Four-quadrant fast compressive tracking of breast ultrasound videos for computer-aided response evaluation of neoadjuvant chemotherapy in mice

Comput Methods Programs Biomed. 2022 Apr:217:106698. doi: 10.1016/j.cmpb.2022.106698. Epub 2022 Feb 9.

Abstract

Background and objective: Neoadjuvant chemotherapy (NAC) is a valuable treatment approach for locally advanced breast cancer. Contrast-enhanced ultrasound (CEUS) potentially enables the assessment of therapeutic response to NAC. In order to evaluate the response accurately, quantitatively and objectively, a method that can effectively compensate motions of breast cancer in CEUS videos is urgently needed.

Methods: We proposed the four-quadrant fast compressive tracking (FQFCT) approach to automatically perform CEUS video tracking and compensation for mice undergoing NAC. The FQFCT divided a tracking window into four smaller windows at four quadrants of a breast lesion and formulated the tracking at each quadrant as a binary classification task. After the FQFCT of breast cancer videos, the quantitative features of CEUS including the mean transit time (MTT) were computed. All mice showed a pathological response to NAC. The features between pre- (day 1) and post-treatment (day 3 and day 5) in these responders were statistically compared.

Results: When we tracked the CEUS videos of mice with the FQFCT, the average tracking error of FQFCT was 0.65 mm, reduced by 46.72% compared with the classic fast compressive tracking method (1.22 mm). After compensation with the FQFCT, the MTT on day 5 of the NAC was significantly different from the MTT before NAC (day 1) (p = 0.013).

Conclusions: The FQFCT improves the accuracy of CEUS video tracking and contributes to the computer-aided response evaluation of NAC for breast cancer in mice.

Keywords: Breast cancer; Contrast-enhanced ultrasound (CEUS); Neoadjuvant chemotherapy (NAC); Video tracking.

MeSH terms

  • Animals
  • Breast Neoplasms* / diagnostic imaging
  • Breast Neoplasms* / drug therapy
  • Breast Neoplasms* / pathology
  • Chemotherapy, Adjuvant
  • Computers
  • Contrast Media
  • Female
  • Humans
  • Mice
  • Neoadjuvant Therapy* / methods
  • Treatment Outcome
  • Ultrasonography / methods
  • Ultrasonography, Mammary / methods

Substances

  • Contrast Media