An adaptive density-weighted contrast enhancement filter for mammographic breast mass detection

Presents a novel approach for segmentation of suspicious mass regions in digitized mammograms using a new adaptive density-weighted contrast enhancement (DWCE) filter in conjunction with Laplacian-Gaussian (LG) edge detection. The DWCE enhances structures within the digitized mammogram so that a simple edge detection algorithm can be used to define the boundaries of the objects. Once the object boundaries are known, morphological features are extracted and used by a classification algorithm to differentiate regions within the image. This paper introduces the DWCE algorithm and presents results of a preliminary study based on 25 digitized mammograms with biopsy proven masses. It also compares morphological feature classification based on sequential thresholding, linear discriminant analysis, and neural network classifiers for reduction of false-positive detections.     

Computer-aided breast cancer detection and diagnosis of massesusing difference of Gaussians and derivative-based feature saliency

A new model-based vision (MBV) algorithm is developed to find regions of interest (ROI's) corresponding to masses in digitized mammograms and to classify the masses as malignant/benign. The MBV algorithm is comprised of 5 modules to structurally identify suspicious ROI's, eliminate false positives, and classify the remaining as malignant or benign. The focus of attention module uses a difference of Gaussians (DoG) filter to highlight suspicious regions in the mammogram. The index module uses tests to reduce the number of nonmalignant regions from 8.39 to 2.36 per full breast image. Size, shape, contrast, and Laws texture features are used to develop the prediction module's mass models. Derivative-based feature saliency techniques are used to determine the best features for classification. Nine features are chosen to define the malignant/benign models. The feature extraction module obtains these features from all suspicious ROI's. The matching module classifies the regions using a multilayer perceptron neural network architecture to obtain an overall classification accuracy of 100% for the segmented malignant masses with a false-positive rate of 1.8 per full breast image. This system has a sensitivity of 92% for locating malignant ROI's. The database contains 272 images (12 b, 100 μm) with 36 malignant and 53 benign mass images. The results demonstrate that the MBV approach provides a structured order of integrating complex stages into a system for radiologists     

On techniques for detecting circumscribed masses in mammograms

A method for detecting one type of breast tumor, circumscribed masses, in mammograms is presented. It relies on a combination of criteria used by experts, including the shape, brightness contrast, and uniform density of tumor areas. The method uses modified median filtering to enhance mammogram images and template matching to detect the tumors. In the template matching step, suspicious areas are identified by thresholding the cross-correlation values, and a percentile method is used to determine a threshold for each film. In addition, two tests are used to remove false alarms from the resulting candidates. The results obtained by applying these techniques to a set of test images are described. They are judged encouraging.     

一种基于二叉树决策分类的乳腺肿块自动检测方法

乳腺癌是严重威胁女性健康的重要疾病,乳腺癌计算机辅助诊断能够提高乳腺普查的效率和精度。乳腺肿块的自动检测是实现乳腺癌计算机辅助诊断的重要一步。由于肿块和背景之间的对比度低,肿块大小、位置、灰度不确定等,肿块的准确检测非常困难。预处理、疑似区域分割、特征提取以及分类器设计是乳腺肿块分割的关键。本文对经过增强的乳腺X光图像采用一种自适应阈值方法分割出疑似区域,提取疑似区域表征乳腺肿块的面积、紧凑度、圆形度、灰度方差、灰度均值以及偏离度六种特征,最后利用二叉决策树把疑似区域分为两类:肿块和正常乳腺组织。利用50幅图像测试系统的性能,肿块的检测率(TP)为86.18%,且每幅图像的平均误检(FP)为1.18个。实验结果证明了本文提出方法的有效性。     

Establishing the correspondence between control points in pairs ofmammographic images

This paper describes part of a study aimed at developing a computer-based aid for mammogram screening that makes a detailed comparison between mammograms of the same patient acquired at different screenings and detects changes indicative of cancer. The focus is on determining control points in two mammograms; these points are used to put two mammograms into correspondence. The paper details the algorithm for identifying the potential control points and establishing the correspondence between the two sets of control points. The algorithm's performance was evaluated by three observers, one of whom is an experienced radiologist, and found to be adequate.     

