3,627 research outputs found
A Computer Aided Detection system for mammographic images implemented on a GRID infrastructure
The use of an automatic system for the analysis of mammographic images has
proven to be very useful to radiologists in the investigation of breast cancer,
especially in the framework of mammographic-screening programs. A breast
neoplasia is often marked by the presence of microcalcification clusters and
massive lesions in the mammogram: hence the need for tools able to recognize
such lesions at an early stage. In the framework of the GPCALMA (GRID Platform
for Computer Assisted Library for MAmmography) project, the co-working of
italian physicists and radiologists built a large distributed database of
digitized mammographic images (about 5500 images corresponding to 1650
patients) and developed a CAD (Computer Aided Detection) system, able to make
an automatic search of massive lesions and microcalcification clusters. The CAD
is implemented in the GPCALMA integrated station, which can be used also for
digitization, as archive and to perform statistical analyses. Some GPCALMA
integrated stations have already been implemented and are currently on clinical
trial in some italian hospitals. The emerging GRID technology can been used to
connect the GPCALMA integrated stations operating in different medical centers.
The GRID approach will support an effective tele- and co-working between
radiologists, cancer specialists and epidemiology experts by allowing remote
image analysis and interactive online diagnosis.Comment: 5 pages, 5 figures, to appear in the Proceedings of the 13th
IEEE-NPSS Real Time Conference 2003, Montreal, Canada, May 18-23 200
A scalable Computer-Aided Detection system for microcalcification cluster identification in a pan-European distributed database of mammograms
A computer-aided detection (CADe) system for microcalcification cluster
identification in mammograms has been developed in the framework of the
EU-founded MammoGrid project. The CADe software is mainly based on wavelet
transforms and artificial neural networks. It is able to identify
microcalcifications in different kinds of mammograms (i.e. acquired with
different machines and settings, digitized with different pitch and bit depth
or direct digital ones). The CADe can be remotely run from GRID-connected
acquisition and annotation stations, supporting clinicians from geographically
distant locations in the interpretation of mammographic data. We report the
FROC analyses of the CADe system performances on three different dataset of
mammograms, i.e. images of the CALMA INFN-founded database collected in the
Italian National screening program, the MIAS database and the so-far collected
MammoGrid images. The sensitivity values of 88% at a rate of 2.15 false
positive findings per image (FP/im), 88% with 2.18 FP/im and 87% with 5.7 FP/im
have been obtained on the CALMA, MIAS and MammoGrid database respectively.Comment: 6 pages, 5 figures; Proceedings of the ITBS 2005, 3rd International
Conference on Imaging Technologies in Biomedical Sciences, 25-28 September
2005, Milos Island, Greec
A scalable system for microcalcification cluster automated detection in a distributed mammographic database
A computer-aided detection (CADe) system for microcalcification cluster
identification in mammograms has been developed in the framework of the
EU-founded MammoGrid project. The CADe software is mainly based on wavelet
transforms and artificial neural networks. It is able to identify
microcalcifications in different datasets of mammograms (i.e. acquired with
different machines and settings, digitized with different pitch and bit depth
or direct digital ones). The CADe can be remotely run from GRID-connected
acquisition and annotation stations, supporting clinicians from geographically
distant locations in the interpretation of mammographic data. We report and
discuss the system performances on different datasets of mammograms and the
status of the GRID-enabled CADe analysis.Comment: 6 pages, 4 figures; Proceedings of the IEEE NNS and MIC Conference,
October 23-29, 2005, Puerto Ric
Enhanced imaging of microcalcifications in digital breast tomosynthesis through improved image-reconstruction algorithms
PURPOSE: We develop a practical, iterative algorithm for image-reconstruction
in under-sampled tomographic systems, such as digital breast tomosynthesis
(DBT).
METHOD: The algorithm controls image regularity by minimizing the image total
-variation (TpV), a function that reduces to the total variation when
or the image roughness when . Constraints on the image, such as
image positivity and estimated projection-data tolerance, are enforced by
projection onto convex sets (POCS). The fact that the tomographic system is
under-sampled translates to the mathematical property that many widely varied
resultant volumes may correspond to a given data tolerance. Thus the
application of image regularity serves two purposes: (1) reduction of the
number of resultant volumes out of those allowed by fixing the data tolerance,
finding the minimum image TpV for fixed data tolerance, and (2) traditional
regularization, sacrificing data fidelity for higher image regularity. The
present algorithm allows for this dual role of image regularity in
under-sampled tomography.
RESULTS: The proposed image-reconstruction algorithm is applied to three
clinical DBT data sets. The DBT cases include one with microcalcifications and
two with masses.
