Paper Overview
Field: Computer Vision (CV) Authors: Xuan Liu, Derek L. Nguyen, Emily C. Barre Published: 2025-07-09 arXiv: 2507.06826
Abstract
Deep learning-based computer-aided diagnosis (CAD) systems have shown strong performance in breast cancer diagnosis, particularly for classification tasks in mammography. However, domain shifts across multi-site datasets remain a challenge, especially when models are applied to unseen domains.
In this work, the authors propose a calcification classification framework to improve malignant versus benign breast disease classification across multi-site mammography datasets. The framework consists of two components:
1. An unsupervised domain adaptation module based on style transfer models (AdaIN and CycleGAN) to generate vendor-specific and technique-specific training samples without additional annotations. 2. A supervised classification module using Swin Transformer V2 as the backbone.
Evaluation
The method was evaluated on three datasets spanning multiple vendors, including full-field digital mammography (FFDM) and synthetic 2D images derived from digital breast tomosynthesis (DBT):
- OPTIMAM (UK National Health Service; n=2994) — cross-validation
- EMBED (Emory University; n=125) — external validation
- Duke Calcification Dataset v1 (n=788) — external validation
Results
The proposed framework improved cross-site performance:
| Dataset | AUC (baseline) | AUC (with adaptation) | |---|---|---| | EMBED | 0.68 | 0.72 | | Duke Calcification Dataset | 0.68 | 0.73 |
These findings suggest that unsupervised domain adaptation via style transfer can reduce domain shift and improve generalization for calcification classification across multi-site mammography datasets.
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