RT info:eu-repo/semantics/article T1 Diagnostic Driven Topology Adaptive Generative Adversarial Networks for Improved Breast Cancer Diagnosis A1 Wang, Weijia A1 Hernando Gallego, Francisco A1 Martín De Andrés, Diego A1 Khishe, Mohammad K1 Inteligencia artificial K1 Ingeniería médica K1 Oncología K1 Diagnóstico médico K1 Imágenes mamarias K1 Cáncer K1 Redes adversarias generativas K1 Topología adaptativa K1 1203 Ciencia de Los Ordenadores K1 3207.13 Oncología K1 2405 Biometría AB Breast cancer is one of the major causes of deaths in women. In the meantime, proper and early diagnosis with the help of mammograms can greatly enhance the outcomes of treatment. Nevertheless, the volume of the available data and the inconsistency of lesions are significant obstacles to the development of reliable diagnostic models. Generative Adversarial Networks (GANs) can provide a solution to data augmentation but due to the static nature of their models, they are incapable of capturing diagnostically important features, like irregular mass margins or microcalcifications. The proposed research study proposes a new Diagnostic-Driven Topology-Adaptive GAN (DTA-GAN) framework that improves the performance by adapting the generator and discriminator structures in real-time during the training process based on the diagnosis. DTA-GAN is compared with two baseline models, four state-of-the-art GAN-based models, and five ablation-based DTA-GAN models in 13 metrics on three popular datasets: CBIS-DDSM, INbreast, and Mini-MIAS to perform an extensive assessment. DTA-GANs results remarkably exceed the benchmarks with an AUC of 0.90–0.92 (an increase of 10% over DCGANs 0.82), an FID of 8.40–8.45 (compared to StyleGAN2’s 7.89), and feature preservation LMS metrics of 0.87–0.89 and CDR 91.9–92.7% using both qualitative and quantitative assessment across the three datasets. DTA-GAN synthesizes mammograms with topology controller reward functions focusing on imaging and diagnostics to improve the classification accuracy of the following tasks, offering a breast cancer detection solution that can be scaled to be used widely. This is a breakthrough in medical imaging because it synthesizes data that meets the stringent diagnostic standards, making the systems that are used to make diagnoses more reliable and more generalizable. PB Springer Nature SN 1134-3060 YR 2025 FD 2025 LK https://uvadoc.uva.es/handle/10324/83809 UL https://uvadoc.uva.es/handle/10324/83809 LA eng NO Archives of Computational Methods in Engineering, 2025 (Version of record) NO Producción Científica DS UVaDOC RD 25-mar-2026