Understanding Machine Learning in Breast Cancer Prediction – Sciworthy

Cells utilize their internal DNA to produce essential products, such as proteins, through a process termed gene expression. However, scientists and health organizations have identified that gene expression datasets often suffer from inadequate patient samples and excess genes per sample, creating significant challenges in the global fight against cancer. This discrepancy hinders the ability to identify and prioritize critical changes in gene expression that differentiate cancer cells from healthy ones, a phenomenon referred to as the curse of dimensionality.

While machine learning techniques can analyze existing patterns within these expansive datasets to classify samples as cancerous or non-cancerous, this presents additional hurdles. Clinicians are often skeptical of machine learning conclusions due to a lack of understanding regarding model decision-making processes, leading to what is known as the black box problem. Consequently, researchers are striving to develop methodologies that clarify how these models derive their predictions.

A collaborative research team across multiple institutions in Africa concentrated on explicating breast cancer model predictions. They accessed publicly available gene expression data from a global database known as The Cancer Genome Atlas, which compiles data on approximately 20,000 genes from 1,208 breast cancer samples. Their primary objective was to isolate a select few genes from those 20,000 that could reliably predict cancer presence in tissue samples.

Initially, the researchers refined their dataset to 3,602 genes that exhibited differential expression between breast cancer and healthy cells. They then implemented an algorithm to experiment with various gene combinations, aiming to identify the smallest set of genes that consistently yielded promising results. This process is analogous to conducting thousands of mini-races with different runners to determine which runner consistently finishes first, despite all ultimately reaching the finish line.

Subsequently, they utilized diverse machine learning techniques to train and optimize several models based on the expression data of the genes chosen by the algorithm. Remarkably, all models demonstrated high accuracy, predicting cancer status with at least 98% reliability. The next questions arose: “Which genes contribute to model efficacy?” and “How do these genes influence predictions?”

The team employed four distinct statistical interpretation methods known as feature importance techniques to pinpoint the genes most critical to model performance. The first method illustrated how each model’s predictions shifted based on gene expression levels. The second showcased the interplay between multiple genes informing model decisions. The third quantified the overall impact of each gene on the model’s judgement, facilitating a ranked analysis, while the final method evaluated how accurately a single gene could predict breast cancer independently.

Through their analysis, the researchers identified seven genes consistently represented across all trained models and feature importance evaluations. They verified that these genes are associated with biological functions influencing cancer progression, such as tissue repair, regulation of cellular substance transport, and immune response management.

While different models generally agreed on key genes, variations in their exact rankings and influence scores were noted. The researchers explained that biological data is often complex, leading models to interpret various aspects of the same data, suggesting that integrating insights from multiple machine learning models yields superior outcomes compared to depending on a singular model.

The team acknowledged several challenges. The gene selection algorithm required nearly six hours on a high-performance laptop, which may not be practical for larger datasets. They also recognized the potential omission of crucial genes during the selection process. Additionally, despite the extensive dataset, it may not encapsulate the full diversity of breast cancer globally, potentially limiting the model’s applicability across different populations. The researchers concluded that merging machine learning approaches with clear and interpretable methods marks the future of cancer prediction, fostering clinical trust in machine learning-driven insights.


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AI-Enhanced Mammograms Lower Risk of Malignant Breast Cancer

Radiology Center

AI Simplifies Cancer Detection in Mammograms

AMELIE-BENOIST/BSIP/Universal Images Group via Getty

Recent studies indicate that women screened for breast cancer with AI-assisted radiology experience a significant reduction in the development of advanced cancer by their next screening compared to those assessed by a traditional radiologist alone, sparking hopes that AI technology could enhance patient outcomes.

“This is the first randomized controlled trial examining AI’s effectiveness in mammography screening,” states Christina Lång from Lund University, Sweden.

The AI-assisted method utilizes advanced software trained on over 200,000 mammography scans from 10 countries to evaluate the likelihood of cancer on a 1 to 10 scale based on distinctive visual patterns in the scans. Scans rated 1 to 9 are reviewed by a single experienced radiologist, while those with a score of 10, indicating a high likelihood of cancer, are assessed by two radiologists for a more thorough evaluation.

Previous research has shown that the AI approach can identify 29% more cancers compared to standard evaluations, where two radiologists review each mammogram without increasing the false-positive rates. “That’s truly impressive,” notes Fiona Gilbert, a doctor at Cambridge University who was not involved in the study.

