Computer-aided Diagnosis in Breast Ultrasound

Cancer remains a leading cause of death in Taiwan, and the prevalence of breast cancer has increased in recent years. The early detection and diagnosis of breast cancer is the key to ensuring prompt treatment and a reduced death rate. Mammography and ultrasound (US) are the main imaging techniques used in the detection of breast cancer. The heterogeneity of breast cancers leads to an overlap in benign and malignant ultrasonography images, and US examinations are also operator dependent. Recently, computer-aided diagnosis (CAD) has become a major research topic in medical imaging and diagnosis. Technical advances such as tissue harmonic imaging, compound imaging, split screen imaging and extended field-of-view imaging, Doppler US, the use of intravenous contrast agents, elastography, and CAD systems have expanded the clinical application of breast US. Breast US CAD can be an efficient computerized model to provide a second opinion and avoid interobserver variation. Various breast US CAD systems have been developed using techniques which combine image texture extraction and a decision-making algorithm. However, the textural analysis is system dependent and can only be performed well using one specific US system. Recently, several researchers have demonstrated the use of such CAD systems with various US machines mainly for preprocessing techniques designed to homogenize textural features between systems. Morphology-based CAD systems used for the diagnosis of solid breast tumors have the advantage of being nearly independent of either the settings of US systems or different US machines. Future research on CAD systems should include pathologically specific tissue-related and hormonerelated conjecture, which could be applied to picture archiving and communication systems or teleradiology

Detection of Masses in Digital Mammograms using K-means and Support Vector Machine

Breast cancer is a serious public health problem in several countries. Computer Aided Detection/Diagnosis systems (CAD/CADx) have been used with relative success aiding health care professionals. The goal of such systems is contribute on the specialist task aiding in the detection of different types of cancer at an early stage. This work presents a methodology for masses detection on digitized mammograms using the K-means algorithm for image segmentation and co-occurrence matrix to describe the texture of segmented structures. Classification of these structures is accomplished through Support Vector Machines, which separate them in two groups, using shape and texture descriptors: masses and non-masses. The methodology obtained 85% of accuracy

Consistent performance measurement of a system to detect masses in mammograms based on blind feature extraction

BACKGROUND: Breast cancer continues to be a leading cause of cancer deaths among women, especially in Western countries. In the last two decades, many methods have been proposed to achieve a robust mammography‐based computer aided detection (CAD) system. A CAD system should provide high performance over time and in different clinical situations. I.e., the system should be adaptable to different clinical situations and should provide consistent performance. METHODS: We tested our system seeking a measure of the guarantee of its consistent performance. The method is based on blind feature extraction by independent component analysis (ICA) and classification by neural networks (NN) or SVM classifiers. The test mammograms were from the Digital Database for Screening Mammography (DDSM). This database was constructed collaboratively by four institutions over more than 10 years. We took advantage of this to train our system using the mammograms from each institution separately, and then testing it on the remaining mammograms. We performed another experiment to compare the results and thus obtain the measure sought. This experiment consists in to form the learning sets with all available prototypes regardless of the institution in which them were generated, obtaining in that way the overall results. RESULTS: The smallest variation from comparing the results of the testing set in each experiment (performed by training the system using the mammograms from one institution and testing with the remaining) with those of the overall result, considering the success rate for an intermediate decision maker threshold, was roughly 5%, and the largest variation was roughly 17%. But, if we considere the area under ROC curve, the smallest variation was close to 4%, and the largest variation was about a 6%. CONCLUSIONS: Considering the heterogeneity in the datasets used to train and test our system in each case, we think that the variation of performance obtained when the results are compared with the overall results is acceptable in both cases, for NN and SVM classifiers. The present method is therefore very general in that it is able to adapt to different clinical situations and provide consistent performance

