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2944
Predictionof Breast Cancer Malignancy
Using an Artificial Neural Network
Carey E. Floyd,Jr., Ph.D.,*,tJoseph Y. Lo, Ph.D.,*,tA. Joon Y u n ,M.D.,*
Daniel C. Sullivan, M.D.,* and Phyllis J. Kornguth, M.D., Ph.D.*
Background. An artificial neural network (ANN)was technique for early detection of breast cancer, a signifi-
developed to predict breast cancer from mammographic cant fraction of patients referred for biopsy as the result
findings. This network was evaluated in a retrospective of mammography findings do not have a malignancy.
study. Although specific, biopsy is an invasive, costly, and
Methods. For a set of patients who were scheduled emotionally stressful procedure. In an effort to reduce
for biopsy, radiologists interpreted the mammograms and
the number of benign cases sent to biopsy, an artificial
provided data on eight mammographic findings as part
intelligence technique was investigated to predict the
of the standard mammographic workup. These findings
were encoded as features for an ANN. Results of biopsies outcome of biopsy from radiographic findings. An arti-
were taken as truth in the diagnosis of malignancy. The ficial neuraf network (ANN) was developed that takes
ANN was trained and evaluated using a jackknife sam- radiologic findings as inputs and predicts the outcome
pling on a set of 260 patient records. Performance of the of biopsy as an output.
network was evaluated in terms of sensitivity and speci- ANNs are comput
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