A novel approach to microcalcification detection using fuzzy logictechnique

Breast cancer continues to be a significant public health problem in the United States. Approximately, 182,000 new cases of breast cancer are diagnosed and 46,000 women die of breast cancer each year. Even more disturbing is the fact that one out of eight women in the United States will develop breast cancer at some point during her lifetime. Since the cause of breast cancer remains unknown, primary prevention becomes impossible. Computer-aided mammography is an important and challenging task in automated diagnosis. It has great potential over traditional interpretation of film-screen mammography in terms of efficiency and accuracy. Microcalcifications are the earliest sign of breast carcinomas and their detection is one of the key issues for breast cancer control. In this study, a novel approach to microcalcification detection based on fuzzy logic technique is presented. Microcalcifications are first enhanced based on their brightness and nonuniformity. Then, the irrelevant breast structures are excluded by a curve detector. Finally, microcalcifications are located using an iterative threshold selection method. The shapes of microcalcifications are reconstructed and the isolated pixels are removed by employing the mathematical morphology technique. The essential idea of the proposed approach is to apply a fuzzified image of a mammogram to locate the suspicious regions and to interact the fuzzified image with the original image to preserve fidelity. The major advantage of the proposed method is its ability to detect microcalcifications even in very dense breast mammograms. A series of clinical mammograms are employed to test the proposed algorithm and the performance is evaluated by the free-response receiver operating characteristic curve. The experiments aptly show that the microcalcifications can be accurately detected even in very dense mammograms using the proposed approach     

A concentric morphology model for the detection of masses in mammography

We propose a technique for the automated detection of malignant masses in screening mammography. The technique is based on the presence of concentric layers surrounding a focal area with suspicious morphological characteristics and low relative incidence in the breast region. Mammographic locations with high concentration of concentric layers with progressively lower average intensity are considered suspicious deviations from normal parenchyma. The multiple concentric layers (MCLs) technique was trained and tested using the craniocaudal views of 270 mammographic cases with biopsy proven malignant masses from the digital database of screening mammography. One-half of the available cases were used for optimizing the parameters of the detection algorithm. The remaining cases were used for testing. During testing, malignant masses were detected with 92%, 88%, and 81% sensitivity at 5.4, 2.4, and 0.6 false positive marks per image. Testing on 82 normal screening mammograms showed a false positive rate of 5.0, 1.7, and 0.2 marks per image at the previously reported operating points. Furthermore, additional evaluation on 135 benign cases produced a significantly lower detection rate for benign masses (61.6%, 58.3%, and 43.7% at 5.1, 2.8, and 1.2 false positives per image, respectively). Overall, MCL is a promising computer-assisted detection strategy for screening mammograms to identify malignant masses while maintaining the detection rate of benign masses considerably lower.     

An evaluation of contrast enhancement techniques for mammographic breast masses.

The main aim of this paper is to propose a novel set of metrics that measure the quality of the image enhancement of mammographic images in a computer-aided detection framework aimed at automatically finding masses using machine learning techniques. Our methodology includes a novel mechanism for the combination of the metrics proposed into a single quantitative measure. We have evaluated our methodology on 200 images from the publicly available digital database for screening mammograms. We show that the quantitative measures help us select the best suited image enhancement on a per mammogram basis, which improves the quality of subsequent image segmentation much better than using the same enhancement method for all mammograms.     

Segmentation of Regions of Interest in Mammograms in a Topographic Approach

This paper presents a novel method for the segmentation of regions of interest in mammograms. The algorithm concurrently delineates the boundaries of the breast boundary, the pectoral muscle, as well as dense regions that include candidate masses. The resulting representation constitutes an analysis of the global structure of the object in the mammogram. We propose a topographic representation called the isocontour map, in which a salient region forms a dense quasi-concentric pattern of contours. The topological and geometrical structure of the image is analyzed using an inclusion tree that is a hierarchical representation of the enclosure relationships between contours. The “saliency” of a region is measured topologically as the minimum nesting depth. Features at various scales are analyzed in multiscale isocontour maps, and we demonstrate that the multiscale scheme provides an efficient way of achieving better delineations. Experimental results demonstrate that the proposed method has potential as the basis for a prompting system in mammogram mass detection.      

Mammogram registration: a phantom-based evaluation of compressed breast thickness variation effects

The temporal comparison of mammograms is complex; a wide variety of factors can cause changes in image appearance. Mammogram registration is proposed as a method to reduce the effects of these changes and potentially to emphasize genuine alterations in breast tissue. Evaluation of such registration techniques is difficult since ground truth regarding breast deformations is not available in clinical mammograms. In this paper, we propose a systematic approach to evaluate sensitivity of registration methods to various types of changes in mammograms using synthetic breast images with known deformations. As a first step, images of the same simulated breasts with various amounts of simulated physical compression have been used to evaluate a previously described nonrigid mammogram registration technique. Registration performance is measured by calculating the average displacement error over a set of evaluation points identified in mammogram pairs. Applying appropriate thickness compensation and using a preferred order of the registered images, we obtained an average displacement error of 1.6 mm for mammograms with compression differences of 1-3 cm. The proposed methodology is applicable to analysis of other sources of mammogram differences and can be extended to the registration of multimodality breast data.     

