a21 Sayed Stamped e
a21 Sayed Stamped e
Abstract— Breast cancer is a frequently diagnosed Researchers have achieved promising results using CNNs for
malignancy in the female population, with a rising trend in its breast cancer diagnosis, but their use in thermal imaging has
occurrence. A diverse range of breast cancer screening not been widely implemented in the past. The better
techniques exists, each with unique merits and drawbacks. effectiveness of CNNs compared to textural or statistical
Numerous researchers have devised automated techniques features or the substantial computational demands associated
using deep learning algorithms due to their efficacy and with CNNs may explain this success.
accuracy in forecasting the multiplication of cancer cells via
the use of Thermography technologies. Thermography is Breast cancer diagnosis has traditionally relied on
regarded as a non-invasive and safe technique for the diagnosis mammography, ultrasound, and MRI, but due to limited
of breast cancer. This study provides a thorough examination accessibility in rural areas, alternative methods like
of the research conducted on the analysis of thermal electronic palpation, electrical impedance scanning, and
fluctuations in the breast and the diagnostic approaches used thermal imaging (thermography) have emerged [6].
by different researchers in the detection of breast cancer. Our Thermography, also known as infrared imaging, records
objective is systematic review to conduct a comprehensive temperature distributions of the breast using infrared
examination of the most notable scholarly works concerning cameras. This method can be used to determine the presence
the use of deep learning (DL) models and the datasets of a tumor by detecting increased temperature on the breast
employed in the categorization of breast cancer. Additionally,
surface. Thermography is based on the idea that uncontrolled
we address the challenges and constraints that give rise to the
cellular growth leads to a higher metabolic rate, requiring
most pressing areas of inquiry for future study in this
particular sector.
more blood perfusion. This surplus heat is then directed to
surrounding tissue, causing a rise in breast surface
Keywords— Thermography, Deep Learning, Breast Cancer temperature. This method can be used to identify increased
temperature in the presence of a tumor. This approach is
cost-effective, non-intrusive, and radiation-free [7, 8, 9].
I. INTRODUCTION
Breast cancer is a prevalent form of cancer, with an Breast cancer detection involves thermography, a method
estimated 2.3 million new diagnoses expected in 2020. From that identifies thermal patterns in the breast over a specific
2016 to 2020, 7.8 million women received a breast cancer period. Common features include unequal temperature
diagnosis. The World Health Organization reports a differences between left and right breasts, specific regions of
cumulative number of 685,000 fatalities associated with increased temperature as indicators of abnormalities, changes
breast cancer, compared to other forms like lung, liver, and in hypothermic vascular patterns due to tumor growth, and
stomach cancer. This lower mortality rate suggests that variations in heat patterns within the areolar and periareolar
breast cancer is responsive to therapeutic interventions. The regions [10, 11, 12].
diagnosis of breast cancer is based on tumor stages, which The rest of this paper is organized as follows: Section II
can be identified by factors like tumor size or cancer cell is about thermography in the diagnosis of breast cancer.
presence in lymph nodes [1]. Prompt and accurate detection Section III Deep Learning for Breast cancer Thermogram
is crucial for effective management, a subject with classification. Section IV review on Breast Cancer using
significant scholarly focus [2, 3]. The study supports the idea Thermographs and Deep Learning. Finally, Section V
that breast cancer is responsive to therapeutic interventions. provides the research study conclusion and future work.
Recent studies have focused on using machine learning
methods for breast cancer diagnosis using thermography. II. THERMOGRAPHY IN THE DIAGNOSIS OF BREAST
Some studies have examined tumor size and locations, while CANCER
others examine collection techniques and breast quadrants.
Deep learning, a computational learning methodology, uses
multilayer convolutional neural networks (CNNs) to Thermography has many identifiable properties. One
independently derive characteristics from training data [4, 5]. noteworthy feature is its capacity to identify
early indicators of cancer, facilitating the identification of III. DEEP LEARNING TECHNIQUES IN THE
cancer ten years earlier in comparison to other methods CLASSIFICATION OF THERMOGRAMS FOR BREAST
CANCER.