Furthermore, Lång and her team have discovered that the AI approach significantly lowers the incidence of interval cancers—tumors that develop rapidly between regular screenings, making them particularly aggressive and prone to metastasis.

The study involved over 100,000 Swedish women aged 55 and older, with roughly half receiving standard breast cancer screening reviewed by two radiologists, while the other half were screened using an AI model developed by ScreenPoint Medical, with results evaluated by an experienced radiologist in Nijmegen, Netherlands.

Women who benefited from AI-assisted screening were, on average, 12% less likely to develop interval cancers compared to their counterparts undergoing standard screening. “We were thrilled when the results arrived,” Lang stated.

This improved outcome could be attributed to AI’s superior ability to detect cancer at its nascent stage compared to traditional methods, ensuring that even minor tumors that could escalate into interval cancers are identified promptly.

However, Lång emphasizes that this study primarily aimed to assess whether AI performs comparably to standard screenings, not necessarily to determine if it is superior, indicating that additional research is essential to validate AI’s efficacy.

The research did not assess performance across various ethnic groups, an area that current clinical trials in the UK aim to explore, according to Gilbert.

Moreover, further studies should investigate whether less experienced radiologists achieve similar benefits using AI-assisted technology, although Gilbert does not anticipate significant differences.

Following these promising results, there are plans to implement the AI approach in southwestern Sweden within a few months, while similar trials across other nations may take up to five years to assess the approach’s adaptability to diverse populations and screening frequencies, Gilbert noted.

Establishing the cost-effectiveness of the AI model is also critical. Current estimates suggest that if AI impacts screening positively, it may justify the investment, potentially reducing interval cancer incidences by at least 5%. Radiologists will require training; however, Lång believes that the simplicity of the software will facilitate this process.

It is vital to understand that even with advancements in AI technology, radiologist involvement remains essential in breast screenings. “Women participating in screenings prefer a human touch alongside AI, and I concur; it is crucial for radiologists to utilize AI as a supportive tool,” Lång emphasizes.

Topics:

  • Cancer /
  • Artificial Intelligence

Source: www.newscientist.com

Breast Milk Defends Against Infections Threatening Pregnancy

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Streptococcus Bacteria are responsible for vaginal and urinary tract infections, as well as neonatal infections

Cavallini James/BSIP/Universal Images Group via Getty Images

The sugars found in breast milk play a significant role in combating common strains of Streptococcus Bacteria, which can cause complications during pregnancy if they infect the vagina.

Research on breast milk remains ongoing. “This is the second most crucial liquid in the universe after water, and yet its intricacies remain largely unexplored,” states Stephen Townsend from Vanderbilt University in Tennessee.

Investigators are starting to uncover the beneficial sugar structures unique to breast milk: human milk oligosaccharides (HMOs). While once regarded as trivial sugars, they are now believed to function as effective prebiotics.

Prior investigations into HMOs primarily focused on their advantages for gut microbiota. However, Townsend and his team shifted their attention to their impact on vaginal health, specifically how HMOs may assist in regulating the balance of beneficial bacteria while managing potentially harmful Group B Streptococcus (GBS).

“Group B Strep is a bacterium we all harbor,” Townsend notes. “It typically poses no harm, remaining undetected in most cases.” Nevertheless, GBS can lead to serious illnesses in immunocompromised individuals, including pregnant women and newborns, causing various complications such as preterm births. Thus, women with vaginal GBS infections are often prescribed antibiotics during pregnancy.

Townsend and his team monitored GBS and the growth of lactobacillus Bacteria when exposed to HMOs, conducting their research in three distinct scenarios: live mice and lab-created vaginal tissue. Across all three settings, HMOs were found to enhance beneficial bacterial growth while inhibiting GBS.

As a result, Townsend suggests the presence of a “small storm of positive effects.” He elaborates that GBS struggles to thrive in an HMO-rich environment, while healthy bacteria not only consume HMOs for nourishment but also multiply and flourish, further hampering GBS growth. Additionally, the metabolism of HMOs by beneficial bacteria leads to a more acidic environment and the generation of fatty acids that can kill more harmful bacteria.