Robust Initial Detection of Landmarks in Film-Screen Mammograms Using Multiple FFDM Atlases

Automated analysis of mammograms requires robust methods for pectoralis segmentation and nipple detection. Locating the nipple is especially important in multiview computer aided detection systems, in which findings are matched across images using the nipple-to-finding distance. Segmenting the pectoralis is a key preprocessing step to avoid false positives when detecting masses due to the similarity of the texture of mammographic parenchyma and the pectoral muscle. A multiatlas algorithm capable of providing very robust initial estimates of the nipple position and pectoral region in digitized mammograms is presented here. Ten full-field digital mammograms, which are easily annotated attributed to their excellent contrast, are robustly registered to the target digitized film-screen mammogram. The annotations are then propagated and fused into a final nipple position and pectoralis segmentation. Compared to other nipple detection methods in the literature, the system proposed here has the advantages that it is more robust and can provide a reliable estimate when the nipple is located outside the image. Our results show that the change in the correlation between nipple-to-finding distances in craniocaudal and mediolateral oblique views is not significant when the detected nipple positions replace the manual annotations. Moreover, the pectoralis segmentation is acceptable and can be used as initialization for a more complex algorithm to optimize the outline locally. A novel aspect of the method is that it is also capable of detecting and segmenting the pectoralis in craniocaudal views.      

基于视觉显著性特征的乳腺肿块检测方法

提出基于视觉显著性特征的乳腺钼靶X射线肿块检 测方法:首先从局 部显著性、全局 显著性和稀少性三方面计算显著图,利用显著图加权增强目标;然后根据前景目标数迭代确 定分割阈值对 加权后图像阈值分割;最后将分割后的前景区域视为疑似肿块区域,利用融合显著性特征及 基于中心-轮廓 距离的肿块形态特征识别肿块。本文利用MIAS数据库中多幅的乳腺X线图像进行实验验证, 结果表明, 本文提出的方法能够准确地分割肿块区域,肿块识别准确性较高。     

Relevance vector machine for automatic detection of clustered microcalcifications

Clustered microcalcifications (MC) in mammograms can be an important early sign of breast cancer in women. Their accurate detection is important in computer-aided detection (CADe). In this paper, we propose the use of a recently developed machine-learning technique--relevance vector machine (RVM)--for detection of MCs in digital mammograms. RVM is based on Bayesian estimation theory, of which a distinctive feature is that it can yield a sparse decision function that is defined by only a very small number of so-called relevance vectors. By exploiting this sparse property of the RVM, we develop computerized detection algorithms that are not only accurate but also computationally efficient for MC detection in mammograms. We formulate MC detection as a supervised-learning problem, and apply RVM as a classifier to determine at each location in the mammogram if an MC object is present or not. To increase the computation speed further, we develop a two-stage classification network, in which a computationally much simpler linear RVM classifier is applied first to quickly eliminate the overwhelming majority, non-MC pixels in a mammogram from any further consideration. The proposed method is evaluated using a database of 141 clinical mammograms (all containing MCs), and compared with a well-tested support vector machine (SVM) classifier. The detection performance is evaluated using free-response receiver operating characteristic (FROC) curves. It is demonstrated in our experiments that the RVM classifier could greatly reduce the computational complexity of the SVM while maintaining its best detection accuracy. In particular, the two-stage RVM approach could reduce the detection time from 250 s for SVM to 7.26 s for a mammogram (nearly 35-fold reduction). Thus, the proposed RVM classifier is more advantageous for real-time processing of MC clusters in mammograms.     

Single and multiscale detection of masses in digital mammograms

Scale is an important issue in the automated detection of masses in mammograms, due to the range of possible sizes masses can have. In this work, it was examined if detection of masses can be done at a single scale, or whether it is more appropriate to use the output of the detection method at different scales in a multiscale scheme. Three different pixel-based mass-detection methods were used for this purpose. The first method is based on convolution of a mammogram with the Laplacian of a Gaussian, the second method is based on correlation with a model of a mass, and the third is a new approach, based on statistical analysis of gradient-orientation maps. Experiments with simulated masses indicated that little can be gained by applying the methods at a number of scales. These results were confirmed by experiments on a set of 71 cases (132 mammograms) containing a malignant tumor. The performance of each method in a multiscale scheme was similar to the performance at the optimal single scale. A slight improvement was found for the correlation method when the output of different scales was combined. This was especially evident at low specificity levels. The correlation method and the gradient-orientation-analysis method have similar performances. A sensitivity of approximately 75% is reached at a level of one false positive per image. The method based on convolution with the Laplacian of the Gaussian performed considerably worse, in both a single and multiscale scheme.     

