Automatic segmentation of plantar thermograms using adaptive C means technique

Diabetic foot ulcer (DFU) is one of the major concern of diabetes and it is rapidly increasing, in worst case scenario this may lead to amputation. The DFU can be avoided by the early detection and proper diagnosis. Many of the studies carried out highlights that, thermography is the most useful technique to measure the changes in the temperature of plantar surface and alerts to indicate the risk associated with DFU. The distribution of temperature does not have a fixed pattern across the patients, hence it makes the difficulty in measuring the appropriate changes. This gap will provide a scope to improve the analysis technique so as to measure the plantar surface temperature effectively and identify any abnormal changes. In this paper, the segmentation algorithm namely adaptive C means (ACM) for the image segmentation is discussed. ACM is based on the spatial information and this method includes the two stage implementation. In the first stage, nonlocal spatial information is added and in the second stage, spatial shape information is used in order to refine the constraint of local spatial. Outcome of the proposed method shows that ACM is very much effective and it outperforms the other existing methods

Application of infrared thermography in computer aided diagnosis

The invention of thermography, in the 1950s, posed a formidable problem to the research community: What is the relationship between disease and heat radiation captured with Infrared (IR) cameras? The research community responded with a continuous effort to find this crucial relationship. This effort was aided by advances in processing techniques, improved sensitivity and spatial resolution of thermal sensors. However, despite this progress fundamental issues with this imaging modality still remain. The main problem is that the link between disease and heat radiation is complex and in many cases even non-linear. Furthermore, the change in heat radiation as well as the change in radiation pattern, which indicate disease, is minute. On a technical level, this poses high requirements on image capturing and processing. On a more abstract level, these problems lead to inter-observer variability and on an even more abstract level they lead to a lack of trust in this imaging modality. In this review, we adopt the position that these problems can only be solved through a strict application of scientific principles and objective performance assessment. Computing machinery is inherently objective; this helps us to apply scientific principles in a transparent way and to assess the performance results. As a consequence, we aim to promote thermography based Computer-Aided Diagnosis (CAD) systems. Another benefit of CAD systems comes from the fact that the diagnostic accuracy is linked to the capability of the computing machinery and, in general, computers become ever more potent. We predict that a pervasive application of computers and networking technology in medicine will help us to overcome the shortcomings of any single imaging modality and this will pave the way for integrated health care systems which maximize the quality of patient care

Preoperative Systems for Computer Aided Diagnosis based on Image Registration: Applications to Breast Cancer and Atherosclerosis

Computer Aided Diagnosis (CAD) systems assist clinicians including radiologists and cardiologists to detect abnormalities and highlight conspicuous possible disease. Implementing a pre-operative CAD system contains a framework that accepts related technical as well as clinical parameters as input by analyzing the predefined method and demonstrates the prospective output. In this work we developed the Computer Aided Diagnostic System for biomedical imaging analysis of two applications on Breast Cancer and Atherosclerosis. The aim of the first CAD application is to optimize the registration strategy specifically for Breast Dynamic Infrared Imaging and to make it user-independent. Base on the fact that automated motion reduction in dynamic infrared imaging is on demand in clinical applications, since movement disarranges time-temperature series of each pixel, thus originating thermal artifacts that might bias the clinical decision. All previously proposed registration methods are feature based algorithms requiring manual intervention. We implemented and evaluated 3 different 3D time-series registration methods: 1. Linear affine, 2. Non-linear Bspline, 3. Demons applied to 12 datasets of healthy breast thermal images. The results are evaluated through normalized mutual information with average values of 0.70±0.03, 0.74±0.03 and 0.81±0.09 (out of 1) for Affine, BSpline and Demons registration, respectively, as well as breast boundary overlap and Jacobian determinant of the deformation field. The statistical analysis of the results showed that symmetric diffeomorphic Demons registration method outperforms also with the best breast alignment and non-negative Jacobian values which guarantee image similarity and anatomical consistency of the transformation, due to homologous forces enforcing the pixel geometric disparities to be shortened on all the frames. We propose Demons registration as an effective technique for time-series dynamic infrared registration, to stabilize the local temperature oscillation. The aim of the second implemented CAD application is to assess contribution of calcification in plaque vulnerability and wall rupture and to find its maximum resistance before break in image-based models of carotid artery stenting. The role of calcification inside fibroatheroma during carotid artery stenting operation is controversial in which cardiologists face two major problems during the placement: (i) “plaque protrusion” (i.e. elastic fibrous caps containing early calcifications that penetrate inside the stent); (ii) “plaque vulnerability” (i.e. stiff plaques with advanced calcifications that break the arterial wall or stent). Finite Element Analysis was used to simulate the balloon and stent expansion as a preoperative patient-specific virtual framework. A nonlinear static structural analysis was performed on 20 patients acquired using in vivo MDCT angiography. The Agatston Calcium score was obtained for each patient and subject-specific local Elastic Modulus (EM) was calculated. The in silico results showed that by imposing average ultimate external load of 1.1MPa and 2.3MPa on balloon and stent respectively, average ultimate stress of 55.7±41.2kPa and 171±41.2kPa are obtained on calcifications. The study reveals that a significant positive correlation (R=0.85, p<0.0001) exists on stent expansion between EM of calcification and ultimate stress as well as Plaque Wall Stress (PWS) (R=0.92, p<0.0001), comparing to Ca score that showed insignificant associations with ultimate stress (R=0.44, p=0.057) and PWS (R=0.38, p=0.103), suggesting minor impact of Ca score in plaque rupture. These average data are in good agreement with results obtained by other research groups and we believe this approach enriches the arsenal of tools available for pre-operative prediction of carotid artery stenting procedure in the presence of calcified plaques