This discovery opens pathways for regulating and restoring a healthy vaginal microbiome. “These insights present new tools and strategies of significant therapeutic value for women and their infants,” remarks Katie Patras from Baylor College of Medicine, Texas. However, she emphasizes that potential treatments are still in developmental stages.

Even if new therapies emerge, researchers maintain that the most effective strategy for treating GBS infections remains the use of antibiotics. “Our work is not intended to replace antibiotics,” insists Townsend. “Our research aims to preserve their efficacy.” This is crucial, considering that overuse of antibiotics can contribute to the issue of antibiotic resistance. Innovative therapies like HMOs to modulate microbiomes may ultimately reduce the volume of antibiotics required to combat GBS.

“These synergistic interactions can prove extremely beneficial,” he asserts. Lars Bode from the University of California, San Diego, cautions that the application of breast milk therapies should wait until further research validates their efficacy, as unprocessed milk may pose additional risks, including infections like HIV.

In the interim, Townsend aims to deepen understanding of the unique evolutionary adaptations humans have developed in their HMOs.

“It’s incredibly daunting that we have barely scratched the surface in recognizing the strength of breast milk,” Bode expresses.

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Source: www.newscientist.com

Researchers Utilize Enhanced DNA Techniques to Classify Breast Cancer

Triple-negative breast cancer (TNBC) is recognized as one of the more aggressive and challenging breast cancers to treat. Lacking the three standard hormonal markers associated with estrogen receptors, progesterone receptors, and HER2, this absence complicates the selection of effective treatment strategies for healthcare providers.

Researchers characterize TNBC as a collection of various diseases with distinct molecular characteristics that impact how the cancer manifests and its response to treatments. They utilize specific genes and gene products to categorize TNBC types. It is important to note that there are overlaps in the current classifications, which might be explained by the presence and levels of particular chemical molecules on the DNA. These molecules play a role in regulating whether genes are activated or deactivated in cells through processes known as DNA methylation.

In this study, researchers from Sweden explored how the distribution and patterns of DNA methylation delineate different forms of TNBC, influencing tumor behavior and interactions with the body’s immune system and its treatment responses. They analyzed 235 tumor samples from various patients in Sweden, ensuring that the data was refined to focus solely on cancerous cells rather than healthy tissue.

Employing a statistical technique known as Non-negative matrix factorization, they identified two primary categories of TNBC based on DNA methylation patterns: basal and nonbasal groups. This categorization aligns with previous classifications grounded in how cells interpret gene functions, termed gene expression. The basal group comprised tumors that were typically more active in immune responses and had a higher incidence of mutations linked to DNA repair issues, notably involving the common BRCA1 gene. Conversely, although the nonbasal group lacked hormone receptors, they exhibited increased activity in genes that influence hormonal responses.

Utilizing statistical assessments, the researchers subdivided each major group into smaller subtypes. Within the basal tumors, they identified three subgroups, referred to as basal1, basal2, and basal3, characterized by varying levels of immune cell activity and gene expression profiles. One specific subgroup, Basal3, demonstrated elevated expression of proteins that aid tumors in evading the immune system. The researchers found that specific DNA methylation patterns could activate or deactivate these proteins, indicating that patients with basal tumors might benefit from existing cancer treatments targeting this protein. The Basal2 subgroup expressed genes that inhibit immune activity, while the Basal1 subgroup displayed no significant immune-related behavior.

In the nonbasal category, researchers distinguished two subtypes: nonbasal1 and nonbasal2. Both of these subgroups were more prevalent among older patients and exhibited lower survival rates compared to the basal subgroup. The Nonbasal2 group encompassed tumors that influenced hormonal activity and responses to fatty treatments, whereas the Nonbasal1 group experienced more frequent disruptions in genes associated with tumor suppression.

Across all groups, researchers identified numerous genes whose methylation could modulate tumor growth and responses to the surrounding environment. To validate their findings in a broader context, they sourced independent tumor datasets from global databases and conducted similar classification analyses. They confirmed that the identified methylation subtypes appeared in other TNBC samples and correlated methylation patterns with tumor defense mechanisms, pinpointing strategies TNBC tumors may utilize to evade the immune system.

The researchers also acknowledged several limitations of their study. Their focus on DNA methylation represents just one of many chemical modifications that can influence TNBC behavior. Some of the independent datasets utilized originated from general breast cancer studies and were not exclusively focused on TNBC. Additionally, a significant portion of the data came from Western and Northern European populations, which may limit the applicability of the findings to individuals from other ethnicities. They emphasized the necessity for larger and more diverse datasets to gain a comprehensive understanding of TNBC subtypes.

