A CAD System for the Detection of Clustered Microcalcification in Digitized Mammogram Film

Cluster of microcalcification in mammograms are an important early sign of breast cancer. This report presents a computer aided diagnosis (CAD) system for the automatic detection of cluster rnicrocalcifications in digitized mammograms. The main objective of this study is to present the approach for microcalcifications detection in mammography image. In literature review author illustrate the techniques used in image processing, segmentation, feature extraction and neural network in detecting rnicrocalcification. The proposed system consists of two main steps. First step is image preprocessing and segmentation in order to improve and enhance the quality of image. Then second step is feature extraction to analyze the image and conclude whether the case is malignant or benign. The programming of the project using MATLAB still need to be improved since it produce the output that did not meet the author expectation especially in feature extraction

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

Microcalcifications Detection Using Image And Signal Processing Techniques For Early Detection Of Breast Cancer

Breast cancer has transformed into a severe health problem around the world. Early diagnosis is an important factor to survive this disease. The earliest detection signs of potential breast cancer that is distinguishable by current screening techniques are the presence of microcalcifications (MCs). MCs are small crystals of calcium apatite and their normal size ranges from 0.1mm to 0.5mm single crystals to groups up to a few centimeters in diameter. They are the first indication of breast cancer in more than 40% of all breast cancer cases, making their diagnosis critical. This dissertation proposes several segmentation techniques for detecting and isolating point microcalcifications: Otsu’s Method, Balanced Histogram Thresholding, Iterative Method, Maximum Entropy, Moment Preserving, and Genetic Algorithm. These methods were applied to medical images to detect microcalcifications. In this dissertation, results from the application of these techniques are presented and their efficiency for early detection of breast cancer is explained. This dissertation also explains theories and algorithms related to these techniques that can be used for breast cancer detection

Exploration of the Relationship Between the Fractal Dimension of Microcalcification Clusters and the Hurst Exponent of Background Tissue Disruption in Mammograms

Breast cancer is one of the most frequent cancers among women worldwide and holds the second place in cancer-related death. Mammography is the most commonly used screening technique, however, the dense nature of some breasts makes the analysis of mammograms challenging for radiologists. The 2D Wavelet Transform Modulus Maxima (WTMM) is one mathematical approach that is used to for the analysis of mammograms. In 2014, a team from the CompuMAINE Lab characterized differences between benign microcalcification clusters (MC) from malignant MC by calculating their fractal dimension, D, with the aid of the 2D WTMM method. In a different implementation of the 2D WTMM method, this same team did research in 2017 where they quantified tissue disruption in breast tissue microenvironment using the Hurst exponent, H. The goal of this study was to further explore the potential relationship between the fractality of MC clusters and tissue disruption in the microenvironment surrounding these clusters. Statistical relationships are explored between the fractal dimension, D, of MC clusters and the Hurst exponent, H measuring tissue disruption. A “2D fractal dimension vs. Hurst exponent plot” was graphed to show this relationship used to distinguish between benign and malignant cases. In the graph, a quadrilateral region extending horizontally from Hurst value of (0.2,0.8) centered at 0.5 and stretching vertically from fractal dimension value of (1.2,1.8) centered 1.5 was identified. Analysis of this region has showed that the 60% of the malignant cases and 21% benign cases are found inside the quadrilateral for CC view and 68% of the malignant cases and 12% of benign cases are found inside the region for MLO view. As a conclusion, based on the outcomes of this study one can hypothesize that with further analyses, loss of tissue homeostasis describing the state of the microenvironment of a breast tissue and the fractal nature of MC clusters have a quantifiable relationship to distinguish benign cases from malignant cases in mammogram analysis

