DEVELOPING NOVEL COMPUTER-AIDED DETECTION AND DIAGNOSIS SYSTEMS OF MEDICAL IMAGES

Reading medical images to detect and diagnose diseases is often difficult and has large inter-reader variability. To address this issue, developing computer-aided detection and diagnosis (CAD) schemes or systems of medical images has attracted broad research interest in the last several decades. Despite great effort and significant progress in previous studies, only limited CAD schemes have been used in clinical practice. Thus, developing new CAD schemes is still a hot research topic in medical imaging informatics field. In this dissertation, I investigate the feasibility of developing several new innovative CAD schemes for different application purposes. First, to predict breast tumor response to neoadjuvant chemotherapy and reduce unnecessary aggressive surgery, I developed two CAD schemes of breast magnetic resonance imaging (MRI) to generate quantitative image markers based on quantitative analysis of global kinetic features. Using the image marker computed from breast MRI acquired pre-chemotherapy, CAD scheme enables to predict radiographic complete response (CR) of breast tumors to neoadjuvant chemotherapy, while using the imaging marker based on the fusion of kinetic and texture features extracted from breast MRI performed after neoadjuvant chemotherapy, CAD scheme can better predict the pathologic complete response (pCR) of the patients. Second, to more accurately predict prognosis of stroke patients, quantifying brain hemorrhage and ventricular cerebrospinal fluid depicting on brain CT images can play an important role. For this purpose, I developed a new interactive CAD tool to segment hemorrhage regions and extract radiological imaging marker to quantitatively determine the severity of aneurysmal subarachnoid hemorrhage at presentation and correlate the estimation with various homeostatic/metabolic derangements and predict clinical outcome. Third, to improve the efficiency of primary antibody screening processes in new cancer drug development, I developed a CAD scheme to automatically identify the non-negative tissue slides, which indicate reactive antibodies in digital pathology images. Last, to improve operation efficiency and reliability of storing digital pathology image data, I developed a CAD scheme using optical character recognition algorithm to automatically extract metadata from tissue slide label images and reduce manual entry for slide tracking and archiving in the tissue pathology laboratories. In summary, in these studies, we developed and tested several innovative approaches to identify quantitative imaging markers with high discriminatory power. In all CAD schemes, the graphic user interface-based visual aid tools were also developed and implemented. Study results demonstrated feasibility of applying CAD technology to several new application fields, which has potential to assist radiologists, oncologists and pathologists improving accuracy and consistency in disease diagnosis and prognosis assessment of using medical image

Diseases of the Chest, Breast, Heart and Vessels 2019-2022

This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology

Diseases of the Chest, Breast, Heart and Vessels 2019-2022

This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology

Deep learning in medical imaging and radiation therapy

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146980/1/mp13264_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146980/2/mp13264.pd

Radiomics for Response Assessment after Stereotactic Radiotherapy for Lung Cancer

Stereotactic ablative radiotherapy (SABR) is a guideline-specified treatment option for patients with early stage non-small cell lung cancer. After treatment, patients are followed up regularly with computed tomography (CT) imaging to determine treatment response. However, benign radiographic changes to the lung known as radiation-induced lung injury (RILI) frequently occur. Due to the large doses delivered with SABR, these changes can mimic the appearance of a recurring tumour and confound response assessment. The objective of this work was to evaluate the accuracy of radiomics, for prediction of eventual local recurrence based on CT images acquired within 6 months of treatment. A semi-automatic decision support system was developed to segment and sample regions of common post-SABR changes, extract radiomic features and classify images as local recurrence or benign injury. Physician ability to detect timely local recurrence was also measured on CT imaging, and compared with that of the radiomics tool. Within 6 months post-SABR, physicians assessed the majority of images as no recurrence and had an overall lower accuracy compared to the radiomics system. These results suggest that radiomics can detect early changes associated with local recurrence that are not typically considered by physicians. These appearances detected by radiomics may be early indicators of the promotion and progression to local recurrence. This has the potential to lead to a clinically useful computer-aided decision support tool based on routinely acquired CT imaging, which could lead to earlier salvage opportunities for patients with recurrence and fewer invasive investigations of patients with only benign injury

