Integrating AI for Human-Centric Breast Cancer Diagnostics: A Multi-Scale and Multi-View Swin Transformer Framework

Despite advancements in Computer-Aided Diagnosis (CAD) systems, breast cancer remains one of the leading causes of cancer-related deaths among women worldwide. Recent breakthroughs in Artificial Intelligence (AI) have shown significant promise in development of advanced Deep Learning (DL) architectures for breast cancer diagnosis through mammography. In this context, the paper focuses on the integration of AI within a Human-Centric workflow to enhance breast cancer diagnostics. Key challenges are, however, largely overlooked such as reliance on detailed tumor annotations and susceptibility to missing views, particularly during test time. To address these issues, we propose a hybrid, multi-scale and multi-view Swin Transformer-based framework (MSMV-Swin) that enhances diagnostic robustness and accuracy. The proposed MSMV-Swin framework is designed to work as a decision-support tool, helping radiologists analyze multi-view mammograms more effectively. More specifically, the MSMV-Swin framework leverages the Segment Anything Model (SAM) to isolate the breast lobe, reducing background noise and enabling comprehensive feature extraction. The multi-scale nature of the proposed MSMV-Swin framework accounts for tumor-specific regions as well as the spatial characteristics of tissues surrounding the tumor, capturing both localized and contextual information. The integration of contextual and localized data ensures that MSMV-Swin's outputs align with the way radiologists interpret mammograms, fostering better human-AI interaction and trust. A hybrid fusion structure is then designed to ensure robustness against missing views, a common occurrence in clinical practice when only a single mammogram view is available.

Probabilistic Classification by Density Estimation Using Gaussian Mixture Model and Masked Autoregressive Flow

Density estimation, which estimates the distribution of data, is an important category of probabilistic machine learning. A family of density estimators is mixture models, such as Gaussian Mixture Model (GMM) by expectation maximization. Another family of density estimators is the generative models which generate data from input latent variables. One of the generative models is the Masked Autoregressive Flow (MAF) which makes use of normalizing flows and autoregressive networks. In this paper, we use the density estimators for classification, although they are often used for estimating the distribution of data. We model the likelihood of classes of data by density estimation, specifically using GMM and MAF. The proposed classifiers outperform simpler classifiers such as linear discriminant analysis which model the likelihood using only a single Gaussian distribution. This work opens the research door for proposing other probabilistic classifiers based on joint density estimation.