Gray-level co-occurrence matrix bone fracture detection

Problem statement: Currently doctors in orthopedic wards inspect the bone x-ray images according to their experience and knowledge in bone fracture analysis. Manual examination of x-rays has multitude drawbacks. The process is time-consuming and subjective. Approach: Since detection of fractures is an important orthopedics and radiologic problem and therefore a Computer Aided Detection(CAD) system should be developed to improve the scenario. In this study, a fracture detection CAD based on GLCM recognition could improve the current manual inspection of x-ray images system. The GLCM for fracture and non-fracture bone is computed and analysis is made. Features of Homogeneity, contrast, energy, correlation are calculated to classify the fractured bone. Results: 30 images of femur fractures have been tested, the result shows that the CAD system can differentiate the x-ray bone into fractured and nonfractured femur. The accuracy obtained from the system is 86.67. Conclusion: The CAD system is proved to be effective in classifying the digital radiograph of bone fracture. However the accuracy rate is not perfect, the performance of this system can be further improved using multiple features of GLCM and future works can be done on classifying the bone into different degree of fracture specifically

Multipurpose contrast enhancement on epiphyseal plates and ossification centers for bone age assessment

BACKGROUND: The high variations of background luminance, low contrast and excessively enhanced contrast of hand bone radiograph often impede the bone age assessment rating system in evaluating the degree of epiphyseal plates and ossification centers development. The Global Histogram equalization (GHE) has been the most frequently adopted image contrast enhancement technique but the performance is not satisfying. A brightness and detail preserving histogram equalization method with good contrast enhancement effect has been a goal of much recent research in histogram equalization. Nevertheless, producing a well-balanced histogram equalized radiograph in terms of its brightness preservation, detail preservation and contrast enhancement is deemed to be a daunting task. METHOD: In this paper, we propose a novel framework of histogram equalization with the aim of taking several desirable properties into account, namely the Multipurpose Beta Optimized Bi-Histogram Equalization (MBOBHE). This method performs the histogram optimization separately in both sub-histograms after the segmentation of histogram using an optimized separating point determined based on the regularization function constituted by three components. The result is then assessed by the qualitative and quantitative analysis to evaluate the essential aspects of histogram equalized image using a total of 160 hand radiographs that are implemented in testing and analyses which are acquired from hand bone online database. RESULT: From the qualitative analysis, we found that basic bi-histogram equalizations are not capable of displaying the small features in image due to incorrect selection of separating point by focusing on only certain metric without considering the contrast enhancement and detail preservation. From the quantitative analysis, we found that MBOBHE correlates well with human visual perception, and this improvement shortens the evaluation time taken by inspector in assessing the bone age. CONCLUSIONS: The proposed MBOBHE outperforms other existing methods regarding comprehensive performance of histogram equalization. All the features which are pertinent to bone age assessment are more protruding relative to other methods; this has shorten the required evaluation time in manual bone age assessment using TW method. While the accuracy remains unaffected or slightly better than using unprocessed original image. The holistic properties in terms of brightness preservation, detail preservation and contrast enhancement are simultaneous taken into consideration and thus the visual effect is contributive to manual inspection

An artifacts removal post-processing for epiphyseal region-of-interest (EROI) localization in automated bone age assessment (BAA)

<p>Abstract</p> <p>Background</p> <p>Segmentation is the most crucial part in the computer-aided bone age assessment. A well-known type of segmentation performed in the system is adaptive segmentation. While providing better result than global thresholding method, the adaptive segmentation produces a lot of unwanted noise that could affect the latter process of epiphysis extraction.</p> <p>Methods</p> <p>A proposed method with anisotropic diffusion as pre-processing and a novel Bounded Area Elimination (BAE) post-processing algorithm to improve the algorithm of ossification site localization technique are designed with the intent of improving the adaptive segmentation result and the region-of interest (ROI) localization accuracy.</p> <p>Results</p> <p>The results are then evaluated by quantitative analysis and qualitative analysis using texture feature evaluation. The result indicates that the image homogeneity after anisotropic diffusion has improved averagely on each age group for 17.59%. Results of experiments showed that the smoothness has been improved averagely 35% after BAE algorithm and the improvement of ROI localization has improved for averagely 8.19%. The MSSIM has improved averagely 10.49% after performing the BAE algorithm on the adaptive segmented hand radiograph.</p> <p>Conclusions</p> <p>The result indicated that hand radiographs which have undergone anisotropic diffusion have greatly reduced the noise in the segmented image and the result as well indicated that the BAE algorithm proposed is capable of removing the artifacts generated in adaptive segmentation.</p

