Towards Automated Semantic Segmentation in Mammography Images

Mammography images are widely used to detect non-palpable breast lesions or nodules, preventing cancer and providing the opportunity to plan interventions when necessary. The identification of some structures of interest is essential to make a diagnosis and evaluate image adequacy. Thus, computer-aided detection systems can be helpful in assisting medical interpretation by automatically segmenting these landmark structures. In this paper, we propose a deep learning-based framework for the segmentation of the nipple, the pectoral muscle, the fibroglandular tissue, and the fatty tissue on standard-view mammography images. We introduce a large private segmentation dataset and extensive experiments considering different deep-learning model architectures. Our experiments demonstrate accurate segmentation performance on variate and challenging cases, showing that this framework can be integrated into clinical practice.Comment: 6 page

Comparison between two packages for pectoral muscle removal on mammographic images

Background: Pectoral muscle removal is a fundamental preliminary step in computer-aided diagnosis systems for full-field digital mammography (FFDM). Currently, two open-source publicly available packages (LIBRA and OpenBreast) provide algorithms for pectoral muscle removal within Matlab environment. Purpose: To compare performance of the two packages on a single database of FFDM images. Methods: Only mediolateral oblique (MLO) FFDM was considered because of large presence of pectoral muscle on this type of projection. For obtaining ground truth, pectoral muscle has been manually segmented by two radiologists in consensus. Both LIBRA’s and OpenBreast’s removal performance with respect to ground truth were compared using Dice similarity coefficient and Cohen-kappa reliability coefficient; Wilcoxon signed-rank test has been used for assessing differences in performances; Kruskal–Wallis test has been used to verify possible dependence of the performance from the breast density or image laterality. Results: FFDMs from 168 consecutive women at our institution have been included in the study. Both LIBRA’s Dice-index and Cohen-kappa were significantly higher than OpenBreast (Wilcoxon signed-rank test P < 0.05). No dependence on breast density or laterality has been found (Kruskal–Wallis test P > 0.05). Conclusion: Libra has a better performance than OpenBreast in pectoral muscle delineation so that, although our study has not a direct clinical application, these results are useful in the choice of packages for the development of complex systems for computer-aided breast evaluation

Fully automated breast boundary and pectoral muscle segmentation in mammograms

Breast and pectoral muscle segmentation is an essential pre-processing step for the subsequent processes in Computer Aided Diagnosis (CAD) systems. Estimating the breast and pectoral boundaries is a difficult task especially in mammograms due to artifacts, homogeneity between the pectoral and breast regions, and low contrast along the skin-air boundary. In this paper, a breast boundary and pectoral muscle segmentation method in mammograms is proposed. For breast boundary estimation, we determine the initial breast boundary via thresholding and employ Active Contour Models without edges to search for the actual boundary. A post-processing technique is proposed to correct the overestimated boundary caused by artifacts. The pectoral muscle boundary is estimated using Canny edge detection and a pre-processing technique is proposed to remove noisy edges. Subsequently, we identify five edge features to find the edge that has the highest probability of being the initial pectoral contour and search for the actual boundary via contour growing. The segmentation results for the proposed method are compared with manual segmentations using 322, 208 and 100 mammograms from the Mammographic Image Analysis Society (MIAS), INBreast and Breast Cancer Digital Repository (BCDR) databases, respectively. Experimental results show that the breast boundary and pectoral muscle estimation methods achieved dice similarity coefficients of 98.8% and 97.8% (MIAS), 98.9% and 89.6% (INBreast) and 99.2% and 91.9% (BCDR), respectively

Wavelet-Based Automatic Breast Segmentation for Mammograms

As part of a first of its kind analysis of longitudinal mammograms, there are thousands of mammograms that need to be analyzed computationally. As a pre- processing step, each mammogram needs to be converted into a binary (black or white) spatial representation in order to delineate breast tissue from the pectoral muscle and image background, which is called a mammographic mask. The current methodology for completing this task is for a lab member to manually trace the outline of the breast, which takes approximately three minutes per mammogram. Thus, reducing the time cost and human subjectivity when completing this task for all mammograms in a large dataset is extremely valuable. In this thesis, an automated breast segmentation algorithm was adapted from a multi-scale gradient-based edge detection approach called the 2D Wavelet Transform Modulus Maxima (WTMM) segmentation method. This automated masking algorithm incorporates the first-derivative Gaussian Wavelet Transform to identify potential edge detection contour lines called maxima chains. The candidate chains are then transformed into a binary mask, which is then compared with the original manual delineation through the use of the Sorenson-Dice Coefficient (DSC). The analysis of 556 grayscale mammograms with this developed methodology produced a median DSC of 0.988 and 0.973 for craniocaudal (CC) and mediolateral oblique (MLO) grayscale mammograms respectively. Based on these median DSCs, in which a perfect overlap score is 1, it can be concluded a wavelet-based automatic breast segmentation algorithm is able to quickly segment the pectoral muscle and produce accurate binary spatial representations of breast tissue in grayscale mammograms