38 research outputs found

    PERFORMANCE OF A CAD SCHEME APPLIED TO IMAGES OBTAINED FROM MAMMOGRAPHIC FILM DIGITIZATION AND FULL-FIELD DIGITAL MAMMOGRAPHY (FFDM)

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    Performance of a CAD scheme applied to images obtained from mammographic film digitization and full-field digital mammography (FFDM).

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    This work has as purpose to compare the effects of a CAD scheme applied to digitized and \ud direct digital mamograms sets. A routine designed to be applied to mammogram in \ud DICOM standard was developed and a schema based on the Watershed Transform to \ud masses detection was applied to 252 ROIs from 130 digitized mammograms, resulting in \ud 92% of true positive and 10% of false positives. For clustered microcalcifications \ud detection, another procedure was applied to 165 ROIs from 120 mammograms, resulting in \ud 93% of true positive and 16% of false positive. By using the same procedures to 154 \ud digital mammograms obtained from FFDM, the rates have shown a little decrease in the \ud scheme performance: 89% of true positive and 16% of false positive for masses detection; \ud 90% of true positive and 27% of false positive for clusters detection. Although the tests \ud with digital mammograms have been carried with a smaller number of images and \ud different cases compared to the digitized ones, including several dense breasts images, the \ud results can be considered comparable, mainly forclustered microcalcifications detection \ud with a difference of only 3% between the sensibility rates for the both images sets. Another \ud important feature affecting these results is the contrast difference between the two images \ud set. This implies the need of extensive investigations not only with a larger number of \ud cases from FFDM but also on the parameters related to its image acquisition as well as to \ud its corresponding processing.Este trabalho tem como objetivo comparar os resultados de um esquema CAD aplicado em \ud conjunto de mamografias digitalizadas e em um conjunto de mamografias obtidas de um \ud mamógrafo digital. Para extrair as imagens do padrão DICOM, padrão utilizado pelos \ud mamógrafos digitais, uma rotina computacional foi desenvolvida. Para a detecção de \ud nódulos, um esquema baseado em Transforma Watershed foi aplicado a 252 regiões de \ud interesse (ROIs) de 130 mamografias digitalizadas, resultando em 92% de verdadeiro \ud positivo e 10%de falsos positivos. Para a detecção de microcalcificações agrupadas, outro \ud procedimento foi aplicado a165 ROIs extraídas de 120 mamografias digitalizadas, \ud resultando em 93% de verdadeiro positivo e 16% de falso positivo. Ao utilizar os mesmos \ud procedimentos para154 mamografias digitais obtidas a partir de um FFDM, as taxas \ud mostraram uma diminuição pequena no desempenho: 89% do verdadeiro positivo e 16% \ud de falso positivo para a detecção de nódulos, e 90% de verdadeiro positivo e 27% de falsos \ud positivo para a detecção de clusters de microcalcificações. Embora os testes com \ud mamografias digitais tenham sido realizados com um menor número de imagens e casos \ud diferentes em comparação com os digitalizados, incluindo várias imagens de mamas \ud densas, os resultados podem ser considerados comparáveis, principalmente para a detecção \ud de clusters de microcalcificações com uma diferença de apenas 3% entre as taxas de \ud sensibilidade para as imagens dos dois conjuntos. Outra característica importante que afeta \ud esses resultados é a diferença de contraste dos dois grupos de imagens analisados. Isto \ud implica na necessidade de extensas investigações não só com um maior número de casos \ud de mamografias digitais, mas também um estudo sobre os parâmetros relacionados a \ud aquisição da imagem, bem como para o seu processamentoCNPqFAPESPHospital of Clinics in Botucatu/S