Preprocessing digital retinal images for vessel segmentation

The information contained in the retinal vasculature is used to diagnose the onset of retinal diseases such as diabetic retinopathy. However, due to non-uniform illumination and variations in imaging modalities, the contrast between the retinal blood vessels network and the background is very low, encumbering the analysis and the diagnosis processes. This prompts the need for preprocessing digital fundus images to remove noise and improve contrast thus increasing the segmentation accuracy of the retinal vasculature. In this study, we address issues of nonuniform illumination and low contrast by developing a framework that implements shade correction, image enhancement and prepares the digital fundus images for the next stage

Prominent region of interest contrast enhancement for knee MR images: data from the OAI

Osteoarthritis is the most commonly seen arthritis, where there are 30.8 million adults affected in 2015. Magnetic resonance imaging (MRI) plays a key role to provide direct visualization and quantitative measurement on knee cartilage to monitor the osteoarthritis progression. However, the visual quality of MRI data can be influenced by poor background luminance, complex human knee anatomy, and indistinctive tissue contrast. Typical histogram equalisation methods are proven to be irrelevant in processing the biomedical images due to their steep cumulative density function (CDF) mapping curve which could result in severe washout and distortion on subject details. In this paper, the prominent region of interest contrast enhancement method (PROICE) is proposed to separate the original histogram of a 16-bit biomedical image into two Gaussians that cover dark pixels region and bright pixels region respectively. After obtaining the mean of the brighter region, where our ROI – knee cartilage falls, the mean becomes a break point to process two Bezier transform curves separately. The Bezier curves are then combined to replace the typical CDF curve to equalize the original histogram. The enhanced image preserves knee feature as well as region of interest (ROI) mean brightness. The image enhancement performance tests show that PROICE has achieved the highest peak signal-to-noise ratio (PSNR=24.747±1.315dB), lowest absolute mean brightness error (AMBE=0.020±0.007) and notably structural similarity index (SSIM=0.935±0.019). In other words, PROICE has considerably outperformed the other approaches in terms of its noise reduction, perceived image quality, its precision and has shown great potential to visually assist physicians in their diagnosis and decision-making process

Three dimensional nuchal translucency ultrasound segmentation using region growing for trisomy 21 early assessment

Ultrasound prenatal screening has been proposed as a most effective technique for trisomy 21 early assessment. The current practice using B mode conventional ultrasonic images are restricted inter and intra observer variability. Therefore, we proposed three dimensional segmentation techniques for ultrasound marker, nuchal translucency (NT), as a replacement method to existing manual two dimensional NT thickness measurements. The developed generic computing algorithms are integrated with VTK and ITK open-sources libraries. Region growing was implemented with growth criteria and rendered by reconstructed multiplanar view. The findings have proven that the developed algorithm was able to produce consistent three dimensional NT segmentation

Surface rendering of three dimensional ultrasound images using VTK

This study utilized VTK visualization tool to demonstrate reconstruction of medical image using surface rendering technique. Simulation result shows three dimensional surface rendering of multiple slices ultrasound fetal phantom images in orthogonal view, upper left and upper right for reconstructed coronal and sagittal images and also internal view by changing position. A three dimensional reconstruction using surface rendering via VTK library is accomplished and it is found effective in terms of cost and performance in medical image