A Robust Approach for Breast Cancer Classification from DICOM Images
Received: 13 March 2025 | Revised: 3 April 2025 | Accepted: 9 April 2025 | Online: 5 May 2025
Corresponding author: Thanh-Hai Nguyen
Abstract
The number of breast cancer patients is rapidly increasing worldwide, with Asia currently accounting for 45% of global breast cancer cases. In addition, the number of breast cancer cases is expected to increase by 21.0%, and the mortality rate is projected to increase by 27.8% during the 2020-2030 period. This paper proposes a method for classifying breast cancer from Digital Imaging and Communications in Medicine (DICOM) images. In particular, an image segmentation technique was developed for extracting the breast region from DICOM images of varying sizes. The extracted images were then enhanced using multiple augmentation techniques to improve classification performance. Finally, a deep learning network was applied to classify breast cancer from the processed DICOM images. The VinDr-Mammo dataset was used to evaluate the effectiveness of the proposed method, and the experimental results showed an accuracy of 81.45%, demonstrating that the proposed approach is highly suitable for breast cancer detection and classification.
Keywords:
breast cancer classification, deep learning, DICOM image preprocessing, image augmentation, ResNet50Downloads
References
J. Kim et al., "Global patterns and trends in breast cancer incidence and mortality across 185 countries," Nature Medicine, vol. 31, no. 4, pp. 1154–1162, Apr. 2025.
A. Elhusseiny, "Women’s cancer is getting worse in Asia Pacific," World Economic Forum, Oct. 11, 2023. https://www.weforum.org/
stories/2023/10/womens-cancer-is-getting-worse-in-asia-pacific-heres-what-to-do/.
VnExpress, "Novartis sponsors expert talkshow to raise breast cancer awareness - VnExpress International," VnExpress International. https://e.vnexpress.net/news/business/novartis-sponsors-expert-talkshow-to-raise-breast-cancer-awareness-4544893.html.
L. C. V Priya, V. G. Biju, B. R. Vinod, and S. Ramachandran, "Deep learning approaches for breast cancer detection in histopathology images: A review," Cancer Biomarkers, vol. 40, no. 1, pp. 1–25, May 2024.
B. Asadi and Q. Memon, "Efficient breast cancer detection via cascade deep learning network," International Journal of Intelligent Networks, vol. 4, pp. 46–52, Jan. 2023.
S. M. Shaaban, M. Nawaz, Y. Said, and M. Barr, "An Efficient Breast Cancer Segmentation System based on Deep Learning Techniques," Engineering, Technology & Applied Science Research, vol. 13, no. 6, pp. 12415–12422, Dec. 2023.
D. Albashish, R. Al-Sayyed, A. Abdullah, M. H. Ryalat, and N. Ahmad Almansour, "Deep CNN Model based on VGG16 for Breast Cancer Classification," in 2021 International Conference on Information Technology (ICIT), Amman, Jordan, Jul. 2021, pp. 805–810.
S. Shamy and J. Dheeba, "A research on detection and classification of breast cancer using k-means GMM & CNN algorithms," International Journal of Engineering and Advanced Technology, vol. 8, no. 6S, pp. 501–505, 2019.
V. S. Vijayan and P. L. Lekshmy, "Deep learning based prediction of breast cancer in histopathological images," International Journal of Engineering Research & Technology, vol. 8, no. 07, pp. 148–152, 2019.
N. Wu et al., "Deep Neural Networks Improve Radiologists’ Performance in Breast Cancer Screening," IEEE Transactions on Medical Imaging, vol. 39, no. 4, pp. 1184–1194, Apr. 2020.
A. Khalid et al., "Breast Cancer Detection and Prevention Using Machine Learning," Diagnostics, vol. 13, no. 19, Jan. 2023, Art. no. 3113.
Z. Zhu, Y. Sun, and B. Honarvar Shakibaei Asli, "Early Breast Cancer Detection Using Artificial Intelligence Techniques Based on Advanced Image Processing Tools," Electronics, vol. 13, no. 17, Jan. 2024, Art. no. 3575.
Z. Wang et al., "Breast Cancer Detection Using Extreme Learning Machine Based on Feature Fusion With CNN Deep Features," IEEE Access, vol. 7, pp. 105146–105158, 2019.
H. H. Pham, H. Nguyen Trung, and H. Q. Nguyen, "VinDr-Mammo: A large-scale benchmark dataset for computer-aided detection and diagnosis in full-field digital mammography." PhysioNet.
T. N. Nguyen, T. H. Nguyen, M. H. Nguyen, and S. Livatino, "Wavelet-Based Kernel Construction for Heart Disease Classification," AEEE Advances in Electrical and Electronic Engineering, vol. 17, no. 3, pp. 306–319, Sep. 2019.
N. Behar and M. Shrivastava, "ResNet50-Based Effective Model for Breast Cancer Classification Using Histopathology Images," CMES - Computer Modeling in Engineering and Sciences, vol. 130, no. 2, pp. 823–839, Dec. 2021.
S. Malathi, "Breast Cancer Detection With Resnet50, Inception V3, And Xception Architecture.," Journal of Pharmaceutical Negative Results, vol. 14, no. 4, pp. 60-68, 2023.
E. Al. T Sunil Kumar, "Breast Cancer Classification and Predicting Class Labels Using ResNet50," Journal of Electrical Systems, vol. 19, no. 4, pp. 270–278, Jan. 2024.
Downloads
How to Cite
License
Copyright (c) 2025 Thanh-Nghia Nguyen, Thanh-Tam Nguyen, Thanh-Hai Nguyen, Ba-Viet Ngo

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after its publication in ETASR with an acknowledgement of its initial publication in this journal.