Texture descriptors applied to digital mammography

Breast cancer is the second cause of death among women cancers. Computer Aided Detection has been demon- strated an useful tool for early diagnosis, a crucial as- pect for a high survival rate. In this context, several re- search works have incorporated texture features in mam- mographic image segmentation and description such as Gray-Level co-occurrence matrices, Local Binary Pat- terns, and many others. This paper presents an approach for breast density classi¯cation based on segmentation and texture feature extraction techniques in order to clas- sify digital mammograms according to their internal tis- sue. The aim of this work is to compare di®erent texture descriptors on the same framework (same algorithms for segmentation and classi¯cation, as well as same images). Extensive results prove the feasibility of the proposed ap- proach.Postprint (published version

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

Multi-Classifiers And Decision Fusion For Robust Statistical Pattern Recognition With Applications To Hyperspectral Classification

In this dissertation, a multi-classifier, decision fusion framework is proposed for robust classification of high dimensional data in small-sample-size conditions. Such datasets present two key challenges. (1) The high dimensional feature spaces compromise the classifiers’ generalization ability in that the classifier tends to overit decision boundaries to the training data. This phenomenon is commonly known as the Hughes phenomenon in the pattern classification community. (2) The small-sample-size of the training data results in ill-conditioned estimates of its statistics. Most classifiers rely on accurate estimation of these statistics for modeling training data and labeling test data, and hence ill-conditioned statistical estimates result in poorer classification performance. This dissertation tests the efficacy of the proposed algorithms to classify primarily remotely sensed hyperspectral data and secondarily diagnostic digital mammograms, since these applications naturally result in very high dimensional feature spaces and often do not have sufficiently large training datasets to support the dimensionality of the feature space. Conventional approaches, such as Stepwise LDA (S-LDA) are sub-optimal, in that they utilize a small subset of the rich spectral information provided by hyperspectral data for classification. In contrast, the approach proposed in this dissertation utilizes the entire high dimensional feature space for classification by identifying a suitable partition of this space, employing a bank-of-classifiers to perform “local” classification over this partition, and then merging these local decisions using an appropriate decision fusion mechanism. Adaptive classifier weight assignment and nonlinear pre-processing (in kernel induced spaces) are also proposed within this framework to improve its robustness over a wide range of fidelity conditions. Experimental results demonstrate that the proposed framework results in significant improvements in classification accuracies (as high as a 12% increase) over conventional approaches

Multi-Classifiers And Decision Fusion For Robust Statistical Pattern Recognition With Applications To Hyperspectral Classification

In this dissertation, a multi-classifier, decision fusion framework is proposed for robust classification of high dimensional data in small-sample-size conditions. Such datasets present two key challenges. (1) The high dimensional feature spaces compromise the classifiers’ generalization ability in that the classifier tends to overit decision boundaries to the training data. This phenomenon is commonly known as the Hughes phenomenon in the pattern classification community. (2) The small-sample-size of the training data results in ill-conditioned estimates of its statistics. Most classifiers rely on accurate estimation of these statistics for modeling training data and labeling test data, and hence ill-conditioned statistical estimates result in poorer classification performance. This dissertation tests the efficacy of the proposed algorithms to classify primarily remotely sensed hyperspectral data and secondarily diagnostic digital mammograms, since these applications naturally result in very high dimensional feature spaces and often do not have sufficiently large training datasets to support the dimensionality of the feature space. Conventional approaches, such as Stepwise LDA (S-LDA) are sub-optimal, in that they utilize a small subset of the rich spectral information provided by hyperspectral data for classification. In contrast, the approach proposed in this dissertation utilizes the entire high dimensional feature space for classification by identifying a suitable partition of this space, employing a bank-of-classifiers to perform “local” classification over this partition, and then merging these local decisions using an appropriate decision fusion mechanism. Adaptive classifier weight assignment and nonlinear pre-processing (in kernel induced spaces) are also proposed within this framework to improve its robustness over a wide range of fidelity conditions. Experimental results demonstrate that the proposed framework results in significant improvements in classification accuracies (as high as a 12% increase) over conventional approaches

Image processing and machine learning techniques used in computer-aided detection system for mammogram screening - a review

This paper aims to review the previously developed Computer-aided detection (CAD) systems for mammogram screening because increasing death rate in women due to breast cancer is a global medical issue and it can be controlled only by early detection with regular screening. Till now mammography is the widely used breast imaging modality. CAD systems have been adopted by the radiologists to increase the accuracy of the breast cancer diagnosis by avoiding human errors and experience related issues. This study reveals that in spite of the higher accuracy obtained by the earlier proposed CAD systems for breast cancer diagnosis, they are not fully automated. Moreover, the false-positive mammogram screening cases are high in number and over-diagnosis of breast cancer exposes a patient towards harmful overtreatment for which a huge amount of money is being wasted. In addition, it is also reported that the mammogram screening result with and without CAD systems does not have noticeable difference, whereas the undetected cancer cases by CAD system are increasing. Thus, future research is required to improve the performance of CAD system for mammogram screening and make it completely automated

