Breast ultrasound lesions recognition::end-to-end deep learning approaches

Multistage processing of automated breast ultrasound lesions recognition is dependent on the performance of prior stages. To improve the current state of the art, we propose the use of end-to-end deep learning approaches using fully convolutional networks (FCNs), namely FCN-AlexNet, FCN-32s, FCN-16s, and FCN-8s for semantic segmentation of breast lesions. We use pretrained models based on ImageNet and transfer learning to overcome the issue of data deficiency. We evaluate our results on two datasets, which consist of a total of 113 malignant and 356 benign lesions. To assess the performance, we conduct fivefold cross validation using the following split: 70% for training data, 10% for validation data, and 20% testing data. The results showed that our proposed method performed better on benign lesions, with a top "mean Dice" score of 0.7626 with FCN-16s, when compared with the malignant lesions with a top mean Dice score of 0.5484 with FCN-8s. When considering the number of images with Dice score >0.5 , 89.6% of the benign lesions were successfully segmented and correctly recognised, whereas 60.6% of the malignant lesions were successfully segmented and correctly recognized. We conclude the paper by addressing the future challenges of the work

An automatic system for classification of breast cancer lesions in ultrasound images

Breast cancer is the most common of all cancers and second most deadly cancer in women in the developed countries. Mammography and ultrasound imaging are the standard techniques used in cancer screening. Mammography is widely used as the primary tool for cancer screening, however it is invasive technique due to radiation used. Ultrasound seems to be good at picking up many cancers missed by mammography. In addition, ultrasound is non-invasive as no radiation is used, portable and versatile. However, ultrasound images have usually poor quality because of multiplicative speckle noise that results in artifacts. Because of noise segmentation of suspected areas in ultrasound images is a challenging task that remains an open problem despite many years of research. In this research, a new method for automatic detection of suspected breast cancer lesions using ultrasound is proposed. In this fully automated method, new de-noising and segmentation techniques are introduced and high accuracy classifier using combination of morphological and textural features is used. We use a combination of fuzzy logic and compounding to denoise ultrasound images and reduce shadows. We introduced a new method to identify the seed points and then use region growing method to perform segmentation. For preliminary classification we use three classifiers (ANN, AdaBoost, FSVM) and then we use a majority voting to get the final result. We demonstrate that our automated system performs better than the other state-of-the-art systems. On our database containing ultrasound images for 80 patients we reached accuracy of 98.75% versus ABUS method with 88.75% accuracy and Hybrid Filtering method with 92.50% accuracy. Future work would involve a larger dataset of ultrasound images and we will extend our system to handle colour ultrasound images. We will also study the impact of larger number of texture and morphological features as well as weighting scheme on performance of our classifier. We will also develop an automated method to identify the "wall thickness" of a mass in breast ultrasound images. Presently the wall thickness is extracted manually with the help of a physician

Visual Saliency Estimation and Its Applications

The human visual system can automatically emphasize some parts of the image and ignore the other parts when seeing an image or a scene. Visual Saliency Estimation (VSE) aims to imitate this functionality of the human visual system to estimate the degree of human attention attracted by different image regions and locate the salient object. The study of VSE will help us explore the way human visual systems extract objects from an image. It has wide applications, such as robot navigation, video surveillance, object tracking, self-driving, etc. The current VSE approaches on natural images models generic visual stimuli based on lower-level image features, e.g., locations, local/global contrast, and feature correlation. However, existing models still suffered from some drawbacks. First, these methods fail in the cases when the objects are near the image borders. Second, due to imperfect model assumptions, many methods cannot achieve good results when the images have complicated backgrounds. In this work, I focuses on solving these challenges on the natural images by proposing a new framework with more robust task-related priors, and I apply the framework to low-quality biomedical images. The new framework formulates VSE on natural images as a quadratic program (QP) problem. It proposes an adaptive center-based bias hypothesis to replace the most common image center-based center-bias, which is much more robust even when the objects are far away from the image center. Second, it models a new smoothness term to force similar color having similar saliency statistics, which is more robust than that based on region dissimilarity when the image has a complicated background or low contrast. The new approach achieves the best performance among 11 latest methods on three public datasets. Three approaches based on the framework by integrating both high-level domain-knowledge and robust low-level saliency assumptions are utilized to imitate the radiologists\u27 attention to detect breast tumors from breast ultrasound images