AN AUTOMATED COMPUTER-AIDED DETECTION (CADe) AND DIAGNOSIS (CADx) SYSTEM FOR BREAST MICROCALCIFICATIONS IN MAMMOGRAMS

ABSTRACTAn automated computer aided diagnosis system has been proposed for detection of microcalcification (MC) clusters in mammograms. The proposed system is a whole system including suspicious regions identification, MCs detection, false positive reduction and benign/malign classification. For classification of suspicious microcalcification regions, a multilayer perceptron (MLP) neural network was used with grey level co-occurrence matrix (GLCM) and statistical features.  Then to decrease the false positive classification ratio, we used cascade correlation neural network (CCNN) with grey level run length matrix (GLRLM) features. In the last step, hybrid form of discriminant analysis and support vector machine (SVM) methods were used with GLRLM features for benign/malign classification of detected MC clusters. The open access Mammographic Image Analysis Society (MIAS) database was used for the study. Experimental results show that the proposed algorithm obtained 86% sensitivity, 98.3% specificity and 1.163 FPpI rates for detection an for diagnosis of breast cancer, the obtained sensitivity and specificity values are 100% and 100% respectively. Despite the vision difficulty of MC clusters, the novel system provides very satisfactory results. Furthermore, the developed system is fully automatic whole system which gives outputs as percentages and transformed assessment categories. Keywords: Mammograms, Breast cancer, Computer aided diagnosis, Cascade correlation neural network (CCNN), Grey level co-occurrence matrix (GLCM), Grey level run length matrix (GLRLM). 

Aplicação de técnicas de data mining para suporte ao diagnóstico de cancro da mama

More than ever, there is an increase of the number of decision support methods and computer aided diagnostic systems applied to various areas of medicine. In breast cancer research, many works have been done in order to reduce false-positives when used as a double reading method. In this study, we aimed to present a set of data mining techniques that were applied to approach a decision support system in the area of breast cancer diagnosis. This method is geared to assist clinical practice in identifying mammographic findings such as microcalcifications, masses and even normal tissues, in order to avoid misdiagnosis. In this work a reliable database was used, with 410 images from about 115 patients, containing previous reviews performed by radiologists as microcalcifications, masses and also normal tissue findings. Throughout this work, two feature extraction techniques were used: the gray level co-occurrence matrix and the gray level run length matrix. For classification purposes, we considered various scenarios according to different distinct patterns of injuries and several classifiers in order to distinguish the best performance in each case described. The many classifiers used were Naïve Bayes, Support Vector Machines, k-nearest Neighbors and Decision Trees (J48 and Random Forests). The results in distinguishing mammographic findings revealed great percentages of PPV and very good accuracy values. Furthermore, it also presented other related results of classification of breast density and BI-RADS® scale. The best predictive method found for all tested groups was the Random Forest classifier, and the best performance has been achieved through the distinction of microcalcifications. The conclusions based on the several tested scenarios represent a new perspective in breast cancer diagnosis using data mining techniques.Cada vez mais assistimos a um aumento global do número de métodos de apoio a decisão e diagnóstico assistido por computador, aplicados a diversas áreas da medicina. Na área de investigação do cancro da mama muitos são os trabalhos que têm sido desenvolvidos como segunda leitura de modo a reduzir o número de falsos positivos no diagnóstico. Neste estudo é apresentado um conjunto de técnicas de data mining que poderão ser aplicadas a um sistema de apoio à decisão na área do diagnóstico de cancro da mama. Esta abordagem tem por objetivo ajudar os clínicos na identificação de achados mamográficos como microcalcificações, massas e mesmo tecidos normais, de forma a evitar diagnósticos errados. Para isso, neste trabalho é usada uma base de dados fidedigna, de 410 imagens correspondentes a 115 pacientes, contendo análises prévias, realizadas por radiologistas, de microcalcificações, massas e tecidos considerados normais. Ao longo deste trabalho são utilizadas duas técnicas de extração de características, a matriz de coocorrência de níveis de cinza e a matriz de comprimento da linha de níveis de cinza. Para a classificação foram considerados diferentes cenários de acordo com diferentes padrões de distinção de lesões e ainda vários classificadores de forma a distinguir as melhores performances em cada caso descrito. Os vários classificadores usados foram Naïve Bayes, Support Vector Machines, k-nearest Neighbors e Decision Trees (J48 e Random Forests). Os resultados obtidos na distinção dos achados mamográficos revelaram percentagens de valor preditivo positivo e de precisão bastante boas. São ainda apresentados outros resultados relacionados com sistemas de classificação de densidade mamária e escala BI-RADS®. O melhor método de previsão encontrado, perante todos os grupos testados, foi o classificador Random Forest e o melhor desempenho foi conseguido através da distinção de microcalcificações. As conclusões feitas ao longo dos vários cenários testados foram interessantes em termos que representam uma nova perspetiva no diagnóstico do cancro da mama, utilizando técnicas de data mining