Quantitative Screening of Cervical Cancers for Low-Resource Settings: Pilot Study of Smartphone-Based Endoscopic Visual Inspection After Acetic Acid Using Machine Learning Techniques

Background: Approximately 90% of global cervical cancer (CC) is mostly found in low- and middle-income countries. In most cases, CC can be detected early through routine screening programs, including a cytology-based test. However, it is logistically difficult to offer this program in low-resource settings due to limited resources and infrastructure, and few trained experts. A visual inspection following the application of acetic acid (VIA) has been widely promoted and is routinely recommended as a viable form of CC screening in resource-constrained countries. Digital images of the cervix have been acquired during VIA procedure with better quality assurance and visualization, leading to higher diagnostic accuracy and reduction of the variability of detection rate. However, a colposcope is bulky, expensive, electricity-dependent, and needs routine maintenance, and to confirm the grade of abnormality through its images, a specialist must be present. Recently, smartphone-based imaging systems have made a significant impact on the practice of medicine by offering a cost-effective, rapid, and noninvasive method of evaluation. Furthermore, computer-aided analyses, including image processing-based methods and machine learning techniques, have also shown great potential for a high impact on medicinal evaluations

Ultrasound image processing in the evaluation of labor induction failure risk

Labor induction is defined as the artificial stimulation of uterine contractions for the purpose of vaginal birth. Induction is prescribed for medical and elective reasons. Success in labor induction procedures is related to vaginal delivery. Cesarean section is one of the potential risks of labor induction as it occurs in about 20% of the inductions. A ripe cervix (soft and distensible) is needed for a successful labor. During the ripening cervical, tissues experience micro structural changes: collagen becomes disorganized and water content increases. These changes will affect the interaction between cervical tissues and sound waves during ultrasound transvaginal scanning and will be perceived as gray level intensity variations in the echographic image. Texture analysis can be used to analyze these variations and provide a means to evaluate cervical ripening in a non-invasive way

Emerging Technologies, Signal Processing and Statistical Methods for Screening of Cervical Cancer In Vivo: Are They Good Candidates for Cervical Screening?

The current cervical cancer screening test (the Pap smear) is a manual cytological procedure. This cytology test has various limitations and many errors. Excellent candidates for improving the performance of the cervical cancer screening procedure are electro-optical systems (EOSs), used for assessment of the cervical cancer precursors in vivo, such as digital spectroscopy, digital colposcopy and bioelectrical phenomena-based systems. These EOSs use the advantages of signal processing methods and can replace the qualitative assessments, with objective metrics. The EOSs can be used as an adjunct to the current screener or as a primary screener. We analyse and discuss the effectiveness of the signal processing and statistical methods for diagnosis of cervical cancer in vivo. This analysis is reinforced by the presentation of the scientific and clinical contributions of these methods in clinical practice. As a result of this analysis, we outline and discuss the well-established estimates of the signal processing features and the ambiguous features, that are used for classification of the cervical pre-cancer in vivo

A Polarization-Imaging-Based Machine Learning Framework for Quantitative Pathological Diagnosis of Cervical Precancerous Lesions

Polarization images encode high resolution microstructural information even at low resolution. We propose a framework combining polarization imaging and traditional microscopy imaging, constructing a dual-modality machine learning framework that is not only accurate but also generalizable and interpretable. We demonstrate the viability of our proposed framework using the cervical intraepithelial neoplasia grading task, providing a polarimetry feature parameter to quantitatively characterize microstructural variations with lesion progression in hematoxylin-eosin-stained pathological sections of cervical precancerous tissues. By taking advantages of polarization imaging techniques and machine learning methods, the model enables interpretable and quantitative diagnosis of cervical precancerous lesion cases with improved sensitivity and accuracy in a low-resolution and wide-field system. The proposed framework applies routine image-analysis technology to identify the macro-structure and segment the target region in H&E-stained pathological images, and then employs emerging polarization method to extract the micro-structure information of the target region, which intends to expand the boundary of the current image-heavy digital pathology, bringing new possibilities for quantitative medical diagnosis

A robust adaptive wavelet-based method for classification of meningioma histology images

Intra-class variability in the texture of samples is an important problem in the domain of histological image classification. This issue is inherent to the field due to the high complexity of histology image data. A technique that provides good results in one trial may fail in another when the test and training data are changed and therefore, the technique needs to be adapted for intra-class texture variation. In this paper, we present a novel wavelet based multiresolution analysis approach to meningioma subtype classification in response to the challenge of data variation.We analyze the stability of Adaptive Discriminant Wavelet Packet Transform (ADWPT) and present a solution to the issue of variation in the ADWPT decomposition when texture in data changes. A feature selection approach is proposed that provides high classification accuracy