent correlations in these views to effectively detect tumors. Acknowledging the significance of multi-view analysis, some studies have introduced methods that independently process mammogram views, either through distinct convolutional branches or simple fusion strategies, inadvertently leading to a loss of crucial inter-view correlations. In this paper, we propose an innovative multi-view network exclusively based on transformers to address challenges in mammographic image classification. Our approach introduces a novel shifted window-based dynamic attention block, facilitating the effective integration of multi-view information and promoting the coherent transfer of this information between views at the spatial feature map level. Furthermore, we conduct a comprehensive comparative analysis of the performance and effectiveness of transformer-based models under diverse settings, employing the CBIS-DDSM and Vin-Dr Mammo datasets. Our code is publicly available at https://github.com/prithuls/MV-Swin-T

Despite the remarkable results of deep learning in breast cancer histopathology image classification, challenges such as data imbalance and interpretability still exist and require cross-domain knowledge and collaboration among medical experts. This study proposes a breast cancer classification method using a dual-activated lightweight attention ResNet50 model, effectively addressing data imbalance and interpretability challenges. The model fuses a pre-trained deep ResNet50 and a lightweight attention mechanism to accomplish classification by embedding an attention module in layer 4 of ResNet50 and adding two fully connected layers. The fully connected network design employs LeakyReLU and ReLU activation functions. The model outperforms SEResNet50, DensNet121, VGG16, VGG16Inception, ViT, Swin- Transformer, Dinov2_Vitb14, and ResNet50 models regarding precision, accuracy, recall, F1 score, and GMean, especially in the application performance on the BreakHis dataset. In particular, the model demonstrates significant robustness and broad applicability when dealing with the unbalanced breast cancer dataset. The model has been evaluated on histopathology images at magnification factors of 40X, 100X, 200X, and 400X, achieving accuracies of 98.5%, 98.7%, 97.9%, and 94.3%, respectively. The study comprehensively assessed the model's performance. In the later stages of training, the validated losses and accuracies change minimally, showing that the model avoids overfitting and exhibits good generalization ability. This model exhibited the fastest convergence in all laboratory experiments, even though its parameters are not the smallest. This highlights the model's efficacy as a lightweight attention framework, showcasing its efficiency in achieving rapid convergence without compromising performance.

Breast cancer screening, primarily conducted through mammography, is often supplemented with ultrasound for women with dense breast tissue. However, existing deep learning models analyze each modality independently, missing opportunities to integrate information across imaging modalities and time. In this study, we present Multi-modal Transformer (MMT), a neural network that utilizes mammography and ultrasound synergistically, to identify patients who currently have cancer and estimate the risk of future cancer for patients who are currently cancer-free. MMT aggregates multi-modal data through self-attention and tracks temporal tissue changes by comparing current exams to prior imaging. Trained on 1.3 million exams, MMT achieves an AUROC of 0.943 in detecting existing cancers, surpassing strong uni-modal baselines. For 5-year risk prediction, MMT attains an AUROC of 0.826, outperforming prior mammography-based risk models. Our research highlights the value of multi-modal and longitudinal imaging in cancer diagnosis and risk stratification.

Cancer’s genomic complexity is gradually increasing as we learn more about it. Genomic classification of various cancers is crucial in providing oncologists with vital information for targeted therapy. Thus, it becomes more pertinent to address issues of patient genomic classification. Prostate cancer is a cancer subtype that exhibits extreme heterogeneity. Prostate cancer contributes to 7.3% of new cancer cases worldwide, with a high prevalence in males. Breast cancer is the most common type of cancer in women and the second most significant cause of death from cancer in women. Breast cancer is caused by abnormal cell growth in the breast tissue, generally referred to as a tumour. Tumours are not synonymous with cancer; they can be benign (noncancerous), pre-malignant (pre-cancerous), or malignant (cancerous). Fine-needle aspiration (FNA) tests are used to biopsy the breast to diagnose breast cancer. Artificial Intelligence (AI) and machine learning (ML) models are used to diagnose with varying accuracy. In light of this, we used the Genetic Folding (GF) algorithm to predict prostate cancer status in a given dataset. An accuracy of 96% was obtained, thus being the current highest accuracy in prostate cancer diagnosis. The model was also used in breast cancer classification with a proposed pipeline that used exploratory data analysis (EDA), label encoding, feature standardization, feature decomposition, log transformation, detect and remove the outliers with Z-score, and the BAGGINGSVM approach attained a 95.96% accuracy. The accuracy of this model was then assessed using the rate of change of PSA, age, BMI, and filtration by race. We discovered that integrating the rate of change of PSA and age in our model raised the model’s area under the curve (AUC) by 6.8%, whereas BMI and race had no effect. As for breast cancer classification, no features were removed.

Features are computed from a digitized image of a fine needle aspirate (FNA) of a breast mass. They describe characteristics of the cell nuclei present in the image. This database is also available through the UW CS ftp server: ftp ftp.cs.wisc.edu Also can be found on UCI Machine Learning Repository: https://archive.ics.uci.edu/ml/datasets/Breast The mean, standard error and "worst" or largest (mean of the three largest values) of these features were computed for each image, resulting in 30 features.