Medical imaging analysis with artificial neural networks

Given that neural networks have been widely reported in the research community of medical imaging, we provide a focused literature survey on recent neural network developments in computer-aided diagnosis, medical image segmentation and edge detection towards visual content analysis, and medical image registration for its pre-processing and post-processing, with the aims of increasing awareness of how neural networks can be applied to these areas and to provide a foundation for further research and practical development. Representative techniques and algorithms are explained in detail to provide inspiring examples illustrating: (i) how a known neural network with fixed structure and training procedure could be applied to resolve a medical imaging problem; (ii) how medical images could be analysed, processed, and characterised by neural networks; and (iii) how neural networks could be expanded further to resolve problems relevant to medical imaging. In the concluding section, a highlight of comparisons among many neural network applications is included to provide a global view on computational intelligence with neural networks in medical imaging

Microcalcifications Detection Using Image And Signal Processing Techniques For Early Detection Of Breast Cancer

Breast cancer has transformed into a severe health problem around the world. Early diagnosis is an important factor to survive this disease. The earliest detection signs of potential breast cancer that is distinguishable by current screening techniques are the presence of microcalcifications (MCs). MCs are small crystals of calcium apatite and their normal size ranges from 0.1mm to 0.5mm single crystals to groups up to a few centimeters in diameter. They are the first indication of breast cancer in more than 40% of all breast cancer cases, making their diagnosis critical. This dissertation proposes several segmentation techniques for detecting and isolating point microcalcifications: Otsu’s Method, Balanced Histogram Thresholding, Iterative Method, Maximum Entropy, Moment Preserving, and Genetic Algorithm. These methods were applied to medical images to detect microcalcifications. In this dissertation, results from the application of these techniques are presented and their efficiency for early detection of breast cancer is explained. This dissertation also explains theories and algorithms related to these techniques that can be used for breast cancer detection

Microcalcification Detection Applying Artificial Neural Networks and Mathematical Morphology in Digital Mammograms

Breast cancer is one of the leading causes to women mortality in the world and early detection is an important means to reduce the mortality rate. The presence of microcalcifications clusters has been considered as a very important indicator of malignant types of breast cancer and its detection is important to prevent and treat the disease. This paper presents an alternative and effective approach in order to detect microcalcifications clusters in digitized mammograms based on the synergy of the image processing, pattern recognition and artificial intelligence. The mathematical morphology is an image processing technique used for the purpose of image enhancement. A k-means algorithm is used to cluster the data based on the features vectors and finally an artificial neural network-based classifier is applied and the classification performance is evaluated by a ROC curve. Experimental results indicate that the percentage of correct classification was 99.72%, obtaining 100% true positive (sensitivity) and 99.67% false positive (specificity), with the best classifier proposed. In case of the best classifier, we obtained a performance evaluation of classification of Az = 0.987

Application of Fractal and Wavelets in Microcalcification Detection

Breast cancer has been recognized as one or the most frequent, malignant tumors in women, clustered microcalcifications in mammogram images has been widely recognized as an early sign of breast cancer. This work is devote to review the application of Fractal and Wavelets in microcalcifications detection

COMPUTER AIDED SYSTEM FOR BREAST CANCER DIAGNOSIS USING CURVELET TRANSFORM

Breast cancer is a leading cause of death among women worldwide. Early detection is the key for improving breast cancer prognosis. Digital mammography remains one of the most suitable tools for early detection of breast cancer. Hence, there are strong needs for the development of computer aided diagnosis (CAD) systems which have the capability to help radiologists in decision making. The main goal is to increase the diagnostic accuracy rate. In this thesis we developed a computer aided system for the diagnosis and detection of breast cancer using curvelet transform. Curvelet is a multiscale transform which possess directionality and anisotropy, and it breaks some inherent limitations of wavelet in representing edges in images. We started this study by developing a diagnosis system. Five feature extraction methods were developed with curvelet and wavelet coefficients to differentiate between different breast cancer classes. The results with curvelet and wavelet were compared. The experimental results show a high performance of the proposed methods and classification accuracy rate achieved 97.30%. The thesis then provides an automatic system for breast cancer detection. An automatic thresholding algorithm was used to separate the area composed of the breast and the pectoral muscle from the background of the image. Subsequently, a region growing algorithm was used to locate the pectoral muscle and suppress it from the breast. Then, the work concentrates on the segmentation of region of interest (ROI). Two methods are suggested to accomplish the segmentation stage: an adaptive thresholding method and a pattern matching method. Once the ROI has been identified, an automatic cropping is performed to extract it from the original mammogram. Subsequently, the suggested feature extraction methods were applied to the segmented ROIs. Finally, the K-Nearest Neighbor (KNN) and Support Vector Machine (SVM) classifiers were used to determine whether the region is abnormal or normal. At this level, the study focuses on two abnormality types (mammographic masses and architectural distortion). Experimental results show that the introduced methods have very high detection accuracies. The effectiveness of the proposed methods has been tested with Mammographic Image Analysis Society (MIAS) dataset. Throughout the thesis all proposed methods and algorithms have been applied with both curvelet and wavelet for comparison and statistical tests were also performed. The overall results show that curvelet transform performs better than wavelet and the difference is statistically significant

