Purpose: To assess the potential of machine learning with multiparametric MRI (mpMRI) for the early prediction of pathological complete response (pCR) to neoadjuvant chemotherapy (NAC) and of survival outcomes in breast cancer patients. Materials and Methods: This IRB-approved prospective study included 38 women (median age 46.5 years; range 25-70 years) with breast cancer who were scheduled for NAC and underwent mpMRI of the breast at 3T with DCE, DWI and T2-weighted imaging prior to and after two cycles of NAC. For each lesion, 23 features were extracted: qualitative T2-weighted and DCE-MRI features according to BI-RADS, quantitative pharmacokinetic DCE features (mean plasma flow, volume distribution, mean transit time) and DWI apparent diffusion coefficient (ADC) values. To apply machine learning to mpMRI, eight classifiers including linear support vector machine (SVM), linear discriminant analysis (LDA), logistic regression (LR), random forest (RF), stochastic gradient descent (SGD), decision tree, adaptive boosting (AdaBoost) and extreme gradient boosting (XGBoost) were employed to rank the features. Histopathologic Residual Cancer Burden (RCB) class (with RCB 0 being a pCR), recurrence-free survival (RFS) and disease-specific survival (DSS) were used as the standards of reference. Classification accuracy with area under the receiving operating characteristic curve (AUC) was assessed using all the
Evolutionary Computation (EC) approaches are inspired by nature and solve optimization problems in a stochastic manner. They can offer a reliable and effective approach to address complex problems in real-world applications. EC algorithms have recently been used to improve the performance of Machine Learning (ML) models and the quality of their results. Evolutionary approaches can be used in all three parts of ML: preprocessing (e.g., feature selection and resampling), learning (e.g., parameter setting, membership functions, and neural network topology), and postprocessing (e.g., rule optimization, decision tree/support vectors pruning, and ensemble learning). This article investigates the role of EC algorithms in solving different ML challenges. We do not provide a comprehensive review of evolutionary ML approaches here; instead, we discuss how EC algorithms can contribute to ML by addressing conventional challenges of the artificial intelligence and ML communities. We look at the contributions of EC to ML in nine sub-fields: feature selection, resampling, classifiers, neural networks, reinforcement learning, clustering, association rule mining, and ensemble methods. For each category, we discuss evolutionary machine learning in terms of three aspects: problem formulation, search mechanisms, and fitness value computation. We also consider open issues and challenges that should be addressed in future work.
Computer‐aided diagnosis (CAD) systems have become an important tool in the assessment of breast tumors with magnetic resonance imaging (MRI). CAD systems can be used for the detection and diagnosis of breast tumors as a “second opinion” review complementing the radiologist's review. CAD systems have many common parts, such as image preprocessing, tumor feature extraction, and data classification that are mostly based on machine‐learning (ML) techniques. In this review article, we describe applications of ML‐based CAD systems in MRI covering the detection of diagnostically challenging lesions of the breast such as nonmass enhancing (NME) lesions, and furthermore discuss how multiparametric MRI and radiomics can be applied to the study of NME, including prediction of response to neoadjuvant chemotherapy (NAC). Since ML has been widely used in the medical imaging community, we provide an overview about the state‐of‐the‐art and novel techniques applied as classifiers to CAD systems. The differences in the CAD systems in MRI of the breast for several standard and novel applications for NME are explained in detail to provide important examples, illustrating: 1) CAD for detection and diagnosis, 2) CAD in multiparametric imaging, 3) CAD in NAC, and 4) breast cancer radiomics. We aim to provide a comparison between these CAD applications and to illustrate a global view on intelligent CAD systems based on machine and deep learning in MRI of the breast. Level of Evidence 2 Technical Efficacy Stage 2
This paper aims at developing new theory-driven biomarkers by implementing and evaluating novel techniques from restingstate scans that can be used in relapse prediction for nicotine-dependent patients and future treatment efficacy. Two classes of patients were studied. One class took the drug N-acetylcysteine and the other class took a placebo. Then, the patients underwent a double-blind smoking cessation treatment and the resting-state fMRI scans of their brains before and after treatment were recorded. The scientific research goal of this study was to interpret the fMRI connectivity maps based on machine learning algorithms to predict the patient who will relapse and the one who will not. In this regard, the feature matrix was extracted from the image slices of brain employing voxel selection schemes and data reduction algorithms. Then, the feature matrix was fed into the machine learning classifiers including optimized CART decision tree and Naive-Bayes classifier with standard and optimized implementation employing 10-fold cross-validation. Out of all the data reduction techniques and the machine learning algorithms employed, the best accuracy was obtained using the singular value decomposition along with the optimized Naive-Bayes classifier. This gave an accuracy of 93% with sensitivity-specificity of 99% which suggests that the relapse in nicotine-dependent patients can be predicted based on the resting-state fMRI images. The use of these approaches may result in clinical applications in the future.
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In this study, a multi-stage optimization procedure is proposed to develop deep neural network models which results in a powerful deep learning pipeline called intelligent deep learning (iDeepLe). The proposed pipeline is then evaluated by a challenging real-world problem, the modeling of the spectral acceleration experienced by a particle during earthquakes. This approach has three main stages to optimize the deep model topology, the hyper-parameters, and its performance, respectively. This pipeline optimizes the deep model via adaptive learning rate optimization algorithms for both accuracy and complexity in multiple stages, while simultaneously solving the unknown parameters of the regression model. Among the seven adaptive learning rate optimization algorithms, Nadam optimization algorithm has shown the best performance results in the current study. The proposed approach is shown to be a suitable tool to generate solid models for this complex real-world system. The results also show that the parallel pipeline of iDeepLe has the capacity to handle big data problems as well.
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