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

Modified fuzzy rough set technique with stacked autoencoder model for magnetic resonance imaging based breast cancer detection

Breast cancer is the common cancer in women, where early detection reduces the mortality rate. The magnetic resonance imaging (MRI) images are efficient in analyzing breast cancer, but it is hard to identify the abnormalities. The manual breast cancer detection in MRI images is inefficient; therefore, a deep learning-based system is implemented in this manuscript. Initially, the visual quality improvement is done using region growing and adaptive histogram equalization (AHE), and then, the breast lesion is segmented by Otsu thresholding with morphological transform. Next, the features are extracted from the segmented lesion, and a modified fuzzy rough set technique is proposed to reduce the dimensions of the extracted features that decreases the system complexity and computational time. The active features are fed to the stacked autoencoder for classifying the benign and malignant classes. The results demonstrated that the proposed model attained 99% and 99.22% of classification accuracy on the benchmark datasets, which are higher related to the comparative classifiers: decision tree, naïve Bayes, random forest and k-nearest neighbor (KNN). The obtained results state that the proposed model superiorly screens and detects the breast lesions that assists clinicians in effective therapeutic intervention and timely treatment

Breast cancer mass detection in dce-mri using deep-learning features followed by discrimination of infiltrative vs. in situ carcinoma through a machine-learning approach

Breast cancer is the leading cause of cancer deaths worldwide in women. This aggressive tumor can be categorized into two main groups-in situ and infiltrative, with the latter being the most common malignant lesions. The current use of magnetic resonance imaging (MRI) was shown to provide the highest sensitivity in the detection and discrimination between benign vs. malignant lesions, when interpreted by expert radiologists. In this article, we present the prototype of a computer-aided detection/diagnosis (CAD) system that could provide valuable assistance to radiologists for discrimination between in situ and infiltrating tumors. The system consists of two main processing levels-(1) localization of possibly tumoral regions of interest (ROIs) through an iterative procedure based on intensity values (ROI Hunter), followed by a deep-feature extraction and classification method for false-positive rejection; and (2) characterization of the selected ROIs and discrimination between in situ and invasive tumor, consisting of Radiomics feature extraction and classification through a machine-learning algorithm. The CAD system was developed and evaluated using a DCE-MRI image database, containing at least one confirmed mass per image, as diagnosed by an expert radiologist. When evaluating the accuracy of the ROI Hunter procedure with respect to the radiologist-drawn boundaries, sensitivity to mass detection was found to be 75%. The AUC of the ROC curve for discrimination between in situ and infiltrative tumors was 0.70

Quantification of tumour heterogenity in MRI

Cancer is the leading cause of death that touches us all, either directly or indirectly. It is estimated that the number of newly diagnosed cases in the Netherlands will increase to 123,000 by the year 2020. General Dutch statistics are similar to those in the UK, i.e. over the last ten years, the age-standardised incidence rate1 has stabilised at around 355 females and 415 males per 100,000. Figure 1 shows the cancer incidence per gender. In the UK, the rise in lifetime risk of cancer is more than one in three and depends on many factors, including age, lifestyle and genetic makeup

MRI in the differential diagnosis of primary architectural distortion detected by mammography

PURPOSEWe aimed to evaluate the diagnostic accuracy of a combination of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and apparent diffusion coefficient (ADC) values in lesions that manifest with architectural distortion (AD) on mammography.METHODSAll full-field digital mammography (FFDM) images obtained between August 2010 and January 2013 were reviewed retrospectively, and 57 lesions showing AD were included in the study. Two independent radiologists reviewed all mammograms and MRI data and recorded lesion characteristics according to the BI-RADS lexicon. The gold standard was histopathologic results from biopsies or surgical excisions and results of the two-year follow-up. Receiver operating characteristic curve analysis was carried out to define the most effective threshold ADC value to differentiate malignant from benign breast lesions. We investigated the sensitivity and specificity of FFDM, DCE-MRI, FFDM+DCE-MRI, and DCE-MRI+ADC.RESULTSOf the 57 lesions analyzed, 28 were malignant and 29 were benign. The most effective threshold for the normalized ADC (nADC) was 0.61 with 93.1% sensitivity and 75.0% specificity. The sensitivity and specificity of DCE-MRI combined with nADC was 92.9% and 79.3%, respectively. DCE-MRI combined with nADC showed the highest specificity and equal sensitivity compared with other modalities, independent of the presentation of calcification.CONCLUSIONDCE-MRI combined with nADC values was more reliable than mammography in differentiating the nature of disease manifesting as primary AD on mammography

Three-Dimensional Local Energy-Based Shape Histogram (3D-LESH): A Novel Feature Extraction Technique

In this paper, we present a novel feature extraction technique, termed Three-Dimensional Local Energy-Based Shape Histogram (3D-LESH), and exploit it to detect breast cancer in volumetric medical images. The technique is incorporated as part of an intelligent expert system that can aid medical practitioners making diagnostic decisions. Analysis of volumetric images, slice by slice, is cumbersome and inefficient. Hence, 3D-LESH is designed to compute a histogram-based feature set from a local energy map, calculated using a phase congruency (PC) measure of volumetric Magnetic Resonance Imaging (MRI) scans in 3D space. 3D-LESH features are invariant to contrast intensity variations within different slices of the MRI scan and are thus suitable for medical image analysis.The contribution of this article is manifold. First, we formulate a novel 3D-LESH feature extraction technique for 3D medical images to analyse volumetric images. Further, the proposed 3D-LESH algorithmis, for the first time, applied to medical MRI images. The final contribution is the design of an intelligent clinical decision support system (CDSS) as a multi-stage approach, combining novel 3D-LESH feature extraction with machine learning classifiers, to detect cancer from breast MRI scans. The proposed system applies contrast-limited adaptive histogram equalisation (CLAHE) to the MRI images before extracting 3D-LESH features. Furthermore, a selected subset of these features is fed into a machine-learning classifier, namely, a support vector machine (SVM), an extreme learning machine (ELM) or an echo state network (ESN) classifier, to detect abnormalities and distinguish between different stages of abnormality. We demonstrate the performance of the proposed technique by its application to benchmark breast cancer MRI images. The results indicate high-performance accuracy of the proposed system (98%±0.0050, with an area under a receiver operating charactertistic curve value of 0.9900 ± 0.0050) with multiple classifiers. When compared with the state-of-the-art wavelet-based feature extraction technique, statistical analysis provides conclusive evidence of the significance of our proposed 3D-LESH algorithm