A neural network (NN) is a parallel processor with
simple units that efficiently processes complex information.
It allows for subjective values to be acquired in medical
picture analysis, enabling conclusions about breast
thermogram characterization.
Convolutional neural networks (CNNs) are a deep neural
network technique used to process images. The proposed
methodology uses learning-adjusted parameters like weights
and biases to recognize unique features in photographs. The
output of categorizing breast thermograms into three groups
can be seen as the resultant. This technique is widely used in
Fig1: THERMAL IMAGES CLASSIFICATION BASED ON: (A) TH1- deep neural networks. Unique groups, namely normal,
REPRESENTS NORMAL UNIFORM NON-VASCULAR SAMPLES, (B)
TH2- REPRESENTS VASCULAR ORDINARY UNIFORM SAMPLES, benign, and malignant, is supported by the convolutional
(C) TH3- REPRESENTS SAMPLES THAT ARE AMBIGUOUS OR neural networks (CNNs) shown in Fig 2. Three primary
DOUBTFUL, (D) TH4- ABNORMAL, (E) TH5- REPRESENTS aspects that need prioritization are the readiness of the
SAMPLES THAT ARE SEVERELY ABERRANT. [22] dataset in relation to picture pre-processing, the feature
Such as mammography [13, 14]. The distinguishing learning process, and the classification objective. The
feature of thermography is in its ability to assess various categorization may be divided into three distinct categories,
modalities of cancer therapy. An additional attribute of specifically referred to as "normal, cancer, and malignant."
thermography is its capacity to predict the prospective
condition of the individual [15].
Breast cancer has been identified in 44% of persons who
have shown aberrant thermograms, about five years after the
use of thermography. Based on the thermography data, it has
been shown that individuals who have been diagnosed with
advanced malignancy have a 24% chance of living within a
three-year timeframe. However, when malignancies are
found at earlier stages, the probability of survival increases
significantly, reaching almost 80% [16].
The efficacy of mammography is diminished in younger
individuals and those with a greater quantity of breast tissue.
Factors such as the age of the patient or the density of breast
tissue do not have any impact on thermography [17, 18].
Based on a research, it has been shown that thermography
has the ability to detect indications of breast cancer up to FIG 2: PIPELINE OF CONVOLUTIONAL NEURAL NETWORKS FOR
twelve months earlier than mammography in around 70% of BREAST CANCER DETECTION USING THERMOGRAMS.
cases [13]. The size of undetectable lesions, as measured by In the following sections, we shall analyze the principles
mammography, is around 1.66 cm. However, thermography and corresponding efforts in the use of Convolutional Neural
imposes a more rigorous constraint, limiting the size to 1.28 Networks (CNN) for the categorization of breast
cm [19]. thermograms.
Comparing an abnormal thermogram to a normal
thermogram may serve as a means to identify a significant A. Preprocessing of Images
22-fold increase in the chance of developing breast cancer. Preprocessing is a crucial step in image analysis,
Furthermore, the anomalous thermogram has a level of enhancing the quality and utility of images by reducing noise
significance and influence that is tenfold greater than the and enhancing visual features. It is essential for neural
illness history of the first family member [20]. The field of network algorithms, as the learning process relies on
thermobiology classifies the examination of thermal images extracting relevant features from input images. Preprocessing
into five main categories: The classification of samples into techniques include mean subtraction, standardization, PCA
several categories is as follows: TH1 represents normal brightening, and neighborhood contrast standardization [22].
uniform non-vascular samples, TH2 represents vascular In the processing of breast thermograms, a variety of
ordinary uniform samples, TH3 represents samples that are algorithms are used, including scaling, segmentation of the
ambiguous or doubtful, TH4 represents abnormal samples, "Region of Interest" (ROI), and expansion.
