MULTI-SCALE ANALYSIS OF LUNG COMPUTED TOMOGRAPHY IMAGES

A computer-aided detection (CAD) system for the identification of lung internal nodules in low-dose multi-detector helical Computed Tomography (CT) images was developed in the framework of the MAGIC-5 project. The three modules of our lung CAD system, a segmentation algorithm for lung internal region identification, a multi-scale dot-enhancement filter for nodule candidate selection and a multi-scale neural technique for false positive finding reduction, are described. The results obtained on a dataset of low-dose and thin-slice CT scans are shown in terms of free response receiver operating characteristic (FROC) curves and discussed.

Comparative Study of Feature classification Methods for Mass Lesion Recognition in Digitized Mammograms

In this work a comparison of different classification methods for the identification of mass lesions in digitized mammograms is performed. These methods, used in order to develop Computer Aided Detection (CAD) systems, have been implemented in the framework of the MAGIC-5 Collaboration. The system for identification of mass lesions is based on a three-step procedure: a) preprocessing and segmentation, b) region of interest (ROI) searching, c) feature extraction and classification. It was tested on a very large mammographic database (3369 mammographic images from 967 patients). Each ROI is characterized by eight features extracted from a co-occurrence matrix containing spatial statistics inf…

A massive lesion detection algorithm in mammography

A new algorithm for massive lesion detection in mammography is presented. The algorithm consists in three main steps : 1) reduction of the dimension of the image to be processed through the identifi cation of regions of interest (rois) as candidates for massive lesions ; 2) characterization of the roi by means of suitable feature extraction ; 3) pattern classifi cation through supervised neural networks. Suspect regions are detected by searching for local maxima of the pixel grey level intensity. A ring of increasing radius, centered on a maximum, is considered until the mean intensity in the ring decreases to a defi ned fraction of the maximum. The rois thus obtained are described by avera…

A Fuzzy Logic C-Means Clustering Algorithm to Enhance Microcalcifications Clusters in Digital Mammograms

The detection of microcalcifications is a hard task, since they are quite small and often poorly contrasted against the background of images. The Computer Aided Detection (CAD) systems could be very useful for breast cancer control. In this paper, we report a method to enhance microcalcifications cluster in digital mammograms. A Fuzzy Logic clustering algorithm with a set of features is used for clustering microcalcifications. The method described was tested on simulated clusters of microcalcifications, so that the location of the cluster within the breast and the exact number of microcalcifications is known.

A completely automated CAD system for mass detection in a large mammographic database

Mass localization plays a crucial role in computer-aided detection (CAD) systems for the classification of suspicious regions in mammograms. In this article we present a completely automated classification system for the detection of masses in digitized mammographic images. The tool system we discuss consists in three processing levels: (a) Image segmentation for the localization of regions of interest (ROIs). This step relies on an iterative dynamical threshold algorithm able to select iso-intensity closed contours around gray level maxima of the mammogram. (b) ROI characterization by means of textural features computed from the gray tone spatial dependence matrix (GTSDM), containing secon…

A test to evaluate the impact of the CAD tools in mammographic diagnosis

In this work we present the results of a study about the impact of CAD tools on Sensitivity and Specificity in mammographic diagnosis. The approach is aimed to evaluate the statistical significance through the comparison of these figures of merit obtained in different situations. For this purpose two different CAD tools, the CALMA station (INFN project) and the SecondLook™ station (by CADx) have been used as a support for radiologists.

A Novel Web Service for Mammography Images Indexing

Medical community needs to extract precise information from a large amount of data. These data are a collection of different types such as text documents, images and video. Currently medical technology do not provide an intelligent methodology for documents recovery and classification of such documents based on their content. In this work the radiological structured reports are analysed with the corresponding mammographic images. The presented system is composed of an Indexing Engine and a Searching Engine, based on innovative methods for IR (Information Retrieval). The proposed work is useful for physicians as support diagnosis system, for students as learning support system, and finally, …

Superior Performances of the Neural Network on the Masses Lesions Classification through Morphological Lesion Differences

Purpose of this work is to develop an automatic classification system that could be useful for radiologists in the breast cancer investigation. The software has been designed in the framework of the MAGIC-5 collaboration. In an automatic classification system the suspicious regions with high probability to include a lesion are extracted from the image as regions of interest (ROIs). Each ROI is characterized by some features based generally on morphological lesion differences. A study in the space features representation is made and some classifiers are tested to distinguish the pathological regions from the healthy ones. The results provided in terms of sensitivity and specificity will be p…

Demographic and behavioural profiles of patients with common oral mucosal lesions by a homogeneity analysis

Oral Diseases (2012) 18, 396–401 Objective:  The aim of this study is to assess the main oral mucosal lesions (OMLs) within a hospital base and to provide an anamnestic, diagnostic model based on homogeneity analysis of some variables. Methods:  The demographic and behavioural data (i.e. gender, age, smoking status, alcohol consumption and therapeutic drug usage) of 1753 patients with at least one OML were considered. Multiple correspondence analysis (MCA) and multivariate tests of the simultaneous marginal homogeneity hypothesis (SMH) were used to analyse the evidence of any differences between the demographic and behavioural profiles relating to OMLs diagnoses. Statistical significance of…

Dissimilarity Application in Digitized Mammographic Images Classification.

