Browsing by Subject "Mammography"
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Item Open Access 2-D adaptive prediction based Gaussianity tests in microcalcification detection(SPIE, 1998-01) Gürcan, M. Nafi; Yardımcı, Yasemin; Çetin, A. EnisWith increasing use of Picture Archiving and Communication Systems (PACS), Computer-aided Diagnosis (CAD) methods will be more widely utilized. In this paper, we develop a CAD method for the detection of microcalcification clusters in mammograms, which are an early sign of breast cancer. The method we propose makes use of two-dimensional (2-D) adaptive filtering and a Gaussianity test recently developed by Ojeda et al. for causal invertible time series. The first step of this test is adaptive linear prediction. It is assumed that the prediction error sequence has a Gaussian distribution as the mammogram images do not contain sharp edges. Since microcalcifications appear as isolated bright spots, the prediction error sequence contains large outliers around microcalcification locations. The second step of the algorithm is the computation of a test statistic from the prediction error values to determine whether the samples are from a Gaussian distribution. The Gaussianity test is applied over small, overlapping square regions. The regions, in which the Gaussianity test fails, are marked as suspicious regions. Experimental results obtained from a mammogram database are presented.Item Open Access A comprehensive methodology for determining the most informative mammographic features(2013) Wu, Y.; Alagoz O.; Ayvaci, M.U.S.; Munoz Del Rio, A.; Vanness, D.J.; Woods, R.; Burnside, E.S.This study aims to determine the most informative mammographic features for breast cancer diagnosis using mutual information (MI) analysis. Our Health Insurance Portability and Accountability Act-approved database consists of 44,397 consecutive structured mammography reports for 20,375 patients collected from 2005 to 2008. The reports include demographic risk factors (age, family and personal history of breast cancer, and use of hormone therapy) and mammographic features from the Breast Imaging Reporting and Data System lexicon. We calculated MI using Shannon's entropy measure for each feature with respect to the outcome (benign/malignant using a cancer registry match as reference standard). In order to evaluate the validity of the MI rankings of features, we trained and tested naïve Bayes classifiers on the feature with tenfold cross-validation, and measured the predictive ability using area under the ROC curve (AUC). We used a bootstrapping approach to assess the distributional properties of our estimates, and the DeLong method to compare AUC. Based on MI, we found that mass margins and mass shape were the most informative features for breast cancer diagnosis. Calcification morphology, mass density, and calcification distribution provided predictive information for distinguishing benign and malignant breast findings. Breast composition, associated findings, and special cases provided little information in this task. We also found that the rankings of mammographic features with MI and AUC were generally consistent. MI analysis provides a framework to determine the value of different mammographic features in the pursuit of optimal (i.e., accurate and efficient) breast cancer diagnosis. © 2013 Society for Imaging Informatics in Medicine.Item Open Access Computer aided diagnosis in radiology(1999) Gürcan, Metin NafiBreast cancer is one of the most deadly diseases for middle-aged women. In this thesis, computer-aided diagnosis tools are developed for the detection of breast cancer on mammograms. These tools include a detection scheme for microcalcification clusters which are an early sign of breast cancer, and a method to detect the boundaries of mass lesions. In the first microcalcification detection method we propose, a subband decomposition structure is employed. Contrary to the previous work, the detection is carried out in the subband domain. The mammogram image is first processed by a subband decomposition filter bank. The resulting subimage is analyzed to detect microcalcification clusters. In regions corresponding to the healthy breast tissue the distribution is almost Gaussian. Since microcalcifications are small, isolated bright spots, they produce outliers in the subimages and the distribution of pixels deviates from Gaussian. The subimages are divided into overlapping square regions. In each square region, skewness and kurtosis values are estimated. As third and fourth order correlation parameters, skewness and kurtosis, are measures of the asymmetry and impulsiveness of the distribution, they can be used to find the locations of microcalcification clusters. If the values of these parameters are higher than experimentally determined thresholds then the region is marked as a potential cancer area. Experimental studies indicate that this method successfully detects regions containing microcalcifications. We also propose another microcalcification detection method which uses two- dimensional (2-D) adaptive filtering and a higher order statistics based Gaussianity test. In this