Evaluation of image analysis techniques as applied to thermographs used in breast cancer detection

Due to the lack of a formal theory for designing image analysis systems it has been necessary to develop and implement a package of computer programs for evaluating image analysis techniques and designing image analysis systems. The package allows the image analysis system designer to experiment with different algorithms and techniques on his data. This package is described and a classification of image analysis techniques is given. Finally the package and a class of image analysis algorithms are applied to a particular problem: the computer assisted interpretation of breast thermograms for use in the early detection of breast cancer'. It is an important problem to due the observation that breast cancer increases surface temperature and that its early detection increases the five year survival rate of sufferers. Thermography is somewhat nonspecific but may be effectively used as a screening technique. An assessment is made of the algorithms applied to breast thermograms and proposals for future research are given

Soft computing applied to optimization, computer vision and medicine

Artificial intelligence has permeated almost every area of life in modern society, and its significance continues to grow. As a result, in recent years, Soft Computing has emerged as a powerful set of methodologies that propose innovative and robust solutions to a variety of complex problems. Soft Computing methods, because of their broad range of application, have the potential to significantly improve human living conditions. The motivation for the present research emerged from this background and possibility. This research aims to accomplish two main objectives: On the one hand, it endeavors to bridge the gap between Soft Computing techniques and their application to intricate problems. On the other hand, it explores the hypothetical benefits of Soft Computing methodologies as novel effective tools for such problems. This thesis synthesizes the results of extensive research on Soft Computing methods and their applications to optimization, Computer Vision, and medicine. This work is composed of several individual projects, which employ classical and new optimization algorithms. The manuscript presented here intends to provide an overview of the different aspects of Soft Computing methods in order to enable the reader to reach a global understanding of the field. Therefore, this document is assembled as a monograph that summarizes the outcomes of these projects across 12 chapters. The chapters are structured so that they can be read independently. The key focus of this work is the application and design of Soft Computing approaches for solving problems in the following: Block Matching, Pattern Detection, Thresholding, Corner Detection, Template Matching, Circle Detection, Color Segmentation, Leukocyte Detection, and Breast Thermogram Analysis. One of the outcomes presented in this thesis involves the development of two evolutionary approaches for global optimization. These were tested over complex benchmark datasets and showed promising results, thus opening the debate for future applications. Moreover, the applications for Computer Vision and medicine presented in this work have highlighted the utility of different Soft Computing methodologies in the solution of problems in such subjects. A milestone in this area is the translation of the Computer Vision and medical issues into optimization problems. Additionally, this work also strives to provide tools for combating public health issues by expanding the concepts to automated detection and diagnosis aid for pathologies such as Leukemia and breast cancer. The application of Soft Computing techniques in this field has attracted great interest worldwide due to the exponential growth of these diseases. Lastly, the use of Fuzzy Logic, Artificial Neural Networks, and Expert Systems in many everyday domestic appliances, such as washing machines, cookers, and refrigerators is now a reality. Many other industrial and commercial applications of Soft Computing have also been integrated into everyday use, and this is expected to increase within the next decade. Therefore, the research conducted here contributes an important piece for expanding these developments. The applications presented in this work are intended to serve as technological tools that can then be used in the development of new devices