Purpose of this work is the development of an automatic classification system which could be useful for radiologists in the investigation of breast cancer. The software has been designed in the framework of the MAGIC-5 collaboration. In the traditional way of learning from examples of objects the classifiers are built in a feature space. However, an alternative ways can be found by constructing decision rules on dissimilarity (distance) representations. In such a recognition process a new object is described by its distances to (a subset of) the training samples. The use of the dissimilarities is especially of interest when features are difficult to obtain or when they have a little discrim…

Massive Lesions Classification using Features based on Morphological Lesion Differences

Purpose of this work is the development of an automatic classification system which could be useful for radiologists in the investigation of breast cancer. The software has been designed in the framework of the MAGIC-5 collaboration. In the automatic classification system the suspicious regions with high probability to include a lesion are extracted from the image as regions of interest (ROIs). Each ROI is characterized by some features based on morphological lesion differences. Some classifiers as a Feed Forward Neural Network, a K-Nearest Neighbours and a Support Vector Machine are used to distinguish the pathological records from the healthy ones. The results obtained in terms of sensiti…

Mammogram segmentation by contour searching and massive lesion classification with neural network

The mammography is the most effective procedure for an early diagnosis of the breast cancer. In this paper, an algorithm for detecting massive lesions in mammographic images will be presented. The database consists of 3762 digital images acquired in several hospitals belonging to the MAGIC-5 collaboration. A reduction of the surface under investigation is achieved, without loss of meaningful information, through segmentation of the whole image, by means of a ROI Hunter algorithm. In the following classification step, feature extraction plays a fundamental role: some features give geometrical information, other ones provide shape parameters. Once the features are computed for each ROI, they …

A fourier-based algorithm for micro-calcification enhancement in mammographic images

Breast cancer is the most widespread cancer in women in the world; it manifests mostly in two forms: microcalcifications and massive lesions. These two forms differ in density, size, shape and number. Consequently, there are two different kinds of mammographic CAD algorithms: those for microcalcifications detection, and those for massive lesions detection. The microcalcifications detection is a hard task, since they are quite small and often poorly contrasted against the background, especially in images affected by digitization noise. In a CAD system the ROI Hunter plays an important role, because missed microcalcifications at this level are definitely lost. For this reason, highlighting me…

Mammogram Segmentation by Contour Searching and Mass Lesions Classification with Neural Network

The mammography is the most effective procedure for an early diagnosis of the breast cancer. In this paper, an algorithm for detecting masses in mammographic images will be presented. The database consists of 3762 digital images acquired in several hospitals belonging to the MAGIC-5 collaboration (Medical Applications on a Grid Infrastructure Connection). A reduction of the whole image's area under investigation is achieved through a segmentation process, by means of a ROI Hunter algorithm, without loss of meaningful information. In the following classification step, feature extraction plays a fundamental role: some features give geometrical information, other ones provide shape parameters.…

GPCALMA: A Grid-based tool for mammographic screening

The next generation of High Energy Physics (HEP) experiments requires a GRID approach to a distributed computing system and the associated data management: the key concept is the Virtual Organisation (VO), a group of distributed users with a common goal and the will to share their resources. A similar approach is being applied to a group of Hospitals which joined the GPCALMA project (Grid Platform for Computer Assisted Library for MAmmography), which will allow common screening programs for early diagnosis of breast and, in the future, lung cancer. HEP techniques come into play in writing the application code, which makes use of neural networks for the image analysis and proved to be useful…

GPCALMA, a mammographic CAD in a GRID connection

Purpose of this work is the development of an automatic system which could be useful for radiologists in the investigation of breast cancer. A breast neoplasia is often marked by the presence of microcalcifications and massive lesions in the mammogram: hence the need for tools able to recognize such lesions at an early stage. GPCALMA (Grid Platform Computer Assisted Library for MAmmography), a collaboration among italian physicists and radiologists, has built a large distributed database of digitized mammographic images (at this moment about 5500 images corresponding to 1650 patients). This collaboration has developed a CAD (Computer Aided Detection) system which, installed in an integrated…

A text based indexing system for mammographic image retrieval and classification

Abstract In modern medical systems huge amount of text, words, images and videos are produced and stored in ad hoc databases. Medical community needs to extract precise information from that large amount of data. Currently ICT approaches do not provide a methodology for content-based medical images retrieval and classification. On the other hand, from the Internet of Things (IoT) perspective, the ICT medical data can be produced by several devices. Produced data complies with all Big Data features and constraints. The IoT guidelines put at the center of the system a new smart software to manage and transform Big Data in a new understanding form. This paper describes a text based indexing sy…

A method to reduce the FP/imm number through CC and MLO views comparison in mammographic images