In conclusion, the researchers posited that examining DNA methylation in patient samples could effectively categorize TNBC into meaningful subtypes, each with unique biological features, immune environments, and potential treatment responses. They recommended that future studies explore the origins of epigenetic modifications, such as DNA methylation, and how these alterations contribute to variations in TNBC subtypes.


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AI enhances radiologists’ ability to detect breast cancer in real-world exams

Radiologists can benefit from AI assistance

Amelie Benoist/BSIP/Universal Images Group via Getty

Artificial intelligence models can actually help detect cancer and reduce the burden on doctors, according to the largest study of its kind. Radiologists who chose to use AI were able to identify an additional 1 in 1,000 breast cancers.

Alexander Katalinic and his colleagues at the University of Lübeck in Germany worked with about 200 board-certified radiologists to test an AI trained to identify signs of breast cancer from mammograms. Radiologists examined 461,818 women at 12 breast cancer screening centers in Germany between July 2021 and February 2023, allowing each woman to choose whether or not to use AI. As a result, 260,739 patients were examined by AI and a radiologist, and the remaining 201,079 patients were examined by a radiologist only.

Those who chose to use AI were able to detect breast cancer at a rate of 6.7 per 1000 scans. This is 17.6% higher than the 5.7 cases per 1000 scans for people who chose not to use AI. Similarly, when women diagnosed with suspected cancer underwent a biopsy, women diagnosed with AI were 64.5% more likely to undergo a biopsy in which cancer cells were found. Among women for whom AI was not used, the rate was 59.2%.

The scale of improvement in breast cancer detection with AI is “very positive and exceeded our expectations,” Katalinic said in a statement. “We were able to demonstrate that AI significantly improves cancer detection rates in breast cancer screening.”

“The goal was to show noninferiority,” says Stefan Bank of Vara, an AI company also participating in the study. “If we can prove that AI is as good as radiologists, it becomes an interesting scenario where we can reduce the workload. We were surprised that we were able to show an advantage.”

Over-reliance on AI in healthcare is a concern for some, as it risks missing signs of symptoms and could lead to a two-tiered treatment system where those who can pay are afforded the luxury of human touch. are. Radiologists spent less time examining scans that the AI ​​had already suggested were “normal,” meaning cancer was unlikely to be present, and scans that the AI ​​could not examine took an average of 16 seconds to examine. In contrast, there is some evidence that radiologists spend less time performing exams. Not classified. But these latest discoveries have been welcomed by those who specialize in the safe implementation of AI in healthcare.

“This study provides further evidence of the benefits of AI in breast cancer screening and should be a further wake-up call for policymakers to accelerate the adoption of AI,” she said. Ben Glocker At Imperial College London. “The results confirm what we have seen time and time again: With the right integration strategy, the use of AI is safe and effective.”

He welcomes the study's ability to empower radiologists to make their own decisions about when to use AI, and hopes to see more testing of AI in a similar way. . “This cannot be easily evaluated in the lab or in simulations, and instead we need to learn from real-world experience,” Glocker says. “The technology is ready. We need policies to follow now.”

topic:

  • cancer /
  • artificial intelligence

Source: www.newscientist.com

Obesity directly correlated with increased risk of breast cancer, say researchers

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Breast cancer affects thousands of people each year. Scientists have shown that many factors can influence breast cancer, including age, physical inactivity, and obesity. However, it is unclear exactly how obesity and breast cancer are related.

Previous researchers have shown that tissue inflammation in obese patients is related to cancer. Other researchers have shown that obese patients have the following characteristics: specific genetic mutations It is also related to cancer. However, how this mutation acts to generate different types of tumors is not fully understood.

Ha-Linh Nguyen and colleagues recently investigated the relationship between breast cancer and obesity. Nguyen and his team wanted to determine how obesity affects breast cancer by examining the tissue cell and genetic profiles of breast cancer in obese patients. Their goal was to see if doctors could develop more targeted treatments for breast cancer based on the genetic mutations involved.

They collected genetic data from the tumors of more than 2,000 breast cancer patients collected during multiple large-scale breast cancer studies conducted by five accredited cancer research institutions. To ensure that no changes had occurred in the breast tumors, the researchers only used data from patients who had not yet started cancer treatment.

