A review on automatic mammographic density and parenchymal segmentation

Breast cancer is the most frequently diagnosed cancer in women. However, the exact cause(s) of breast cancer still remains unknown. Early detection, precise identification of women at risk, and application of appropriate disease prevention measures are by far the most effective way to tackle breast cancer. There are more than 70 common genetic susceptibility factors included in the current non-image-based risk prediction models (e.g., the Gail and the Tyrer-Cuzick models). Image-based risk factors, such as mammographic densities and parenchymal patterns, have been established as biomarkers but have not been fully incorporated in the risk prediction models used for risk stratification in screening and/or measuring responsiveness to preventive approaches. Within computer aided mammography, automatic mammographic tissue segmentation methods have been developed for estimation of breast tissue composition to facilitate mammographic risk assessment. This paper presents a comprehensive review of automatic mammographic tissue segmentation methodologies developed over the past two decades and the evidence for risk assessment/density classification using segmentation. The aim of this review is to analyse how engineering advances have progressed and the impact automatic mammographic tissue segmentation has in a clinical environment, as well as to understand the current research gaps with respect to the incorporation of image-based risk factors in non-image-based risk prediction models

An approach to the synthesis of biological tissue

Mathematical phantoms developed to synthesize realistic complex backgrounds such as those obtained when imaging biological tissue, play a key role in the quantitative assessment of image quality for medical and biomedical imaging. We present a modeling framework for the synthesis of realistic tissue samples. The technique is demonstrated using radiological breast tissue. The model employs a two-component image decomposition consisting of a slowly, spatially varying mean-background and a residual texture image. Each component is synthesized independently. The approach and results presented here constitute an important step towards developing methods for the quantitative assessment of image quality in medical and biomedical imaging, and more generally image science