CONCLUSION: Results indicate that there may be a substantial advantage in
using the present image-reconstruction algorithm for microcalcification
imaging.Comment: Submitted to Medical Physic
Automated System for Early Breast Cancer Detection in Mammograms
The increasing demand on mammographic screening for early breast cancer detection, and the subtlety of early breast cancer signs on mammograms, suggest an automated image processing system that can serve as a diagnostic aid in radiology clinics. We present a fully automated algorithm for detecting clusters of microcalcifications that are the most common signs of early, potentially curable breast cancer. By using the contour map of the mammogram, the algorithm circumvents some of the difficulties encountered with standard image processing methods. The clinical implementation of an automated instrument based on this algorithm is also discussed
The galectin-3/RAGE dyad modulates vascular osteogenesis in atherosclerosis
Vascular calcification correlates with inflammation and plaque instability in a dual manner, depending on the spotty/granular (micro) or sheet-like/lamellated (macro) pattern of calcification. Modified lipoproteins trigger both inflammation and calcification via receptors for advanced lipoxidation/glycation endproducts (ALEs/AGEs). This study compared the roles of galectin-3 and receptor for AGEs (RAGE), two ALEs/AGEs-receptors with diverging effects on inflammation and bone metabolism, in the process of vascular calcification. We evaluated galectin-3 and RAGE expression/localization in 62 human carotid plaques and its relation to calcification pattern, plaque phenotype, and markers of inflammation and vascular osteogenesis; and the effect of galectin-3 ablation and/or exposure to an ALE/AGE on vascular smooth muscle cell (VSMC) osteogenic differentiation. While RAGE co-localized with inflammatory cells in unstable regions with microcalcification, galectin-3 was expressed also by VSMCs, especially in macrocalcified areas, where it co-localized with alkaline phosphatase. Expression of galectin-3 and osteogenic markers was higher in macrocalcified plaques, whereas the opposite occurred for RAGE and inflammatory markers. Galectin-3-deficient VSMCs exhibited defective osteogenic differentiation, as shown by altered expression of osteogenic transcription factors and proteins, blunted activation of pro-osteoblastogenic Wnt/β-catenin signalling and proliferation, enhanced apoptosis, and disorganized mineralization. These abnormalities were associated with RAGE up-regulation, but were only in part prevented by RAGE silencing, and were partially mimicked or exacerbated by treatment with an AGE/ALE. These data indicate a novel molecular mechanism by which galectin-3 and RAGE modulate in divergent ways, not only inflammation, but also vascular osteogenesis, by modulating Wnt/β-catenin signalling, and independently of ALEs/AGEs
Convolutional Neural Networks for the segmentation of microcalcification in Mammography Imaging
Cluster of microcalcifications can be an early sign of breast cancer. In this
paper we propose a novel approach based on convolutional neural networks for
the detection and segmentation of microcalcification clusters. In this work we
used 283 mammograms to train and validate our model, obtaining an accuracy of
98.22% in the detection of preliminary suspect regions and of 97.47% in the
segmentation task. Our results show how deep learning could be an effective
tool to effectively support radiologists during mammograms examination.Comment: 13 pages, 7 figure
Can high-frequency ultrasound predict metastatic lymph nodes in patients with invasive breast cancer?
Aim
To determine whether high-frequency ultrasound can predict the presence of metastatic axillary lymph nodes, with a high specificity and positive predictive value, in patients with invasive breast cancer. The clinical aim is to identify patients with axillary disease requiring surgery who would not normally, on clinical grounds, have an axillary dissection, so potentially improving outcome and survival rates.
Materials and methods
The ipsilateral and contralateral axillae of 42 consecutive patients with invasive breast cancer were scanned prior to treatment using a B-mode frequency of 13 MHz and a Power Doppler frequency of 7 MHz. The presence or absence of an echogenic centre for each lymph node detected was recorded, and measurements were also taken to determine the L/S ratio and the widest and narrowest part of the cortex. Power Doppler was also used to determine vascularity. The contralateral axilla was used as a control for each patient.
Results
In this study of patients with invasive breast cancer, ipsilateral lymph nodes with a cortical bulge ≥3 mm and/or at least two lymph nodes with absent echogenic centres indicated the presence of metastatic axillary lymph nodes (10 patients). The sensitivity and specificity were 52.6% and 100%, respectively, positive and negative predictive values were 100% and 71.9%, respectively, the P value was 0.001 and the Kappa score was 0.55.\ud
Conclusion
This would indicate that high-frequency ultrasound can be used to accurately predict metastatic lymph nodes in a proportion of patients with invasive breast cancer, which may alter patient management
Medical imaging analysis with artificial neural networks
Given that neural networks have been widely reported in the research community of medical imaging, we provide a focused literature survey on recent neural network developments in computer-aided diagnosis, medical image segmentation and edge detection towards visual content analysis, and medical image registration for its pre-processing and post-processing, with the aims of increasing awareness of how neural networks can be applied to these areas and to provide a foundation for further research and practical development. Representative techniques and algorithms are explained in detail to provide inspiring examples illustrating: (i) how a known neural network with fixed structure and training procedure could be applied to resolve a medical imaging problem; (ii) how medical images could be analysed, processed, and characterised by neural networks; and (iii) how neural networks could be expanded further to resolve problems relevant to medical imaging. In the concluding section, a highlight of comparisons among many neural network applications is included to provide a global view on computational intelligence with neural networks in medical imaging
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