Review of optical breast imaging and spectroscopy

Diffuse optical imaging and spectroscopy of the female breast is an area of active research. We review the present status of this field and discuss the broad range of methodologies and applications. Starting with a brief overview on breast physiology, the remodeling of vasculature and extracellular matrix caused by solid tumors is highlighted that is relevant for contrast in optical imaging. Then, the various instrumental techniques and the related methods of data analysis and image generation are described and compared including multimodality instrumentation, fluorescence mammography, broadband spectroscopy, and diffuse correlation spectroscopy. We review the clinical results on functional properties of malignant and benign breast lesions compared to host tissue and discuss the various methods to improve contrast between healthy and diseased tissue, such as enhanced spectroscopic information, dynamic variations of functional properties, pharmacokinetics of extrinsic contrast agents, including the enhanced permeability and retention effect. We discuss research on monitoring neoadjuvant chemotherapy and on breast cancer risk assessment as potential clinical applications of optical breast imaging and spectroscopy. Moreover, we consider new experimental approaches, such as photoacoustic imaging and long-wavelength tissue spectroscopy

Multi-fractal dimension features by enhancing and segmenting mammogram images of breast cancer

The common malignancy which causes deaths in women is breast cancer. Early detection of breast cancer using mammographic image can help in reducing the mortality rate and the probability of recurrence. Through mammographic examination, breast lesions can be detected and classified. Breast lesions can be detected using many popular tools such as Magnetic Resonance Imaging (MRI), ultrasonography, and mammography. Although mammography is very useful in the diagnosis of breast cancer, the pattern similarities between normal and pathologic cases makes the process of diagnosis difficult. Therefore, in this thesis Computer Aided Diagnosing (CAD) systems have been developed to help doctors and technicians in detecting lesions. The thesis aims to increase the accuracy of diagnosing breast cancer for optimal classification of cancer. It is achieved using Machine Learning (ML) and image processing techniques on mammogram images. This thesis also proposes an improvement of an automated extraction of powerful texture sign for classification by enhancing and segmenting the breast cancer mammogram images. The proposed CAD system consists of five stages namely pre-processing, segmentation, feature extraction, feature selection, and classification. First stage is pre-processing that is used for noise reduction due to noises in mammogram image. Therefore, based on the frequency domain this thesis employed wavelet transform to enhance mammogram images in pre-processing stage for two purposes which is to highlight the border of mammogram images for segmentation stage, and to enhance the region of interest (ROI) using adaptive threshold in the mammogram images for feature extraction purpose. Second stage is segmentation process to identify ROI in mammogram images. It is a difficult task because of several landmarks such as breast boundary and artifacts as well as pectoral muscle in Medio-Lateral Oblique (MLO). Thus, this thesis presents an automatic segmentation algorithm based on new thresholding combined with image processing techniques. Experimental results demonstrate that the proposed model increases segmentation accuracy of the ROI from breast background, landmarks, and pectoral muscle. Third stage is feature extraction where enhancement model based on fractal dimension is proposed to derive significant mammogram image texture features. Based on the proposed, model a powerful texture sign for classification are extracted. Fourth stage is feature selection where Genetic Algorithm (GA) technique has been used as a feature selection technique to select the important features. In last classification stage, Artificial Neural Network (ANN) technique has been used to differentiate between Benign and Malignant classes of cancer using the most relevant texture feature. As a conclusion, classification accuracy, sensitivity, and specificity obtained by the proposed CAD system are improved in comparison to previous studies. This thesis has practical contribution in identification of breast cancer using mammogram images and better classification accuracy of benign and malign lesions using ML and image processing techniques

A Novel Pathology Device for the Improvement of Intraoperative Breast-Cancer Tissue Gross Examination

The aim of this study was to design and test key aspects of a novel device, consisting of a polymer referencing enclosure (hardware) and a gel component, for the standardization of intraoperative gross pathology examination of excised breast cancer tissue. The proposed device improves the current practice of tissue preparation for radiographic and pathological examination without changing the existing process and without imposing retraining requirements on professional staff involved in the current process. To identify the optimal composition of the gel component to be used, 32 gel formulations were tested to determine setting times and maximum temperature reached during setting. The radiographic properties of 12 gel formulations and 15 plastic materials for potential use in the hardware were also tested. A negative correlation was found to exist between setting time and maximum temperature reached, narrowing down gel selections to those setting in <10 minutes with a temperature peak of <54 °C. The radiographic properties of the tested and downselected gels and plastics were found to be such that these materials are unlikely to interfere with lesion identification in radiological examinations. A completed tissue study for examination of gel effects on tissue properties revealed no effects, thereby clearing this device for potential clinical applications.Digitized from a paper copy provided by the Physiological Sciences Graduate Interdisciplinary Program