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使用块图像处理自动筛查宫颈细胞。

Automatic screening of cervical cells using block image processing.

作者信息

Zhao Meng, Wu Aiguo, Song Jingjing, Sun Xuguo, Dong Na

机构信息

School of Electrical Engineering and Automation, Tianjin University, Tianjin, China.

School of Medical Laboratory, Tianjin Medical University, Tianjin, China.

出版信息

Biomed Eng Online. 2016 Feb 4;15:14. doi: 10.1186/s12938-016-0131-z.

Abstract

BACKGROUND

Cervical cancer is the second leading cause of female-specific cancer-related deaths after breast cancer, especially in developing countries. However, the incidence of the disease may be significantly decreased if the patient is diagnosed in the pre-cancerous lesion stage or earlier. In recent years, computer-based algorithms are widely used in cervical cancer screening. Most of the proposed algorithms follow the procedure of segmentation, feature extraction, and then classification. Nevertheless, few of the existing segmentation methods are as flexible and robust as the human visual system, and the complexity of the algorithms makes it difficult for clinical application.

METHODS

In this study, a computer-assisted analytical approach is proposed to identify the existence of suspicious cells in a whole slide cervical cell image (WSCCI). The main difference between our method and the conventional algorithm is that the image is divided into blocks with certain size instead of segmented cells, which can greatly reduce the computational complexity. Via data analysis, some texture and color histogram features show significant differences between blocks with and without suspicious cells. Therefore these features can be used as the input of the support vector machine classifier. 1100 non-background blocks (110 suspicious blocks) are trained to build a model, while 1040 blocks (491 non-background blocks) from 12 other WSCCIs are tested to verify the feasibility of the algorithm.

RESULTS

The experimental results show that the accuracy of our method is about 98.98 %. More importantly, the sensitivity, which is more fatal in cancer screening, is 95.0 % according to the images tested in the study, while the specificity is 99.33 %.

CONCLUSION

The analysis of the algorithm is based on block images, which is different from conventional methods. Although some analysis work should be done in advance, the later processing speed will be greatly enhanced with the establishment of the model. Furthermore, since the algorithm is based on the actual WSCCI, the method will be of directive significance for clinical screening.

摘要

背景

宫颈癌是继乳腺癌之后女性特定癌症相关死亡的第二大主要原因,尤其是在发展中国家。然而,如果患者在癌前病变阶段或更早被诊断出来,该疾病的发病率可能会显著降低。近年来,基于计算机的算法被广泛应用于宫颈癌筛查。大多数提出的算法都遵循分割、特征提取然后分类的过程。然而,现有的分割方法很少有像人类视觉系统那样灵活和强大的,并且算法的复杂性使其难以应用于临床。

方法

在本研究中,提出了一种计算机辅助分析方法来识别全玻片宫颈细胞图像(WSCCI)中可疑细胞的存在。我们的方法与传统算法的主要区别在于,图像被分割成具有一定大小的块而不是分割细胞,这可以大大降低计算复杂度。通过数据分析,一些纹理和颜色直方图特征在有可疑细胞和无可疑细胞的块之间显示出显著差异。因此,这些特征可以用作支持向量机分类器的输入。对1100个非背景块(110个可疑块)进行训练以建立模型,同时对来自其他12个WSCCI的1040个块(491个非背景块)进行测试以验证算法的可行性。

结果

实验结果表明,我们方法的准确率约为98.98%。更重要的是,在癌症筛查中更关键的灵敏度,根据本研究中测试的图像为95.0%,而特异性为99.33%。

结论

该算法基于块图像进行分析,这与传统方法不同。虽然需要提前进行一些分析工作,但随着模型的建立,后期处理速度将大大提高。此外,由于该算法基于实际的WSCCI,该方法将对临床筛查具有指导意义。

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