Use of Normal Tissue Context in Computer-Aided Detection of Masses in Mammograms

When reading mammograms, radiologists do not only look at local properties of suspicious regions but also take into account more general contextual information. This suggests that context may be used to improve the performance of computer-aided detection (CAD) of malignant masses in mammograms. In this study, we developed a set of context features that represent suspiciousness of normal tissue in the same case. For each candidate mass region, three normal reference areas were defined in the image at hand. Corresponding areas were also defined in the contralateral image and in different projections. Evaluation of the context features was done using 10-fold cross validation and case based bootstrapping. Free response receiver operating characteristic (FROC) curves were computed for feature sets including context features and a feature set without context. Results show that the mean sensitivity in the interval of 0.05–0.5 false positives/image increased more than 6% when context features were added. This increase was significant $({ p}≪0.0001)$. Context computed using multiple views yielded a better performance than using a single view (mean sensitivity increase of 2.9%, ${ p}≪0.0001$). Besides the importance of using multiple views, results show that best CAD performance was obtained when multiple context features were combined that are based on different reference areas in the mammogram.      

A tool supported approach for brightness preserving contrast enhancement and mass segmentation of mammogram images using histogram modified grey relational analysis

Multidimensional Systems and Signal Processing - Mammography is a tool that uses X-rays to create mammograms. This tool is mainly used to find early signs of breast cancer. Usually, mammogram image...     

Detection of microcalcifications in mammograms using local maxima and adaptive wavelet transform analysis

A method for computer-aided diagnosis of microcalcification clusters in mammogram images is presented. Microcalcification clusters which are an early sign of breast cancer appear as isolated bright spots in mammograms. Therefore they correspond to local maxima of the image. The local maxima of the image is first detected and they are ranked according to a higher-order statistical test performed over the subband domain data.     

Markov random field for tumor detection in digital mammography

A technique is proposed for the detection of tumors in digital mammography. Detection is performed in two steps: segmentation and classification. In segmentation, regions of interest are first extracted from the images by adaptive thresholding. A further reliable segmentation is achieved by a modified Markov random field (MRF) model-based method. In classification, the MRF segmented regions are classified into suspicious and normal by a fuzzy binary decision tree based on a series of radiographic, density-related features. A set of normal (50) and abnormal (45) screen/film mammograms were tested. The latter contained 48 biopsy proven, malignant masses of various types and subtlety. The detection accuracy of the algorithm was evaluated by means of a free response receiver operating characteristic curve which shows the relationship between the detection of true positive masses and the number of false positive alarms per image. The results indicated that a 90% sensitivity can be achieved in the detection of different types of masses at the expense of two falsely detected signals per image. The algorithm was notably successful in the detection of minimal cancers manifested by masses 相似文献   

An anatomically oriented breast coordinate system for mammogram analysis

We have developed a breast coordinate system that is based on breast anatomy to register female breasts into a common coordinate frame in 2-D mediolateral (ML) or mediolateral oblique (MLO) view mammograms. The breasts are registered according to the location of the pectoral muscle and the nipple and the shape of the breast boundary because these are the most robust features independent of the breast size and shape. On the basis of these landmarks, we have constructed a nonlinear mapping between the parameter frame and the breast region in the mammogram. This mapping makes it possible to identify the corresponding positions and orientations among all of the ML or MLO mammograms, which facilitates an implicit use of the registration, i.e., no explicit image warping is needed. We additionally show how the coordinate transform can be used to extract Gaussian derivative features so that the feature positions and orientations are registered and extracted without nonlinearly deforming the images. We use the proposed breast coordinate transform in a cross-sectional breast cancer risk assessment study of 490 women, in which we attempt to learn breast cancer risk factors from mammograms that were taken prior to when the breast cancer became visible to a radiologist. The coordinate system provides both the relative position and orientation information on the breast region from which the features are derived. In addition, the coordinate system can be used in temporal studies to pinpoint anatomically equivalent locations between the mammograms of each woman and among the mammograms of all of the women in the study. The results of the cross-sectional study show that the classification into cancer and control groups can be improved by using the new coordinate system, compared to other systems evaluated. Comparisons were performed using the area-under-the-receiver-operating-characteristic-curve score. In general, the new coordinate system makes an accurate anatomical registration of breasts possible, which suggests its wide applicability wherever 2-D mammogram registration is required.