Rationale and Objectives. The authors evaluated the feasibility of com
bining wavelet transform and artificial neural network (ANN) technolog
ies to prescreen mammograms for masses. Methods and Materials. Fifty-f
ive mammograms (29) with masses and 26 without) were digitized to 100-
mm resolution and processed by using wavelet transformation. These wav
elets were subjected to a linear output sequential recursive auto-asso
ciative memory ANN and cluster analysis with feature vector formation.
These vectors were used in two separate experiments-one with 13 cases
and another with seven cases held out in a test set-to train feed-for
ward ANNs to detect the mammograms with a mass. The experiments were r
epeated with rerandomization of the data, four and six times, respecti
vely. Results. There was a statistically significant correlation (P <
.01) between the network's prediction of a mass and the presence of a
mass. With majority voting, the feed-forward ANNs detected masses with
79% sensitivity and 50% specificity. Conclusion. Although preliminary
, the combination of wavelet transform and ANN is promising and may pr
ovide a viable method to prescreen mammograms for masses with high sen
sitivity and reasonable specificity.