14,290 research outputs found
A comparative evaluation of two algorithms of detection of masses on mammograms
In this paper, we implement and carry out the comparison of two methods of
computer-aided-detection of masses on mammograms. The two algorithms basically
consist of 3 steps each: segmentation, binarization and noise suppression using
different techniques for each step. A database of 60 images was used to compare
the performance of the two algorithms in terms of general detection efficiency,
conservation of size and shape of detected masses.Comment: 9 pages, 5 figures, 1 table, Vol.3, No.1, February 2012,pp19-27;
Signal & Image Processing : An International Journal (SIPIJ),201
Improving medical image perception by hierarchical clustering based segmentation
It has been well documented that radiologists' performance is not perfect: they make both false positive and false negative decisions. For example, approximately thirty percent of early lung cancer is missed on chest radiographs when the evidence is clearly visible in retrospect. Currently computer-aided detection (CAD) uses software, designed to reduce errors by drawing radiologists' attention to possible abnormalities by placing prompts on images. Alberdi et al examined the effects of CAD prompts on performance, comparing the negative effect of no prompt on a cancer case with prompts on a normal case. They showed that no prompt on a cancer case can have a detrimental effect on reader sensitivity and that the reader performs worse than if the reader was not using CAD. This became particularly apparent when difficult cases were being read. They suggested that the readers were using CAD as a decision making tool instead of a prompting aid. They conclude that "incorrect CAD can have a detrimental effect on human decisions". The goal of this paper is to explore the possibility of using hierarchical clustering based segmentation (HSC), as a perceptual aid, to improve the performance of the reader
Can high-frequency ultrasound predict metastatic lymph nodes in patients with invasive breast cancer?
Aim
To determine whether high-frequency ultrasound can predict the presence of metastatic axillary lymph nodes, with a high specificity and positive predictive value, in patients with invasive breast cancer. The clinical aim is to identify patients with axillary disease requiring surgery who would not normally, on clinical grounds, have an axillary dissection, so potentially improving outcome and survival rates.
Materials and methods
The ipsilateral and contralateral axillae of 42 consecutive patients with invasive breast cancer were scanned prior to treatment using a B-mode frequency of 13 MHz and a Power Doppler frequency of 7 MHz. The presence or absence of an echogenic centre for each lymph node detected was recorded, and measurements were also taken to determine the L/S ratio and the widest and narrowest part of the cortex. Power Doppler was also used to determine vascularity. The contralateral axilla was used as a control for each patient.
Results
In this study of patients with invasive breast cancer, ipsilateral lymph nodes with a cortical bulge ≥3 mm and/or at least two lymph nodes with absent echogenic centres indicated the presence of metastatic axillary lymph nodes (10 patients). The sensitivity and specificity were 52.6% and 100%, respectively, positive and negative predictive values were 100% and 71.9%, respectively, the P value was 0.001 and the Kappa score was 0.55.\ud
Conclusion
This would indicate that high-frequency ultrasound can be used to accurately predict metastatic lymph nodes in a proportion of patients with invasive breast cancer, which may alter patient management
A New Computer-Aided Diagnosis System with Modified Genetic Feature Selection for BI-RADS Classification of Breast Masses in Mammograms
Mammography remains the most prevalent imaging tool for early breast cancer
screening. The language used to describe abnormalities in mammographic reports
is based on the breast Imaging Reporting and Data System (BI-RADS). Assigning a
correct BI-RADS category to each examined mammogram is a strenuous and
challenging task for even experts. This paper proposes a new and effective
computer-aided diagnosis (CAD) system to classify mammographic masses into four
assessment categories in BI-RADS. The mass regions are first enhanced by means
of histogram equalization and then semiautomatically segmented based on the
region growing technique. A total of 130 handcrafted BI-RADS features are then
extrcated from the shape, margin, and density of each mass, together with the
mass size and the patient's age, as mentioned in BI-RADS mammography. Then, a
modified feature selection method based on the genetic algorithm (GA) is
proposed to select the most clinically significant BI-RADS features. Finally, a
back-propagation neural network (BPN) is employed for classification, and its
accuracy is used as the fitness in GA. A set of 500 mammogram images from the
digital database of screening mammography (DDSM) is used for evaluation. Our
system achieves classification accuracy, positive predictive value, negative
predictive value, and Matthews correlation coefficient of 84.5%, 84.4%, 94.8%,
and 79.3%, respectively. To our best knowledge, this is the best current result
for BI-RADS classification of breast masses in mammography, which makes the
proposed system promising to support radiologists for deciding proper patient
management based on the automatically assigned BI-RADS categories
Detecting and classifying lesions in mammograms with Deep Learning
In the last two decades Computer Aided Diagnostics (CAD) systems were
developed to help radiologists analyze screening mammograms. The benefits of
current CAD technologies appear to be contradictory and they should be improved
to be ultimately considered useful. Since 2012 deep convolutional neural
networks (CNN) have been a tremendous success in image recognition, reaching
human performance. These methods have greatly surpassed the traditional
approaches, which are similar to currently used CAD solutions. Deep CNN-s have
the potential to revolutionize medical image analysis. We propose a CAD system
based on one of the most successful object detection frameworks, Faster R-CNN.
The system detects and classifies malignant or benign lesions on a mammogram
without any human intervention. The proposed method sets the state of the art
classification performance on the public INbreast database, AUC = 0.95 . The
approach described here has achieved the 2nd place in the Digital Mammography
DREAM Challenge with AUC = 0.85 . When used as a detector, the system reaches
high sensitivity with very few false positive marks per image on the INbreast
dataset. Source code, the trained model and an OsiriX plugin are availaible
online at https://github.com/riblidezso/frcnn_cad
An Efficient Automatic Mass Classification Method In Digitized Mammograms Using Artificial Neural Network
In this paper we present an efficient computer aided mass classification
method in digitized mammograms using Artificial Neural Network (ANN), which
performs benign-malignant classification on region of interest (ROI) that
contains mass. One of the major mammographic characteristics for mass
classification is texture. ANN exploits this important factor to classify the
mass into benign or malignant. The statistical textural features used in
characterizing the masses are mean, standard deviation, entropy, skewness,
kurtosis and uniformity. The main aim of the method is to increase the
effectiveness and efficiency of the classification process in an objective
manner to reduce the numbers of false-positive of malignancies. Three layers
artificial neural network (ANN) with seven features was proposed for
classifying the marked regions into benign and malignant and 90.91% sensitivity
and 83.87% specificity is achieved that is very much promising compare to the
radiologist's sensitivity 75%.Comment: 13 pages, 10 figure
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