and TH5 represents samples that are severely aberrant. Fig 1
[23] displays the divided and classed pictures of these Pramanik [27] segmentation process involves two phases:
samples. using the MSPSF energy functional and MSPSF-based level
set techniques. The MSPF energy functional-based level set
approach estimates area intensity distribution, generating
discontinuities. The level set approach, consisting of two
parts, automatically initializes breast thermograms' intensity
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2023 International Conference on Computer and Applications (ICCA)
distribution and reduces energy consumption. This subset of fully connected layers processes these features,
segmentation approach effectively decreases calculation generating the network's final outputs. These outputs
time. represent probabilities associated with each class in
classification tasks [37].
B. Convolutional Neural Networks (CNNs)
a) Feature Extraction Layer: The feature extraction IV. BREAST CANCER DIAGNOSIS USING
layer encodes input data, specifically photographs, to THERMOGRAPHS AND DEEP LEARNING
generate features. A single picture is encoded as a "feature In a cohort study conducted in the year 2020. The
map" with numerical values describing the image's visual aforementioned study included the categorization of
attributes. This layer consists of convolution and pooling thermography breast pictures into two distinct groups,
components. The convolution layer is organized as a kernel, namely "normal" and "abnormal" [32]. Despite its accuracy
and the breast thermogram has three shading channels (red, rate of 85%, with a sensitivity of 87% and a specificity of
green, and blue). Each channel requires a matching filter. 83%. The research conducted by [61] included a comparison
The convolution layer produces a feature map, which is then of several classifiers, including AdaBoost, Support Vector
passed to the pooling layer. The pooling layer is composed Machines (SVM), k-Nearest Neighbors (KNN), Naive
of a single channel with a pre-determined step size. The Bayes, and neural network probability. The frontal breast
pictures demonstrated the most significant outcomes when
convolutional layer conducts a more comprehensive
the genetic algorithm (GA) reduction technique was
examination of feature maps, while the pooling layer
integrated with the AdaBoost classifier. This combination
conducts a less exhaustive analysis. Two common pooling resulted in an average accuracy of 85.5% and 87.5% for the
techniques are max pooling and average pooling. corresponding experiments. Following that, more
Inside the realm of "learning features," Convolutional methodologies were established, as seen in Table 1.
Neural Networks (CNNs) engage in the replication of
convolution and maximum pooling operations iteratively, TABLE 1: WORKS ON BREAST THERMOGRAM CLASSIFICATION
USING MACHINE LEARNING.
with the ultimate objective of perceiving the distinctive
characteristics or "features" present inside pictures. Figure 3 ref
Methodology Result
illustrates the convolution process of a Convolutional Neural Classifier Feature Acc Sen Spe
Network (CNN), using breast thermograms as the input [28] SVM GLCM 95% 97% 98.6%
Texture and structural
pictures. Given that the inputs are composed of three [33] FANN
features.
88.5% 87% 89%
channels representing the red, green, and blue components [34] GA Statistical features 90.1% 89.3% 91 %
(RGB), it follows that the kernel volume is comprised of
three distinct "2D kernels." Each individual channel was [39] LSSV (RLBP) 89% - -
found to have a correlation with a certain kernel. The M
quantity of feature maps is indicative of the dimensions of Texture and shape
[43] ELM feature from Haralick 88% - -
the kernel. Regarding map characteristics.
and Zernike extractors
[45] SVM Daubechies Wavelet 97.1% - -
[46] SVM Statistical features 89.7% 75% 90.6 %
Texture and statistical
[48] SVM 100% - -
features
[49] RF GLRLM and GLCM 95.4% - 88%
texture features and
[50] ANN 98.9% - -
statistical analysis
Texture feature
[52] KNN 99.2% 98.4% 100%
extraction
LSSV Texture feature
[54] 96% 100% 92%
M extraction
[55] SVM GLCM 97.1% 98% 92.3%
Texture and Wavelet
[56] SVM 91% 87.2% 94.3%
features
Texture and structural
[58] KNN 87.5% 89.1% 93.3%
FIG 3: VISUALIZATION OF CONVOLUTIONAL PROCESS OF features.