In this paper we propose a method to reduce the FP/imm number through CC and MLO mammographic views comparison of the same patient. The proposed solution uses the symmetry properties of the breast to compute a geometric transformation that permits to represent the two images in comparable coordinates systems. Through this method, potential pathological ROIs of one of the projections are correlated with the ROIs in the second view. To show the effectiveness of the result we apply the method on a dataset composed of 112 couples of pathological images. Experiments shows that method enables a reduction by up to 700/0 of the FP/imm number detected after the classification step

Computer assisted diagnosis (CAD) in mammography. Comparison of diagnostic accuracy of a new algorithm (Cyclopus(R), Medicad) with two commercial systems

The study compares the diagnostic accuracy (correct identification of cancer) of a new computer-assisted diagnosis (CAD) system (Cyclopus) with two other commercial systems (R2 and CADx). Cyclopus was tested on a set of 120 mammograms on which the two compared commercial systems had been previously tested. The set consisted of mammograms reported as negative, preceding 31 interval cancers reviewed as screening error or minimal sign, and of 89 verified negative controls randomly selected from the same screening database. Cyclopus sensitivity was 74.1% (R2=54.8%; CADx=41.9%) and was higher for interval cancers reviewed as screening error (90.9%; R2=54.5%; CADx=81.8%) compared with those revie…

GPCALMA: An Italian mammographic database of digitized images for research

In this work the implementation of a database of digitized mammograms is described. The digitized images were collected since 1999 by a community of physicists in collaboration with radiologists in several Italian hospitals, as a first step in order to develop and implement a Computer Aided Detection (CAD) system. 3369 mammograms were collected from 967 patients; they were classified according to the type and the morphology of the lesions, the type of the breast tissue and the type of pathologies. A dedicated Graphical User Interface was developed for mammography visualization and processing, in order to support the medical diagnosis directly on a high-resolution screen. The database has be…

MAGIC-5: an Italian mammographic database of digitised images for research

The implementation of a database of digitised mammograms is discussed. The digitised images were collected beginning in 1999 by a community of physicists in collaboration with radiologists in several Italian hospitals as a first step in developing and implementing a computer-aided detection (CAD) system. All 3,369 mammograms were collected from 967 patients and classified according to lesion type and morphology, breast tissue and pathology type. A dedicated graphical user interface was developed to visualise and process mammograms to support the medical diagnosis directly on a high-resolution screen. The database has been the starting point for developing other medical imaging applications,…

Integrated prototyping and rendering system for the display of ceramic finds

The project, carried out in collaboration between the Department of Architecture of Palermo and the Archaeological Museum Antonino Salinas of Palermo, proposes a system of integration and reconstruction of ceramic artefacts, using modeling, 3D printing and rendering processes for an integrated museum exhibition system, which the viewers can observe the fragment nearing the re-reconstructed fragment that reconstructs the original morphology and an interactive digital model in which the viewers can also observe the metric aspect and, where present, the decorative apparatus.

The CALMA system: an artificial neural network method for detecting masses and microcalcifications in digitized mammograms

The CALMA (Computer Assisted Library for MAmmography) project is a five years plan developed in a physics research frame in collaboration between INFN (Istituto Nazionale di Fisica Nucleare) and many Italian hospitals. At present a large database of digitized mammographic images (more than 6000) was collected and a software based on neural network algorithms for the search of suspicious breast lesions was developed. Two tools are available: a microcalcification clusters hunter, based on supervised and unsupervised feedforward neural network, and a massive lesions searcher, based on a hibrid approach. Both the algorithms analyzed preprocessed digitized images by high frequency filters. Clini…

Bayesian Network Based Classification of Mammography Structured Reports

In modern medical domain, documents are created directly in electronic form and stored on huge databases containing documents, text in integral form and images. Retrieving right informations from these servers is challenging and, sometimes, this is very time consuming. Current medical technology do not provide a smart methodology classification of such documents based on their content. In this work the radiological structured reports are analysed classified and assigning an appropriate label. The text classifier is used to label a mammographic structured report. The experimental data are real clinical report coming from a hospital server. Analysing the structured report content, the classif…

COMPUTER ASSISTED DIAGNOSIS (CAD) IN MAMMOGRAPHY. COMPARISON OF DIAGNOSTIC ACCURACY OF A NEW ALGORITHM (CYCLOPUS®, MEDICAD) WITH TWO COMMERCIAL SYSTEMS

Automatic detection of lung nodules in CT datasets based on stable 3D mass–spring models

We propose a computer-aided detection (CAD) system which can detect small-sized (from 3 mm) pulmonary nodules in spiral CT scans. A pulmonary nodule is a small lesion in the lungs, round-shaped (parenchymal nodule) or worm-shaped (juxtapleural nodule). Both kinds of lesions have a radio-density greater than lung parenchyma, thus appearing white on the images. Lung nodules might indicate a lung cancer and their early stage detection arguably improves the patient survival rate. CT is considered to be the most accurate imaging modality for nodule detection. However, the large amount of data per examination makes the full analysis difficult, leading to omission of nodules by the radiologist. We…