Research Article

An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis

Volume: 12 Number: 4 December 31, 2025

An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis

Abstract

Breast cancer continues to be one of the most prevalent as well as life-threatening malignancies because it affects women globally. Ultrasound images get diagnostic interpretation that is customarily variable, with limitations in sensitivity and specificity. For breast ultrasound image classification, we propose a novel fully optimized Convolutional Neural Network (CNN) architecture. This study's classification includes three clinically important categories: normal, malignant, and benign. We used the Breast Ultrasound Images (BUSI) dataset, and we tackled intrinsic issues like small dataset size, class imbalance, and inter-class similarity via a diverse augmentation pipeline. The proposed CNN architecture integrates state-of-the-art deep learning techniques that include hierarchical feature extraction, attention mechanisms, batch normalization, dropout regularization, along with adaptive learning rates. The best-performing model reached a test accuracy of 99.33%, demonstrating the effectiveness of the proposed approach. This performance gain was obtained through systematic hyperparameter optimization involving the number of convolutional layers, learning rates, batch sizes, and input image resolutions. Although trained without pre-existing knowledge, the model showed similar performance when evaluated against popular transfer learning models like MobileNetV2, VGG16, VGG19, InceptionV3, ResNet50, EfficientNetB0, DenseNet121, and Xception. The proposed model, interpretable through Grad-CAM, effectively focuses on disease-related regions and enables specialists to make fast and reliable decisions.

Keywords

References

  1. Alotaibi, M., Aljouie, A., Alluhaidan, N., Qureshi, W., Almatar, H., Alduhayan, R., Alsomaie, B., & Almazroa, A. (2023). Breast cancer classification based on convolutional neural network and image fusion approaches using ultrasound images. Heliyon, 9(11), e22406. https://doi.org/10.1016/j.heliyon.2023.e22406
  2. Alrubaie, H., Aljobouri, H. K., AL-Jobawi, Z. J., & Çankaya, I. (2023). Convolutional neural network deep learning model for improved ultrasound breast tumor classification. Al-Nahrain Journal for Engineering Sciences, 26(2), 57–62. https://doi.org/10.29194/njes.26020057
  3. Arooj, S., Zubair, M., Khan, M. F., Alissa, K., Khan, M. A., & Mosavi, A. (2022). Breast cancer detection and classification empowered with transfer learning. Frontiers in Public Health, 10, 924432. https://doi.org/10.3389/fpubh.2022.924432
  4. Boulenger, A., Luo, Y., Zhang, C., Zhao, C., Gao, Y., Xiao, M., Zhu, Q., & Tang, J. (2023). Deep learning-based system for automatic prediction of triple-negative breast cancer from ultrasound images. Medical and Biological Engineering and Computing, 61(2), 567–578. https://doi.org/10.1007/s11517-022-02728-4
  5. Cheyi, J., & Çetin-Kaya, Y. (2024). Advanced CNN-based classification and segmentation for enhanced breast cancer ultrasound imaging. Gazi University Journal of Science Part A: Engineering and Innovation, 11(4), 647–667. https://doi.org/10.54287/gujsa.1529857
  6. Ciobotaru, A., Bota, M. A., Goța, D. I., & Miclea, L. C. (2023). Multi-Instance Classification of Breast Tumor Ultrasound Images Using Convolutional Neural Networks and Transfer Learning. Bioengineering, 10(12). https://doi.org/10.3390/bioengineering10121419
  7. Çetin-Kaya, Y. (2024). Equilibrium optimization-based ensemble CNN framework for breast cancer multiclass classification using histopathological image. Diagnostics, 14(19), 2253. https://doi.org/10.3390/diagnostics14192253
  8. Daoud, M. I., Abdel-Rahman, S., & Alazrai, R. (2019, November 26-29). Breast ultrasound image classification using a pre-trained convolutional neural network. In: Proceedings of the 2019 15th International Conference on Signal-Image Technology & Internet-Based Systems (SITIS) (pp. 167–171), Sorrento, Italy. https://doi.org/10.1109/SITIS.2019.00037

Details

Primary Language

English

Subjects

Deep Learning

Journal Section

Research Article

Publication Date

December 31, 2025

Submission Date

October 15, 2025

Acceptance Date

November 26, 2025

Published in Issue

Year 2025 Volume: 12 Number: 4

APA
Mokhtar, R., & Kaya, M. (2025). An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis. Gazi University Journal of Science Part A: Engineering and Innovation, 12(4), 1121-1148. https://doi.org/10.54287/gujsa.1804559
AMA
1.Mokhtar R, Kaya M. An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis. GU J Sci, Part A. 2025;12(4):1121-1148. doi:10.54287/gujsa.1804559
Chicago
Mokhtar, Ragheed, and Mahir Kaya. 2025. “An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis”. Gazi University Journal of Science Part A: Engineering and Innovation 12 (4): 1121-48. https://doi.org/10.54287/gujsa.1804559.
EndNote
Mokhtar R, Kaya M (December 1, 2025) An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis. Gazi University Journal of Science Part A: Engineering and Innovation 12 4 1121–1148.
IEEE
[1]R. Mokhtar and M. Kaya, “An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis”, GU J Sci, Part A, vol. 12, no. 4, pp. 1121–1148, Dec. 2025, doi: 10.54287/gujsa.1804559.
ISNAD
Mokhtar, Ragheed - Kaya, Mahir. “An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis”. Gazi University Journal of Science Part A: Engineering and Innovation 12/4 (December 1, 2025): 1121-1148. https://doi.org/10.54287/gujsa.1804559.
JAMA
1.Mokhtar R, Kaya M. An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis. GU J Sci, Part A. 2025;12:1121–1148.
MLA
Mokhtar, Ragheed, and Mahir Kaya. “An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis”. Gazi University Journal of Science Part A: Engineering and Innovation, vol. 12, no. 4, Dec. 2025, pp. 1121-48, doi:10.54287/gujsa.1804559.
Vancouver
1.Ragheed Mokhtar, Mahir Kaya. An Optimized and Attention-Enhanced Convolutional Neural Network for Accurate Breast Cancer Diagnosis. GU J Sci, Part A. 2025 Dec. 1;12(4):1121-48. doi:10.54287/gujsa.1804559