    Segmentation, Super-resolution and Fusion for Digital Mammogram Classification

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    Mammography is one of the most common and effective techniques used by radiologists for the early detection of breast cancer. Recently, computer-aided detection/diagnosis (CAD) has become a major research topic in medical imaging and has been widely applied in clinical situations. According to statics, early detection of cancer can reduce the mortality rates by 30% to 70%, therefore detection and diagnosis in the early stage are very important. CAD systems are designed primarily to assist radiologists in detecting and classifying abnormalities in medical scan images, but the main challenges hindering their wider deployment is the difficulty in achieving accuracy rates that help improve radiologists’ performance. The detection and diagnosis of breast cancer face two main issues: the accuracy of the CAD system, and the radiologists’ performance in reading and diagnosing mammograms. This thesis focused on the accuracy of CAD systems. In particular, we investigated two main steps of CAD systems; pre-processing (enhancement and segmentation), feature extraction and classification. Through this investigation, we make five main contributions to the field of automatic mammogram analysis. In automated mammogram analysis, image segmentation techniques are employed in breast boundary or region-of-interest (ROI) extraction. In most Medio-Lateral Oblique (MLO) views of mammograms, the pectoral muscle represents a predominant density region and it is important to detect and segment out this muscle region during pre-processing because it could be bias to the detection of breast cancer. An important reason for the breast border extraction is that it will limit the search-zone for abnormalities in the region of the breast without undue influence from the background of the mammogram. Therefore, we propose a new scheme for breast border extraction, artifact removal and removal of annotations, which are found in the background of mammograms. This was achieved using an local adaptive threshold that creates a binary mask for the images, followed by the use of morphological operations. Furthermore, an adaptive algorithm is proposed to detect and remove the pectoral muscle automatically. Feature extraction is another important step of any image-based pattern classification system. The performance of the corresponding classification depends very much on how well the extracted features represent the object of interest. We investigated a range of different texture feature sets such as Local Binary Pattern Histogram (LBPH), Histogram of Oriented Gradients (HOG) descriptor, and Gray Level Co-occurrence Matrix (GLCM). We propose the use of multi-scale features based on wavelet and local binary patterns for mammogram classification. We extract histograms of LBP codes from the original image as well as the wavelet sub-bands. Extracted features are combined into a single feature set. Experimental results show that our proposed method of combining LBPH features obtained from the original image and with LBPH features obtained from the wavelet domain increase the classification accuracy (sensitivity and specificity) when compared with LBPH extracted from the original image. The feature vector size could be large for some types of feature extraction schemes and they may contain redundant features that could have a negative effect on the performance of classification accuracy. Therefore, feature vector size reduction is needed to achieve higher accuracy as well as efficiency (processing and storage). We reduced the size of the features by applying principle component analysis (PCA) on the feature set and only chose a small number of eigen components to represent the features. Experimental results showed enhancement in the mammogram classification accuracy with a small set of features when compared with using original feature vector. Then we investigated and propose the use of the feature and decision fusion in mammogram classification. In feature-level fusion, two or more extracted feature sets of the same mammogram are concatenated into a single larger fused feature vector to represent the mammogram. Whereas in decision-level fusion, the results of individual classifiers based on distinct features extracted from the same mammogram are combined into a single decision. In this case the final decision is made by majority voting among the results of individual classifiers. Finally, we investigated the use of super resolution as a pre-processing step to enhance the mammograms prior to extracting features. From the preliminary experimental results we conclude that using enhanced mammograms have a positive effect on the performance of the system. Overall, our combination of proposals outperforms several existing schemes published in the literature