Determinants and influence of mammographic features on breast cancer risk

Mammographic density and mammographic microcalcifications are the key imaging features in mammography examination. Mammographic density is known as a strong risk factor for breast cancer and is the radiographic appearance of epithelial and fibrous tissue which appears white on a mammogram. While, the dark part of a mammogram represents the fatty tissue. Mammographic microcalcifications appear as small deposits of calcium and they are one of the earliest sign of breast cancer. Malignant microcalcifications are seen in both in situ and invasive lesions. In this thesis we used the data from the prospective KARMA cohort to study the association between established breast cancer risk factors with mammographic density change over time (Study I), to examine the association between annual mammographic density change and risk of breast cancer (Study II), to investigate the association between established risk factors for breast cancer and microcalcification clusters and their asymmetry (Study III), and finally to elucidate the association between microcalcification clusters, their asymmetry, and risk of overall and subtype specific breast cancer (Study IV). The lifestyle and reproductive factors were assessed using web-based questionnaires. Average mammographic density and total microcalcification clusters were measured using a Computer Aided Detection system (CAD) and the STRATUS method, respectively. In Study I, the average yearly dense area change was -1.0 cm . Body mass index (BMI) and physical activity were statistically associated with density change. Beside age, lean and physically active women had the largest decrease in mammographic density per year. In Study II, overall, 563 women were diagnosed with breast cancer and annual mammographic density change did not seem to influence the risk of breast cancer. Furthermore, density change does not seem to modify the association between baseline density and risk of breast cancer. In Study III, age, mammographic density, genetic factors related to breast cancer, having more children, longer duration of breast-feeding were significantly associated with increased risk of presence of microcalcification clusters. In Study IV, 676 women were diagnosed with breast cancer. Further, women with 33 microcalcification clusters had 2 times higher risk of breast cancer compared to women with no clusters. Microcalcification clusters were associated with both in situ and invasive breast cancer. Finally, during postmenopausal period, microcalcification clusters influence risk of breast cancer to the similar extend as baseline mammographic density. In conclusion, we have identified novel determinants of mammographic density changes and potential predictors of suspicious mammographic microcalcification clusters. Further, our results suggested that annual mammographic density change does not influence breast cancer risk, while presence of suspicious microcalcification clusters was strongly associated with breast cancer risk

Detecting microcalcification clusters in digital mammograms: Study for inclusion into computer aided diagnostic prompting system

Among signs of breast cancer encountered in digital mammograms radiologists point to microcalcification clusters (MCCs). Their detection is a challenging problem from both medical and image processing point of views. This work presents two concurrent methods for MCC detection, and studies their possible inclusion to a computer aided diagnostic prompting system. One considers Wavelet Domain Hidden Markov Tree (WHMT) for modeling microcalcification edges. The model is used for differentiation between MC and non-MC edges based on the weighted maximum likelihood (WML) values. The classification of objects is carried out using spatial filters. The second method employs SUSAN edge detector in the spatial domain for mammogram segmentation. Classification of objects as calcifications is carried out using another set of spatial filters and Feedforward Neural Network (NN). A same distance filter is employed in both methods to find true clusters. The analysis of two methods is performed on 54 image regions from the mammograms selected randomly from DDSM database, including benign and cancerous cases as well as cases which can be classified as hard cases from both radiologists and the computer perspectives. WHMT/WML is able to detect 98.15% true positive (TP) MCCs under 1.85% of false positives (FP), whereas the SUSAN/NN method achieves 94.44% of TP at the cost of 1.85% for FP. The comparison of these two methods suggests WHMT/WML for the computer aided diagnostic prompting. It also certifies the low false positive rates for both methods, meaning less biopsy tests per patient