"Monotonicity and Logical Analysis of Data: A Mechanism for the Evaluation of Mammographic Clinical data"

Proceedings of the 13-th Symposium for Computer Applications in Radiology (SCAR),
Denver, CO, June 6-9, 1996, pp. 191-196.

by Kovalerchuk, B., E. Triantaphyllou, and J.F. Ruiz

Abstract:
Computer assisted diagnosis has become one of the promising methods for improving the accuracy and early detection of breast cancer. Standard back-propagation neural networks are presently very popular diagnostic tools, but this approach does not inform the physician user on how a conclusion was reached. Some promising results have obtained with rule based techniques. This method has the advantage of providing the physician with a tool that promotes consistency and accuracy. However, these (and most other) models suffer from relatively small training sample sets which in term limit statistical significance.
        An approach called logical analysis of data (LAD), and which is based on inferring discriminant Boolean functions, has the potential to overcome these weaknesses. By discovering logical relationships in existing classes of disjoint observations, the method can improve the understanding of the diagnostic process The statistical significance problem is eliminated by exploiting the property of monotonicity that exists within mammographic evaluation and interpretation.
        The resultant discriminant functions could be used many ways. In the evaluation of a new "problem case" the radiologist could use these functions for that case to draw a diagnostic conclusion. Alternatively, with a set of "gold standard" test cases, the functions could be used as a reproducible testing mechanism. Each radiologist could determine his/her own function, compare it to the gold standard and thereby identify areas of strength or weakness. Progress or improvement over time could be objectively measured.

Key Words:
Digital mammography, breasr cancer, data mining, knowledge discovery.


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