Journal article

AutoCumulus: an automated mammographic density measure created using artificial intelligence

O Al-qershi, TL Nguyen, MS Elliott, DF Schmidt, E Makalic, S Li, SK Fox, JG Dowty, CA Peña-Solorzano, CF Kwok, Y Chen, C Wang, J Lippey, P Brotchie, G Carneiro, DJ McCarthy, Y Jeong, J Sung, HML Frazer, JL Hopper

BMC Cancer | Published : 2026

Open access

Abstract

Background: Mammographic (or breast) density is an established risk factor for breast cancer, previously measured using a variety of quantitative, semi-automated and automated approaches. We present a new automated measure, AutoCumulus, learned from applying deep learning to semi-automated measures. Methods: We studied the mammograms of 9,057 population-screened women in the BRAIx program for which semi-automated measurements of mammographic density had been made by experienced readers using the CUMULUS software. The dataset was split into training, testing, and validation sets (80%, 10%, and 10%, respectively). We applied a deep learning regression model (fine-tuned ConvNeXtSmall) to estima..

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