Local Binary Patterns Applied to Breast Cancer Classification in Mammographies

Among all cancer types, breast cancer is the one with the second highest incidence rate for women. Mammography is the most used method for breast cancer detection, as it reveals abnormalities such as masses, calcifications, asymmetries and architectural distortions. In this paper, we propose a classification method for breast cancer that has been tested for six different cancer types: CALC, CIRC, SPIC, MISC, ARCH, ASYM. The proposed approach is composed of a SVM classifier trained with LBP features. The MIAS image database was used in the experiments and ROC curves were generated. To the best of our knowledge, our approach is the first to handle those six different cancer types using the same technique. One important result of the proposed approach is that it was tested over six different breast cancer types proving to be generic enough to obtain high classification results in all cases

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 detection and diagnosis of breast cancer in 2D and 3D medical imaging through multifractal analysis

This Thesis describes the research work performed in the scope of a doctoral research program and presents its conclusions and contributions. The research activities were carried on in the industry with Siemens S.A. Healthcare Sector, in integration with a research team. Siemens S.A. Healthcare Sector is one of the world biggest suppliers of products, services and complete solutions in the medical sector. The company offers a wide selection of diagnostic and therapeutic equipment and information systems. Siemens products for medical imaging and in vivo diagnostics include: ultrasound, computer tomography, mammography, digital breast tomosynthesis, magnetic resonance, equipment to angiography and coronary angiography, nuclear imaging, and many others. Siemens has a vast experience in Healthcare and at the beginning of this project it was strategically interested in solutions to improve the detection of Breast Cancer, to increase its competitiveness in the sector. The company owns several patents related with self-similarity analysis, which formed the background of this Thesis. Furthermore, Siemens intended to explore commercially the computer- aided automatic detection and diagnosis eld for portfolio integration. Therefore, with the high knowledge acquired by University of Beira Interior in this area together with this Thesis, will allow Siemens to apply the most recent scienti c progress in the detection of the breast cancer, and it is foreseeable that together we can develop a new technology with high potential. The project resulted in the submission of two invention disclosures for evaluation in Siemens A.G., two articles published in peer-reviewed journals indexed in ISI Science Citation Index, two other articles submitted in peer-reviewed journals, and several international conference papers. This work on computer-aided-diagnosis in breast led to innovative software and novel processes of research and development, for which the project received the Siemens Innovation Award in 2012. It was very rewarding to carry on such technological and innovative project in a socially sensitive area as Breast Cancer.No cancro da mama a deteção precoce e o diagnóstico correto são de extrema importância na prescrição terapêutica e caz e e ciente, que potencie o aumento da taxa de sobrevivência à doença. A teoria multifractal foi inicialmente introduzida no contexto da análise de sinal e a sua utilidade foi demonstrada na descrição de comportamentos siológicos de bio-sinais e até na deteção e predição de patologias. Nesta Tese, três métodos multifractais foram estendidos para imagens bi-dimensionais (2D) e comparados na deteção de microcalci cações em mamogramas. Um destes métodos foi também adaptado para a classi cação de massas da mama, em cortes transversais 2D obtidos por ressonância magnética (RM) de mama, em grupos de massas provavelmente benignas e com suspeição de malignidade. Um novo método de análise multifractal usando a lacunaridade tri-dimensional (3D) foi proposto para classi cação de massas da mama em imagens volumétricas 3D de RM de mama. A análise multifractal revelou diferenças na complexidade subjacente às localizações das microcalci cações em relação aos tecidos normais, permitindo uma boa exatidão da sua deteção em mamogramas. Adicionalmente, foram extraídas por análise multifractal características dos tecidos que permitiram identi car os casos tipicamente recomendados para biópsia em imagens 2D de RM de mama. A análise multifractal 3D foi e caz na classi cação de lesões mamárias benignas e malignas em imagens 3D de RM de mama. Este método foi mais exato para esta classi cação do que o método 2D ou o método padrão de análise de contraste cinético tumoral. Em conclusão, a análise multifractal fornece informação útil para deteção auxiliada por computador em mamogra a e diagnóstico auxiliado por computador em imagens 2D e 3D de RM de mama, tendo o potencial de complementar a interpretação dos radiologistas