The researchers defined obesity based on the patient’s weight-to-height ratio. body mass index, or BMI. They used patients’ BMI data to classify patients into three categories: obese, overweight, and underweight. An obese patient, her BMI was over 30 kilograms per square meter (kg/m2).2), the BMI of overweight patients was 25–30 kg/m2.2lean patients had a BMI of 18.5 to 25 kg/m.2. For reference, the average BMI for adults is approximately 26 kg/m3.2.

Patients were then further categorized based on breast tumor type. These categories include patients with tumors that originate in the milk-producing glands of the breast. Invasive lobular carcinoma tumoror a comparison of patients with ILC tumors and patients without specific tumor types.

The researchers also took into account other biological factors used to identify the type of breast cancer. estrogen receptor. Tumors in patients with estrogen receptor-positive breast cancer contain receptors that use the hormone estrogen to stimulate tumor cell growth. The tumors of breast cancer patients who are estrogen receptor-negative do not contain this receptor.

They also looked at another way to determine the type of tumor, a method called. HER2 factor. HER2-positive breast cancer patients contain a protein called human epidermal growth factor 2, which allows cancer cells to multiply rapidly. The researchers used these biochemical markers to classify patients by tumor type, and then used statistical analysis to distinguish between tumor types in obese patients and those in lean and overweight groups. We compared the types.

Researchers found that in obese patients with non-specific tumors that are estrogen receptor positive and HER2 negative, BMI influences breast cancer in the same way that age influences cancer development. The researchers explained that as we age, the body’s immune response slows down, giving cancer cells more time to accumulate before the body reacts and stops the process. They suggested that these results support the idea that both age and obesity are risk factors for developing breast cancer.

The scientists then looked at whether the tumors in each group had one or more cancer-causing mutations. The research team specifically looked at genes that researchers had previously shown had mutations that cause breast cancer. They also examined tumor DNA to see if there were mutations that caused deletions or amplifications of specific parts of the DNA. Change number of copies.

Researchers found different genetic mutations in patients with different BMIs. They found that a gene involved in cell division signaling, called P1K3CA, was less mutated in obese patients who were estrogen receptor positive, HER2 negative, and had unspecific tumors. Mutations in two other HER genes, CCND1 and CCNE1, were more common in obese patients with estrogen receptor-positive tumors.

The researchers concluded that their study showed a genetic link between breast cancer and obesity. They suggested that some genetic mutations found in tumors of obese patients, particularly CCND1 and CCNE1 mutations, may enable targeted breast cancer treatments. They suggested that future researchers should investigate how the biochemical pathways these genes are associated with actually contribute to breast cancer formation to better develop treatments. .


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original research: Obesity-related changes in the molecular biology of primary breast cancer

research has been published:July 21, 2023

research author: Harinh Nguyen, Tatiana Geukens, Marion Mehtens, Samuel Aparicio, Ayse Bassez, Ake Borg, Jane Block, Anejan Brooks, Carlos Caldas, Fatima Cardoso, Maxim de Schepper, Mauro DeLorenzi. , Caroline A. Drucker, Anuska M. Glass, Andrew R. Green, Edoardo Isnardi, Jörn Eifjords, Hazem Kout, Stian Knapskog, Savitri Krishnamurthy, Sunil R. Lakhani, Anita Langerod, John W. M. Martens, Amy E. McCart-Reid, Lee Murphy, Stefan Nauraz, Selina Nick-Zinal, Ines Nebelsteen, Patrick Neven, Martine Picard, Coralie Ponsetto, Kevin Puni, Colin Purdy, Emad A. Raka, Andrea Richardson, Emile Rutgers, Anne Vincent-Salomon, Peter T. Simpson, Marjanka K. Schmidt, Christos Sotiriou, Paul N. Spann, Kiat. Tee Benita Tan, Alastair Thompson, Stefania Tommasi, Karen van Baeren, Marc van de Wivel, Steven van Leer, Laura van't Veer, Giuseppe Viale, Alan Viali, Hanne Voss, Anke T. Witteveen, Hans Wildyas, Giuseppe Floris, Abhishek D. Garg, Anne Smeets, Dieter Lambrecht, Elia Biganzoli, Francois Richard, Christine Desmet