    Semi-automated search for abnormalities in mammographic X-ray images

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    Breast cancer is the most commonly diagnosed cancer among Canadian women; x-ray mammography is the leading screening technique for early detection. This work introduces a semi-automated technique for analyzing mammographic x-ray images to measure their degree of suspiciousness for containing abnormalities. The designed system applies the discrete wavelet transform to parse the images and extracts statistical features that characterize an image’s content, such as the mean intensity and the skewness of the intensity. A naïve Bayesian classifier uses these features to classify the images, achieving sensitivities as high as 99.5% for a data set containing 1714 images. To generate confidence levels, multiple classifiers are combined in three possible ways: a sequential series of classifiers, a vote-taking scheme of classifiers, and a network of classifiers tuned to detect particular types of abnormalities. The third method offers sensitivities of 99.85% or higher with specificities above 60%, making it an ideal candidate for pre-screening images. Two confidence level measures are developed: first, a real confidence level measures the true probability that an image was suspicious; and second, a normalized confidence level assumes that normal and suspicious images were equally likely to occur. The second confidence measure allows for more flexibility and could be combined with other factors, such as patient age and family history, to give a better true confidence level than assuming a uniform incidence rate. The system achieves sensitivities exceeding those in other current approaches while maintaining reasonable specificity, especially for the sequential series of classifiers and for the network of tuned classifiers

    HISTOGRAM NORMALIZATION TECHNIQUE FOR PREPROCESSING OF DIGITAL MAMMOGRAPHIC IMAGES

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    Digital mammogram has become the most efficient tool for early breast cancer detection modalities and pre-processing these images requires high computational capabilities. Pre-processing is one of the most important step in the mammogram analysis due to poor captured mammographic image qualities. Pre-processing is basically used to correct and adjust the mammogram image for further study and classification.  Many image pre-processing techniques have been developed over the past decades to help radiologists in diagnosing breast cancer. Most studies conducted have proven that a pre-processed image is easier for radiologist to accurately detect breast cancer especially for dense breast. Different types of techniques are available for pre-processing of mammograms, which are used to improve image quality, remove noise, adjust contrast, enhance the image and preserve the edges within the image. This paper acquired 20 digital mammograms from Mammographic Image Analysis Society (MIAS) database and uses Histogram Normalization algorithm for pre-processing of the mammograms. A percentage of 95% was obtained. It was observed that the pre-processed mammographic images displayed breast abnormalities clearer with little or no noise

    Artificial intelligence in cancer imaging: Clinical challenges and applications

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    Judgement, as one of the core tenets of medicine, relies upon the integration of multilayered data with nuanced decision making. Cancer offers a unique context for medical decisions given not only its variegated forms with evolution of disease but also the need to take into account the individual condition of patients, their ability to receive treatment, and their responses to treatment. Challenges remain in the accurate detection, characterization, and monitoring of cancers despite improved technologies. Radiographic assessment of disease most commonly relies upon visual evaluations, the interpretations of which may be augmented by advanced computational analyses. In particular, artificial intelligence (AI) promises to make great strides in the qualitative interpretation of cancer imaging by expert clinicians, including volumetric delineation of tumors over time, extrapolation of the tumor genotype and biological course from its radiographic phenotype, prediction of clinical outcome, and assessment of the impact of disease and treatment on adjacent organs. AI may automate processes in the initial interpretation of images and shift the clinical workflow of radiographic detection, management decisions on whether or not to administer an intervention, and subsequent observation to a yet to be envisioned paradigm. Here, the authors review the current state of AI as applied to medical imaging of cancer and describe advances in 4 tumor types (lung, brain, breast, and prostate) to illustrate how common clinical problems are being addressed. Although most studies evaluating AI applications in oncology to date have not been vigorously validated for reproducibility and generalizability, the results do highlight increasingly concerted efforts in pushing AI technology to clinical use and to impact future directions in cancer care

    Automated Deformable Mapping Methods to Relate Corresponding Lesions in 3D X-ray and 3D Ultrasound Breast Images

