ABSTRACT
Breast cancer is a disease that affects women in different countries around the world. The real cause of breast cancer is particularly challenging to determine, and early detection of the disease is necessary for reducing the death rate, due to the high risks associated with breast cancer. Treatment in the early period can increase the life expectancy and quality of life for women. CAD (Computer Aided Diagnostic) systems can perform the diagnosis of the benign and malignant lesions of breast cancer using technologies and tools based on image processing, helping specialist doctors to obtain a more precise point of view with fewer processes when making their diagnosis by giving a second opinion. This study presents a novel CAD system for automated breast cancer diagnosis. The proposed method consists of different stages. In the preprocessing stage, an image is segmented, and a mask of a lesion is obtained; during the next stage, the extraction of the deep learning features is performed by a CNN-specifically, DenseNet 201. Additionally, handcrafted features (Histogram of Oriented Gradients (HOG)-based, ULBP-based, perimeter area, area, eccentricity, and circularity) are obtained from an image. The designed hybrid system uses CNN architecture for extracting deep learning features, along with traditional methods which perform several handcraft features, following the medical properties of the disease with the purpose of later fusion via proposed statistical criteria. During the fusion stage, where deep learning and handcrafted features are analyzed, the genetic algorithms as well as mutual information selection algorithm, followed by several classifiers (XGBoost, AdaBoost, Multilayer perceptron (MLP)) based on stochastic measures, are applied to choose the most sensible information group among the features. In the experimental validation of two modalities of the CAD design, which performed two types of medical studies-mammography (MG) and ultrasound (US)-the databases mini-DDSM (Digital Database for Screening Mammography) and BUSI (Breast Ultrasound Images Dataset) were used. Novel CAD systems were evaluated and compared with recent state-of-the-art systems, demonstrating better performance in commonly used criteria, obtaining ACC of 97.6%, PRE of 98%, Recall of 98%, F1-Score of 98%, and IBA of 95% for the abovementioned datasets.
ABSTRACT
In this paper, a new Computer-Aided Detection (CAD) system for the detection and classification of dangerous skin lesions (melanoma type) is presented, through a fusion of handcraft features related to the medical algorithm ABCD rule (Asymmetry Borders-Colors-Dermatoscopic Structures) and deep learning features employing Mutual Information (MI) measurements. The steps of a CAD system can be summarized as preprocessing, feature extraction, feature fusion, and classification. During the preprocessing step, a lesion image is enhanced, filtered, and segmented, with the aim to obtain the Region of Interest (ROI); in the next step, the feature extraction is performed. Handcraft features such as shape, color, and texture are used as the representation of the ABCD rule, and deep learning features are extracted using a Convolutional Neural Network (CNN) architecture, which is pre-trained on Imagenet (an ILSVRC Imagenet task). MI measurement is used as a fusion rule, gathering the most important information from both types of features. Finally, at the Classification step, several methods are employed such as Linear Regression (LR), Support Vector Machines (SVMs), and Relevant Vector Machines (RVMs). The designed framework was tested using the ISIC 2018 public dataset. The proposed framework appears to demonstrate an improved performance in comparison with other state-of-the-art methods in terms of the accuracy, specificity, and sensibility obtained in the training and test stages. Additionally, we propose and justify a novel procedure that should be used in adjusting the evaluation metrics for imbalanced datasets that are common for different kinds of skin lesions.