Implementing decision tree-based algorithms in medical diagnostic decision support systems

As a branch of healthcare, medical diagnosis can be defined as finding the disease based on the signs and symptoms of the patient. To this end, the required information is gathered from different sources like physical examination, medical history and general information of the patient. Development of smart classification models for medical diagnosis is of great interest amongst the researchers. This is mainly owing to the fact that the machine learning and data mining algorithms are capable of detecting the hidden trends between features of a database. Hence, classifying the medical datasets using smart techniques paves the way to design more efficient medical diagnostic decision support systems. Several databases have been provided in the literature to investigate different aspects of diseases. As an alternative to the available diagnosis tools/methods, this research involves machine learning algorithms called Classification and Regression Tree (CART), Random Forest (RF) and Extremely Randomized Trees or Extra Trees (ET) for the development of classification models that can be implemented in computer-aided diagnosis systems. As a decision tree (DT), CART is fast to create, and it applies to both the quantitative and qualitative data. For classification problems, RF and ET employ a number of weak learners like CART to develop models for classification tasks. We employed Wisconsin Breast Cancer Database (WBCD), Z-Alizadeh Sani dataset for coronary artery disease (CAD) and the databanks gathered in Ghaem Hospital’s dermatology clinic for the response of patients having common and/or plantar warts to the cryotherapy and/or immunotherapy methods. To classify the breast cancer type based on the WBCD, the RF and ET methods were employed. It was found that the developed RF and ET models forecast the WBCD type with 100% accuracy in all cases. To choose the proper treatment approach for warts as well as the CAD diagnosis, the CART methodology was employed. The findings of the error analysis revealed that the proposed CART models for the applications of interest attain the highest precision and no literature model can rival it. The outcome of this study supports the idea that methods like CART, RF and ET not only improve the diagnosis precision, but also reduce the time and expense needed to reach a diagnosis. However, since these strategies are highly sensitive to the quality and quantity of the introduced data, more extensive databases with a greater number of independent parameters might be required for further practical implications of the developed models

Smoking and Second Hand Smoking in Adolescents with Chronic Kidney Disease: A Report from the Chronic Kidney Disease in Children (CKiD) Cohort Study

The goal of this study was to determine the prevalence of smoking and second hand smoking [SHS] in adolescents with CKD and their relationship to baseline parameters at enrollment in the CKiD, observational cohort study of 600 children (aged 1-16 yrs) with Schwartz estimated GFR of 30-90 ml/min/1.73m2. 239 adolescents had self-report survey data on smoking and SHS exposure: 21 [9%] subjects had “ever” smoked a cigarette. Among them, 4 were current and 17 were former smokers. Hypertension was more prevalent in those that had “ever” smoked a cigarette (42%) compared to non-smokers (9%), p\u3c0.01. Among 218 non-smokers, 130 (59%) were male, 142 (65%) were Caucasian; 60 (28%) reported SHS exposure compared to 158 (72%) with no exposure. Non-smoker adolescents with SHS exposure were compared to those without SHS exposure. There was no racial, age, or gender differences between both groups. Baseline creatinine, diastolic hypertension, C reactive protein, lipid profile, GFR and hemoglobin were not statistically different. Significantly higher protein to creatinine ratio (0.90 vs. 0.53, p\u3c0.01) was observed in those exposed to SHS compared to those not exposed. Exposed adolescents were heavier than non-exposed adolescents (85th percentile vs. 55th percentile for BMI, p\u3c 0.01). Uncontrolled casual systolic hypertension was twice as prevalent among those exposed to SHS (16%) compared to those not exposed to SHS (7%), though the difference was not statistically significant (p= 0.07). Adjusted multivariate regression analysis [OR (95% CI)] showed that increased protein to creatinine ratio [1.34 (1.03, 1.75)] and higher BMI [1.14 (1.02, 1.29)] were independently associated with exposure to SHS among non-smoker adolescents. These results reveal that among adolescents with CKD, cigarette use is low and SHS is highly prevalent. The association of smoking with hypertension and SHS with increased proteinuria suggests a possible role of these factors in CKD progression and cardiovascular outcomes