A model for the detection of breast cancer using machine learning and thermal images in a mobile environment

Breast cancer is the most common cancer amongst women and one of the deadliest. Various modalities exist which image the breasts, all with a focus on early detection; thermography is one such method. It is a non-invasive test, which is safe and can be used for a wide variety of breast densities. It functions by analysing thermal patterns captured via an infrared camera of the surface of the breast. Advances in infrared and mobile technology enable this modality to be mobile based; allowing a high degree of portability at a lower cost. Furthermore, as technology has improved, machine learning has played a larger role in medical practices by offering unbiased, consistent, and timely second opinions. Machine learning algorithms are able to classify medical images automatically if offered in the correct format. This study aims to provide a model, which integrates breast cancer detection, thermal imaging, machine learning, and mobile technology. The conceptual model is theorised from three literature studies regarding: identifiable aspects of breast cancer through thermal imaging, the mobile ecosystem, and classification using machine learning algorithms. The model is implemented and evaluated using an experiment designed to classify automatically thermal breast images of the same quality that mobile attachable thermal cameras are able to capture. The experiment contrasts various combinations of segmentation methods, extracted features, and classification algorithms. Promising results were shown in the experiment with a high degree of accuracy obtained. The successful results obtained from the experimentation process validates the feasibility of the model

A model for the detection of breast cancer using machine learning and thermal images in a mobile environment

Breast cancer is the most common cancer amongst women and one of the deadliest. Various modalities exist which image the breasts, all with a focus on early detection; thermography is one such method. It is a non-invasive test, which is safe and can be used for a wide variety of breast densities. It functions by analysing thermal patterns captured via an infrared camera of the surface of the breast. Advances in infrared and mobile technology enable this modality to be mobile based; allowing a high degree of portability at a lower cost. Furthermore, as technology has improved, machine learning has played a larger role in medical practices by offering unbiased, consistent, and timely second opinions. Machine learning algorithms are able to classify medical images automatically if offered in the correct format. This study aims to provide a model, which integrates breast cancer detection, thermal imaging, machine learning, and mobile technology. The conceptual model is theorised from three literature studies regarding: identifiable aspects of breast cancer through thermal imaging, the mobile ecosystem, and classification using machine learning algorithms. The model is implemented and evaluated using an experiment designed to classify automatically thermal breast images of the same quality that mobile attachable thermal cameras are able to capture. The experiment contrasts various combinations of segmentation methods, extracted features, and classification algorithms. Promising results were shown in the experiment with a high degree of accuracy obtained. The successful results obtained from the experimentation process validates the feasibility of the model

The effect of work related mechanical stress on the peripheral temperature of the hand

The evolution and developments in modern industry have resulted a wide range of occupational activities, some of which can lead to industrial injuries. Due to the activities of occupational medicine, much progress has been made in transforming the way that operatives perform their tasks. However there are still many occupations where manual tasks have become more repetitive, contributing to the development of conditions that affect the upper limbs. Repetitive Strain Injury is one classification of those conditions which is related to overuse of repetitive movement. Hand Arm Vibration Syndrome is a subtype of this classification directly related to the operation of instruments and machinery which involves vibration. These conditions affect a large number of individuals, and are costly in terms of work absence, loss of income and compensation. While such conditions can be difficult to avoid, they can be monitored and controlled, with prevention usually the least expensive solution. In medico-legal situations it may be difficult to determine the location or the degree of injury, and therefore determining the relevant compensation due is complicated by the absence of objective and quantifiable methods. This research is an investigation into the development of an objective, quantitative and reproducible diagnostic procedure for work related upper limb disorders. A set of objective mechanical provocation tests for the hands have been developed that are associated with vascular challenge. Infrared thermal imaging was used to monitor the temperature changes using a well defined capture protocol. Normal reference values have been measured and a computational tool used to facilitate the process and standardise image processing. These objective tests have demonstrated good discrimination between groups of healthy controls and subjects with work related injuries but not individuals, p<0.05, and are reproducible. A maximum value for thermal symmetry of 0.5±0.3ºC for the whole upper limbs has been established for use as a reference. The tests can be used to monitor occupations at risk, aiming to reduce the impact of these conditions, reducing work related injury costs, and providing early detection. In a medico-legal setting this can also provide important objective information in proof of injury and ultimately in objectively establishing whether or not there is a case for compensation