COMPUTER AIDED SYSTEM FOR BREAST CANCER DIAGNOSIS USING CURVELET TRANSFORM

Breast cancer is a leading cause of death among women worldwide. Early detection is the key for improving breast cancer prognosis. Digital mammography remains one of the most suitable tools for early detection of breast cancer. Hence, there are strong needs for the development of computer aided diagnosis (CAD) systems which have the capability to help radiologists in decision making. The main goal is to increase the diagnostic accuracy rate. In this thesis we developed a computer aided system for the diagnosis and detection of breast cancer using curvelet transform. Curvelet is a multiscale transform which possess directionality and anisotropy, and it breaks some inherent limitations of wavelet in representing edges in images. We started this study by developing a diagnosis system. Five feature extraction methods were developed with curvelet and wavelet coefficients to differentiate between different breast cancer classes. The results with curvelet and wavelet were compared. The experimental results show a high performance of the proposed methods and classification accuracy rate achieved 97.30%. The thesis then provides an automatic system for breast cancer detection. An automatic thresholding algorithm was used to separate the area composed of the breast and the pectoral muscle from the background of the image. Subsequently, a region growing algorithm was used to locate the pectoral muscle and suppress it from the breast. Then, the work concentrates on the segmentation of region of interest (ROI). Two methods are suggested to accomplish the segmentation stage: an adaptive thresholding method and a pattern matching method. Once the ROI has been identified, an automatic cropping is performed to extract it from the original mammogram. Subsequently, the suggested feature extraction methods were applied to the segmented ROIs. Finally, the K-Nearest Neighbor (KNN) and Support Vector Machine (SVM) classifiers were used to determine whether the region is abnormal or normal. At this level, the study focuses on two abnormality types (mammographic masses and architectural distortion). Experimental results show that the introduced methods have very high detection accuracies. The effectiveness of the proposed methods has been tested with Mammographic Image Analysis Society (MIAS) dataset. Throughout the thesis all proposed methods and algorithms have been applied with both curvelet and wavelet for comparison and statistical tests were also performed. The overall results show that curvelet transform performs better than wavelet and the difference is statistically significant

Radiomic and Artificial Intelligence Analysis with Textural Metrics, Morphological and Dynamic Perfusion Features Extracted by Dynamic Contrast-Enhanced Magnetic Resonance Imaging in the Classification of Breast Lesions

The aim of the study was to estimate the diagnostic accuracy of textural, morpho- logical and dynamic features, extracted by dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) images, by carrying out univariate and multivariate statistical analyses including artificial intelligence approaches. Methods: In total, 85 patients with known breast lesion were enrolled in this retrospective study according to regulations issued by the local Institutional Review Board. All patients underwent DCE-MRI examination. The reference standard was pathology from a surgical specimen for malignant lesions and pathology from a surgical specimen or fine needle aspiration cytology, core or Tru-Cut needle biopsy for benign lesions. In total, 91 samples of 85 patients were ana- lyzed. Furthermore, 48 textural metrics, 15 morphological and 81 dynamic parameters were extracted by manually segmenting regions of interest. Statistical analyses including univariate and multivari- ate approaches were performed: non-parametric Wilcoxon–Mann–Whitney test; receiver operating characteristic (ROC), linear classifier (LDA), decision tree (DT), k-nearest neighbors (KNN), and support vector machine (SVM) were utilized. A balancing approach and feature selection methods were used. Results: The univariate analysis showed low accuracy and area under the curve (AUC) for all considered features. Instead, in the multivariate textural analysis, the best performance (accuracy (ACC) = 0.78; AUC = 0.78) was reached with all 48 metrics and an LDA trained with balanced data. The best performance (ACC = 0.75; AUC = 0.80) using morphological features was reached with an SVM trained with 10-fold cross-variation (CV) and balanced data (with adaptive synthetic (ADASYN) function) and a subset of five robust morphological features (circularity, rectangularity, sphericity, gleaning and surface). The best performance (ACC = 0.82; AUC = 0.83) using dynamic features was reached with a trained SVM and balanced data (with ADASYN function). Conclusion: Multivariate analyses using pattern recognition approaches, including all morphological, textural and dynamic features, optimized by adaptive synthetic sampling and feature selection operations obtained the best results and showed the best performance in the discrimination of benign and malignant lesions