method, statistics of the prediction errors are computed to determine whether the samples are from a Gaussian distribution. The prediction error sequence deviates from Gaussianity around microcalcification locations because prediction of microcalcification pixels is more difficult than prediction of the pixels corresponding to healthy breast tissue. Then, we develop a new Gaussianity test which has higher sensitivity to outliers. The scheme which uses this test gives better detection performance compared to the previously proposed methods. Within the detected regions it is possible to segment individual microcalcifications. An outlier labeling and nonlinear subband decomposition based microcalcification segmentation method is also investigated. Two types of lesions, namely mass and stellate lesions, might be indicators of breast cancer. Finally, we propose a snake algorithm based scheme to detect the boundaries of mass lesions on mammograms. This scheme is compared with a recently developed region growing based boundary detection method. It is observed that the snake algorithm results in a more smooth boundary which is consistent with the morphological structure of mass lesions.Item Open Access Detection of microcalcifications in mammograms using local maxima and adaptive wavelet transform analysis(The Institution of Engineering and Technology, 2002-10-24) Bagci, A. M.; Çetin, A. EnisA 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.Item Open Access Detection of microcalcifications in mammograms using nonlinear subband decomposition and outlier labeling(SPIE, 1997-02) Gürcan, M. Nafi; Yardımcı, Yasemin C.; Çetin, A. Enis; Ansari, R.Computer-aided diagnosis will be an important feature of the next generation picture archiving and communication systems. In this paper, computer-aided detection of microcalcifications in mammograms using a nonlinear subband decomposition and outlier labeling is examined. The mammogram image is first decomposed into subimages using a nonlinear subband decomposition filter bank. A suitably identified subimage is divided into overlapping square regions in which skewness and kurtosis as measures of the asymmetry and impulsiveness of the distribution are estimated. A region with high positive skewness and kurtosis is marked as a region of interest. Finally, an outlier labeling method is used to find the locations of microcalcifications in these regions. Simulation studies are presented.Item Open Access Influence function based Gaussianity tests for detection of microcalcifications in mammogram images(IEEE, 1999-10) Gürcan, M. Nafi; Yardımcı, Y.; Çetin, A. EnisIn this paper, computer-aided diagnosis of microcalcifications in mammogram images is considered. Microcalcification clusters are an early sign of breast cancer. Microcalcifications appear as single bright spots in mammogram images. We propose an effective method for the detection of these abnormalities. The first step of this method is two-dimensional adaptive filtering. The filtering produces an error image which is divided into overlapping square regions. In each square region, a Gaussianity test is applied. Since microcalcifications have an impulsive appearance, they are treated as outliers. In regions with no microcalcifications, the distribution of the error image is almost Gaussian, on the other hand, in regions containing microcalcification clusters, the distribution deviates from Gaussianity. Using the theory of the influence function and sensitivity curves, we develop a Gaussianity test. Microcalcification clusters are detected using the Gaussianity test. Computer simulation studies are presented.Item Open Access Localization of diagnostically relevant regions of interest in whole slide images: a comparative study(Springer New York LLC, 2016-08) Mercan, E.; Aksoy, S.; Shapiro, L. G.; Weaver, D. L.; Brunyé, T. T.; Elmore, J. G.Whole slide digital imaging technology enables researchers to study pathologists’ interpretive behavior as they view digital slides and gain new understanding of the diagnostic medical decision-making process. In this study, we propose a simple yet important analysis to extract diagnostically relevant regions of interest (ROIs) from tracking records using only pathologists’ actions as they viewed biopsy specimens in the whole slide digital imaging format (zooming, panning, and fixating). We use these extracted regions in a visual bag-of-words model based on color and texture features to predict diagnostically relevant ROIs on whole slide images. Using a logistic regression classifier in a cross-validation setting on 240 digital breast biopsy slides and viewport tracking logs of three expert pathologists, we produce probability maps that show 74 % overlap with the actual regions at which pathologists looked. We compare different bag-of-words models by changing dictionary size, visual word definition (patches vs. superpixels), and training data (automatically extracted ROIs vs. manually marked ROIs). This study is a first step in understanding the scanning behaviors of pathologists and the underlying reasons for diagnostic errors. © 2016, Society for Imaging Informatics in Medicine.