Deep learning

Cancer

Internal medicine

Artificial intelligence

Workflow

Medical physics

Programming language

Pure mathematics

Data science

Breast imaging

Breast cancer screening

Mammography

Digital mammography

Mathematics

Computer science

Interpretation (philosophy)

Breast cancer

Medicine

Database

Field (mathematics)

Medical Image Analysis

The relatively recent reintroduction of deep learning has been a revolutionary force in the interpretation of diagnostic imaging studies. However, the technology used to acquire those images is undergoing a revolution itself at the very same time. Digital breast tomosynthesis (DBT) is one such technology, which has transformed the field of breast imaging. DBT, a form of three-dimensional mammography, is rapidly replacing the traditional two-dimensional mammograms. These parallel developments in both the acquisition and interpretation of breast images present a unique case study in how modern AI systems can be designed to adapt to new imaging methods. They also present a unique opportunity for co-development of both technologies that can better improve the validity of results and patient outcomes. In this review, we explore the ways in which deep learning can be best integrated into breast cancer screening workflows using DBT. We first explain the principles behind DBT itself and why it has become the gold standard in breast screening. We then survey the foundations of deep learning methods in diagnostic imaging, and review the current state of research into AI-based DBT interpretation. Finally, we present some of the limitations of integrating AI into clinical practice and the opportunities these present in this burgeoning field.

Applying deep learning in digital breast tomosynthesis for automatic breast cancer detection: A review