Early detection of breast cancer is important to reduce morbidity and mortality. Access to breast imaging is limited in low- and middle-income countries compared to high-income countries. This contributes to advance-stage breast cancer presentation with poor survival. Pocket-sized portable ultrasound device, also known as point-of-care ultrasound (POCUS), aided by decision support using deep learning-based algorithms for lesion classification could be a cost-effective way to enable access to breast imaging in low-resource settings. A previous study, where using convolutional neural networks (CNN) to classify breast cancer in conventional ultrasound (US) images, showed promising results. The aim of the present study is to classify POCUS breast images. A POCUS data set containing 1100 breast images was collected. To increase the size of the data set, a Cycle-Consistent Adversarial Network (CycleGAN) was trained on US images to generate synthetic POCUS images. A CNN was implemented, trained, validated and tested on POCUS images. To improve performance, the CNN was trained with different combinations of data consisting of POCUS images, US images, CycleGAN-generated POCUS images and spatial augmentation. The best result was achieved by a CNN trained on a combination of POCUS images and CycleGAN-generated POCUS images and augmentation. This combination achieved a 95% confidence interval for AUC between 93.5% - 96.6%.

Original languageEnglish
Title of host publicationMedical Imaging 2023
Subtitle of host publicationComputer-Aided Diagnosis
EditorsKhan M. Iftekharuddin, Weijie Chen
ISBN (Electronic)9781510660359
Publication statusPublished - 2023
EventSPIE Medical Imaging 2023 -
Duration: 2023 Feb 192023 Feb 23

Publication series

NameProceedings of SPIE
ISSN (Print)1605-7422
ISSN (Electronic)2410-9045


ConferenceSPIE Medical Imaging 2023

Subject classification (UKÄ)

  • Medical Image Processing

Free keywords

  • Breast Cancer
  • Breast Ultrasound
  • Convolutional Neural Networks
  • CycleGAN
  • Point-of-Care Ultrasound


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