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    Mammography is the current standard imaging method for detecting breast cancer by using x-rays to produce 2D images of the breast. However, with mammography alone there is difficulty determining whether a lesion is benign or malignant and reduced sensitivity to detecting lesions in dense breasts. Ultrasound imaging used in conjunction with mammography has shown valuable contributions for lesion characterization by differentiating between solid and cystic lesions. Conventional breast ultrasound has high false positive rates; however, it has shown improved abilities to detect lesions in dense breasts. Breast ultrasound is typically performed freehand to produce anterior-to-posterior 2D images in a different geometry (supine) than mammography (upright). This difference in geometries is likely responsible for the finding that at least 10% of the time lesions found in the ultrasound images do not correspond with lesions found in mammograms. To solve this problem additional imaging techniques must be investigated to aid a radiologist in identifying corresponding lesions in the two modalities to ensure early detection of a potential cancer. This dissertation describes and validates automated deformable mapping methods to register and relate corresponding lesions between multi-modality images acquired using 3D mammography (Digital Breast Tomosynthesis (DBT) and dedicated breast Computed Tomography (bCT)) and 3D ultrasound (Automated Breast Ultrasound (ABUS)). The methodology involves the use of finite element modeling and analysis to simulate the differences in compression and breast orientation to better align lesions acquired from images from these modalities. Preliminary studies were performed using several multimodality compressible breast phantoms to determine breast lesion registrations between: i) cranio-caudal (CC) and mediolateral oblique (MLO) DBT views and ABUS, ii) simulated bCT and DBT (CC and MLO views), and iii) simulated bCT and ABUS. Distances between the centers of masses, dCOM, of corresponding lesions were used to assess the deformable mapping method. These phantom studies showed the potential to apply this technique for real breast lesions with mean dCOM registration values as low as 4.9 ± 2.4 mm for DBT (CC view) mapped to ABUS, 9.3 ± 2.8 mm for DBT (MLO view) mapped to ABUS, 4.8 ± 2.4 mm for bCT mapped to ABUS, 5.0 ± 2.2 mm for bCT mapped to DBT (CC view), and 4.7 ± 2.5 mm for bCT mapped to DBT (MLO view). All of the phantom studies showed that using external fiducial markers helped improve the registration capability of the deformable mapping algorithm. An IRB-approved proof-of-concept study was performed with patient volunteers to validate the deformable registration method on 5 patient datasets with a total of up to 7 lesions for DBT (CC and MLO views) to ABUS registration. Resulting dCOM’s using the deformable method showed statistically significant improvements over rigid registration techniques with a mean dCOM of 11.6 ± 5.3 mm for DBT (CC view) mapped to ABUS and a mean dCOM of 12.3 ± 4.8 mm for DBT (MLO view) mapped to ABUS. The present work demonstrates the potential for using deformable registration techniques to relate corresponding lesions in 3D x-ray and 3D ultrasound images. This methodology should improve a radiologists’ characterization of breast lesions which can reduce patient callbacks, misdiagnoses, additional patient dose and unnecessary biopsies. Additionally, this technique can save a radiologist time in navigating 3D image volumes and the one-to-one lesion correspondence between modalities can aid in the early detection of breast malignancies.PHDNuclear Engineering & Radiological SciencesUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttps://deepblue.lib.umich.edu/bitstream/2027.42/150042/1/canngree_1.pd

    Complexity Reduction in Image-Based Breast Cancer Care

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    The diversity of malignancies of the breast requires personalized diagnostic and therapeutic decision making in a complex situation. This thesis contributes in three clinical areas: (1) For clinical diagnostic image evaluation, computer-aided detection and diagnosis of mass and non-mass lesions in breast MRI is developed. 4D texture features characterize mass lesions. For non-mass lesions, a combined detection/characterisation method utilizes the bilateral symmetry of the breast s contrast agent uptake. (2) To improve clinical workflows, a breast MRI reading paradigm is proposed, exemplified by a breast MRI reading workstation prototype. Instead of mouse and keyboard, it is operated using multi-touch gestures. The concept is extended to mammography screening, introducing efficient navigation aids. (3) Contributions to finite element modeling of breast tissue deformations tackle two clinical problems: surgery planning and the prediction of the breast deformation in a MRI biopsy device
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