Histogram of oriented
BREAST THERMOGRAM [40]. [60] DT 98% 96.6% 100%
gradients
b) Fully-Connected Layer: Convolutional layers In the year 2020, Mishra made applications to many
transform feature maps into a vector for input in a fully classifiers like SVM, decision tree, random forest, K-NN,
connected layer, with weights in a dense layer determining linear regression, and fuzzy logic classifiers [45].The
the association between input and output. Pooling layers research found that random forest with principal component
refine features, processed by a subset of fully connected analysis (PCA) achieved the highest accuracy of 95.45%,
layers, to generate outputs [37]. while the Support Vector Machine (SVM) classifier was
C. Images Classification used [44].
The convolutional layer transforms feature maps into a The research aims to achieve maximum accuracy in
unidimensional array for input in a fully connected layer. breast thermal medical imaging classification using a deep
The association between input and output is determined by neural network model. This decision was made to improve
adjustable weights in a dense layer. Convolutional layers the performance of neural network methodologies using deep
establish features and refine them through pooling layers. A learning techniques. Table 2 presents a comprehensive
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2023 International Conference on Computer and Applications (ICCA)
overview of the use of convolutional neural networks in the and DIT), Image Dimensions (3D, 2D), number image in
context of breast cancer diagnosis, specifically focusing on each class (Total (T) and Database Used. However, prior
breast thermogram data. studies were limited to altering the quantity of thermal
pictures mostly obtained from the DMR-IR database.
A unique methodology, referred to as "InceptionV3-
KNN" and including a module named "Stage Cancer," was TABLE 3: COMPARISON OF RELATED WORK USING
used in a research [64]. Was used to classify breast cancer THERMOGRAPHIC IMAGES
into four phases: T1 (non-invasive breast illness), T2 (tumor General Image Image Num
Camera
size of 2 cm), T3 (tumor size exceeding 5 cm), and T4 Ref
type
Goal Protocol Dimension image Dataset
(malignant growth covering the whole breast). The study Scr Diag Sit Dit 3D 2D T
utilized the "Linear Support Vector Machine" and [28] SC620 - × × × - × 193 DMR-IR
[43] SC620 × - - - - × 23 DMR-IR
"Convolutional Neural Network" models to determine the [23] SC620 - × × × × - 3411 DMR-IR
decision boundary [65], effectively optimizing equipment SC620 80 DMR-IR
utilization using a powerful classifier in medical practice. [40] - × × × × -
S45 98 UFPE
[39] SC620 × - × × × - 107 DMR-IR
A separate research investigation was conducted to [58] SC620 × - - - × - - DMR-IR
examine the performance of several convolutional neural [59] SC620 - × - × × - 208 DMR-IR
network architectures, including ResNet101, DenseNet, [56] SC620 - × - - × × 1874 DMR-IR
MobileNetV2, and ShuffleNetV2. The performance of these [57] SC620 - × - × × - 1874 DMR-IR
models was assessed using the ImageNet database, and they [38] SC620 - × - - - × 336 DMR-IR
showed exceptional capabilities in picture categorization. [41] SC620 - × - × - × 196 DMR-IR
Thermal breast pictures obtained from the Database of [32] SC620 - × - - - × 1345 DMR-IR
Mastology Research (DMR) were used for training the [45] SC620 - × - - - × 56 DMR-IR
[44] SC620 - × - × - × 68 DMR-IR
model. [62] SC620 - × - - - × 57 DMR-IR
In the year 2021, Torres used a deep convolutional neural [63] SC620 - × - × - × 681 DMR-IR
network (CNN) using transfer learning techniques to [61] SC620 - × - × - × 140 DMR-IR
DBT-TU-
autonomously categorize thermograms into two distinct T650sc × - - - - × 70 JU
[67]
categories, namely normal and aberrant. The ResNet-101 SC620 × - - - - × 80 DMR-IR
model, which was trained via transfer learning, exhibited a
sensitivity of 92.3% and a specificity of 53.8% [55]. Other V. CHALLENGES OF BREAST CANCER IN EARLY
CNN models that were included in the study include DTECTION USING THERMALGRAPHY AND DEEP LEARNING
inception V4, inception MV4 [56], deep convolution neural Breast cancer is a substantial global health issue,
network (DCNN) [57], and inception V3 [58]. necessitating the utmost importance of timely identification
TABLE 2: WORKS ON BREAST THERMOGRAM CLASSIFICATION in order to enhance patient prognoses. Thermography and
USING DEEP LEARNING Convolutional Neural Networks (CNNs) have been
investigated as two potential approaches for early detection.