The research was conducted at the following locations:: Katholieke Universiteit Leuven (Belgium), Lund University (Sweden), Netherlands Cancer Institute (Netherlands), University of Cambridge (UK), Champalimaud Clinical Center/Champalimaud Foundation (Portugal), University of Lausanne (Switzerland), SIB Swiss Institute of Bioinformatics (Switzerland), Antoni van Leeuwenhoek Hospital (Netherlands), University of Nottingham (UK), University of Iceland (Iceland), University Hospitals of Leicester NHS Trust (UK), University of Bergen (Norway), and University of Texas MD Anderson. University of Queensland, Herston (Australia), Royal Brisbane and Women's Hospital, Herston (Australia), Oslo University Hospital, Ullenjausen (Norway), Erasmus University Medical Center, Rotterdam (Netherlands), University of Manitoba , Manitoba Institute for Cancer Treatment (Canada), University Hospital Leuven (Belgium), Jules Bordet Institute and Free University of Bruxelles (Belgium), European Organization for Research and Treatment of Cancer (EORTC) Headquarters (Belgium), University of Dundee (UK) , Nottingham University Hospitals NHS Trust (UK), Johns Hopkins University (USA), Netherlands Cancer Institute (Netherlands), Institut Curie, PSL Research University (France), Radboud University Medical Center (Netherlands), Sengkang General Hospital ( Singapore), National Cancer Center (Singapore), Baylor College of Medicine (USA), IRCCS Istituto Tumouri “Giovanni Paolo II” (Italy), University of Amsterdam (Netherlands), University of Antwerp (Belgium), UCSF Helen Diller Family Institute Cancer Center (USA), European Institute of Oncology IRCCS (Italy), University of Milan (Italy), Synergie Lyon Cancer, Plateforme de Bio-informatique 'Gilles Thomas' (France), Università degli Studi di Milano (Italy)

This research was funded by: Luxembourg Cancer Foundation, European Research Council, University of Leuven.

Availability of raw data: Data from the ICGC cohort includes: ICGC Data Portalthe data from ELBC includes: gene expression omnibus Accession number GSE88770 provides access to data from MINDACT. EORTCindividual patient read count data can be accessed below. bio keythe raw sequence reads include European Genomic Phenomena Archive Research No. EGAS00001004809 and data accession number. EGAD00001006608

Featured image credit: Photo provided National Cancer Institute upon unsplash

This summary was edited by: Aubrey Zirkle

Source: sciworthy.com

Innovative Wearable Device Identifies Early Signs of Breast Cancer

The World Health Organization reported that in 2020, 2.3 million women worldwide were diagnosed with breast cancer. American Cancer Society states that early diagnosis of breast cancer leads to a 100% survival rate. During the initial diagnosis, images or scans of breast tissue are examined by the doctor to detect abnormalities.

Doctors commonly use ultrasound devices to diagnose breast cancer using sound waves. Ultrasound for diagnosing breast cancer. Scientists have identified limitations of ultrasound in the past, such as the need for proper skills and training, poor contact with skin during scanning, and maintenance challenges of large ultrasound machines in hospitals.

To address these limitations, a group of researchers developed a wearable, portable, and affordable device called cUSBr-Patch, which stands for Compatible Ultrasonic Chest Patch. To create this wearable patch, they used a 3D printer to design a honeycomb-shaped patch with holes that can be attached to a soft fabric bra.

Scientists attached a small scanning device to the patch that uses sound waves to acquire medical images similar to an ultrasound machine. This device, called phased array transducer, uses piezoelectric material and differs from traditional hospital ultrasound scanners, producing clear and high-resolution images.

The cUSBr-Patch is attached to a bra with magnets and allows the patch to directly touch the skin for scanning. A small tracker on the phased array transducer is moved and rotated using a handle to capture images of the entire breast.

Researchers tested cUSBr-Patch on female patients with breast abnormalities, scanning both breasts in six different locations using the phased array transducer connected to the patch. Computer programs were then used to generate images similar to those from standard hospital ultrasound machines.

The researchers concluded that cUSBr-Patch can detect breast cancer at a level comparable to traditional hospital ultrasound equipment. They are working on a smaller version of the device, aiming to make it accessible for home use by high-risk individuals and populations without regular testing facilities to improve breast cancer survival rates significantly.


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