Nemat Hoda, Fehri Hamid, Ahmadinejad Nasrin, Frangi Alejandro F, Gooya Ali
Department of Electronic and Electrical Engineering, Center for Computational Imaging Simulation Technologies in Biomedicine (CISTIB), University of Sheffield, Sheffield, S1 3JD, UK.
Department of Radiology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, 1416753955, Iran.
Med Phys. 2018 Jul 5. doi: 10.1002/mp.13082.
This work proposes a new reliable computer-aided diagnostic (CAD) system for the diagnosis of breast cancer from breast ultrasound (BUS) images. The system can be useful to reduce the number of biopsies and pathological tests, which are invasive, costly, and often unnecessary.
The proposed CAD system classifies breast tumors into benign and malignant classes using morphological and textural features extracted from breast ultrasound (BUS) images. The images are first preprocessed to enhance the edges and filter the speckles. The tumor is then segmented semiautomatically using the watershed method. Having the tumor contour, a set of 855 features including 21 shape-based, 810 contour-based, and 24 textural features are extracted from each tumor. Then, a Bayesian Automatic Relevance Detection (ARD) mechanism is used for computing the discrimination power of different features and dimensionality reduction. Finally, a logistic regression classifier computed the posterior probabilities of malignant vs benign tumors using the reduced set of features.
A dataset of 104 BUS images of breast tumors, including 72 benign and 32 malignant tumors, was used for evaluation using an eightfold cross-validation. The algorithm outperformed six state-of-the-art methods for BUS image classification with large margins by achieving 97.12% accuracy, 93.75% sensitivity, and 98.61% specificity rates.
Using ARD, the proposed CAD system selects five new features for breast tumor classification and outperforms state-of-the-art, making a reliable and complementary tool to help clinicians diagnose breast cancer.
本研究提出一种新型可靠的计算机辅助诊断(CAD)系统,用于从乳腺超声(BUS)图像中诊断乳腺癌。该系统有助于减少活检和病理检查的数量,这些检查具有侵入性、成本高且往往不必要。
所提出的CAD系统利用从乳腺超声(BUS)图像中提取的形态学和纹理特征,将乳腺肿瘤分为良性和恶性两类。首先对图像进行预处理以增强边缘并滤除斑点。然后使用分水岭方法半自动分割肿瘤。获得肿瘤轮廓后,从每个肿瘤中提取一组855个特征,包括21个基于形状的、810个基于轮廓的和24个纹理特征。然后,使用贝叶斯自动相关性检测(ARD)机制计算不同特征的判别力并进行降维。最后,逻辑回归分类器使用减少后的特征集计算恶性肿瘤与良性肿瘤的后验概率。
使用包含72个良性肿瘤和32个恶性肿瘤的104幅乳腺肿瘤BUS图像数据集,通过八折交叉验证进行评估。该算法在BUS图像分类方面比六种最先进的方法有大幅提升,准确率达到97.12%,灵敏度达到93.75%,特异度达到98.61%。
所提出的CAD系统使用ARD为乳腺肿瘤分类选择了五个新特征,性能优于现有技术,成为帮助临床医生诊断乳腺癌的可靠且互补的工具。