Methodology Result
Ref
Classifier Feature Acc Sens Spec
Nevertheless, three approaches encounter distinct obstacles.
Matrix feature Thermography is a non-invasive technique used for the
[23] ShuffleNet 100% 100% 100%
extraction
[24] CNN Texture feature 100% - 100% early identification of breast cancer, which does not need the
extraction administration of any sort of energy into the human body
[32] ELM Geometrical and 100% - - [50]. Despite its considerable potential, a primary obstacle
Textural Feature associated with thermography lies in its inherent inability to
Extraction
[33] V-Net High -level Feature 100% - -
discern the underlying factors contributing to elevated
[34] V-net High-level features 99.6% 99.6% - thermal patterns. The presence of warmth in the breast region
[35] C-DCNN
Automatic Feature
- - -
might potentially serve as an indicator for the presence of
Selection breast cancer. However, it is important to note that this
[55] ResNet-101 - 0.749 92.6% 53.8% symptom can also be associated with non-cancerous
Inception
[58] V3
statistical features 85% - - conditions, such as mastitis [83]. The presence of
ResNet50 Hu Moments 96% - - inflammation in the breast caused by bacterial or viral
Sparse Latent Space
- -
infection might lead to an elevation in tissue temperature,
Deep Thermomis hence influencing the outcomes of thermography.
[59] SPAER 78.2%
Low-Rank Matrix
- -
Approximation According to Pramanik’s study that was conducted in
98.5 - - 2016, from Advantage the study, utilized a high-resolution
[60] InceptionV3 Extraction features
%
[61] CNN Extraction features 98.9% - - thermal camera [33], [84], [87] to achieve a high level of
Texture and classification accuracy [26], [59], [79] [81], [88], [74],
[62] CNN 92% 91% 94%
statistical features [81].The sensitivity ratio has a high. Disadvantage of these
studies, used Sensitivity, Sample size, accuracy, AUC are not
Previous study has shown the considerable endeavors of given. Sample size is small Thermal camera has low
researchers in using several artificial neural network (ANN) resolution[38], using sample size is small
models, and more recently, deep learning techniques, for the dataset[26],[32],[33],[38],[52],[54],[57],[58],[59],[60],[66]
purpose of breast cancer diagnosis. Table 3 displays the
pertinent information of the published studies, encompassing Recent advancements in the field of medical technology
the year of publication, Camera type, overarching objective have led to the development of Niramai's Thermalytix
(screening and diagnosis), image acquisition protocol (SIT solution in India. This approach relies on the identification of
123
2023 International Conference on Computer and Applications (ICCA)
the heat distribution inside the breast tissue. Subsequently, [9] Relationship between microvessel density and thermographic hot areas
in breast cancer.T. Yahara, T. Koga, S. Yoshida, S. Nakagawa, H.
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evaluate these temperature changes and identify any 248.
anomalies [85]. [10] 2016 International Conference on Advances in Computing,
Communications and Informatics, ICACCI 2016. S. Pramanik, D.
Bhattacharje, M. Nasipuri. 2016. Texture analysis of breast thermogram
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