Automatic detection of subsolid pulmonary nodules in thoracic computed tomography images.

Subsolid pulmonary nodules occur less often than solid pulmonary nodules, but show a much higher malignancy rate. Therefore, accurate detection of this type of pulmonary nodules is crucial. In this work, a computer-aided detection (CAD) system for subsolid nodules in computed tomography images is presented and evaluated on a large data set from a multi-center lung cancer screening trial. The paper describes the different components of the CAD system and presents experiments to optimize the performance of the proposed CAD system. A rich set of 128 features is defined for subsolid nodule candidates. In addition to previously used intensity, shape and texture features, a novel set of context features is introduced. Experiments show that these features significantly improve the classification performance. Optimization and training of the CAD system is performed on a large training set from one site of a lung cancer screening trial. Performance analysis on an independent test from another site of the trial shows that the proposed system reaches a sensitivity of 80% at an average of only 1.0 false positive detections per scan. A retrospective analysis of the output of the CAD system by an experienced thoracic radiologist shows that the CAD system is able to find subsolid nodules which were not contained in the screening database.

Evaluation of the effect of computer-aided classification of benign and malignant lesions on reader performance in automated three-dimensional breast ultrasound.

RATIONALE AND OBJECTIVES: To investigate the effect of a newly developed computer-aided diagnosis (CAD) system on reader interpretation of breast lesions in automated three-dimensional (3D) breast ultrasound. MATERIALS AND METHODS: A CAD system was developed to differentiate malignant lesions from benign lesions including automated lesion segmentation in three dimensions; extraction of lesion features such as spiculation, margin contrast, and posterior acoustic behavior; and a classification stage. Eighty-eight patients with breast lesions were included for an observer study: 47 lesions were malignant and 41 were benign. Eleven readers (seven radiologists and four residents) read the cases with and without CAD. We compared the performance of readers with and without CAD using receiver operating characteristic (ROC) analysis. RESULTS: The CAD system had an area under the ROC curve (AUC) of 0.92 for discriminating benign and malignant lesions, whereas the unaided reader AUC ranged from 0.77 to 0.92. Mean performance of inexperienced readers improved when CAD was used (AUC = 0.85 versus 0.90; P = .007), whereas mean performance of experienced readers did not change with CAD (AUC = 0.89). CONCLUSIONS: By using the CAD system for classification of lesions in automated 3D breast ultrasound, which on its own performed as good as the best readers, the performance of inexperienced readers improved while that of experienced readers remained unaffected.

Computer-aided detection of ground glass nodules in thoracic CT images using shape, intensity and context features.

Ground glass nodules (GGNs) occur less frequent in computed tomography (CT) scans than solid nodules but have a much higher chance of being malignant. Accurate detection of these nodules is therefore highly important. A complete system for computer-aided detection of GGNs is presented consisting of initial segmentation steps, candidate detection, feature extraction and a two-stage classification process. A rich set of intensity, shape and context features is constructed to describe the appearance of GGN candidates. We apply a two-stage classification approach using a linear discriminant classifier and a GentleBoost classifier to efficiently classify candidate regions. The system is trained and independently tested on 140 scans that contained one or more GGNs from around 10,000 scans obtained in a lung cancer screening trial. The system shows a high sensitivity of 73% at only one false positive per scan.

Model-Free Visualization of Suspicious Lesions in Breast MRI Based on Supervised and Unsupervised Learning.

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) has become an important tool in breast cancer diagnosis, but evaluation of multitemporal 3D image data holds new challenges for human observers. To aid the image analysis process, we apply supervised and unsupervised pattern recognition techniques for computing enhanced visualizations of suspicious lesions in breast MRI data. These techniques represent an important component of future sophisticated computer-aided diagnosis (CAD) systems and support the visual exploration of spatial and temporal features of DCE-MRI data stemming from patients with confirmed lesion diagnosis. By taking into account the heterogeneity of cancerous tissue, these techniques reveal signals with malignant, benign and normal kinetics. They also provide a regional subclassification of pathological breast tissue, which is the basis for pseudo-color presentations of the image data. Intelligent medical systems are expected to have substantial implications in healthcare politics by contributing to the diagnosis of indeterminate breast lesions by non-invasive imaging.

An adaptive tissue characterization network for model-free visualization of dynamic contrast-enhanced magnetic resonance image data.

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) has become an important source of information to aid cancer diagnosis. Nevertheless, due to the multi-temporal nature of the three-dimensional volume data obtained from DCE-MRI, evaluation of the image data is a challenging task and tools are required to support the human expert. We investigate an approach for automatic localization and characterization of suspicious lesions in DCE-MRI data. It applies an artificial neural network (ANN) architecture which combines unsupervised and supervised techniques for voxel-by-voxel classification of temporal kinetic signals. The algorithm is easy to implement, allows for fast training and application even for huge data sets and can be directly used to augment the display of DCE-MRI data. To demonstrate that the system provides a reasonable assessment of kinetic signals, the outcome is compared with the results obtained from the model-based three-time-points (3TP) technique which represents a clinical standard protocol for analysing breast cancer lesions. The evaluation based on the DCE-MRI data of 12 cases indicates that, although the ANN is trained with imprecisely labeled data, the approach leads to an outcome conforming with 3TP without presupposing an explicit model of the underlying physiological process.

Libraries of synthetic stationary-phase and stress promoters as a tool for fine-tuning of expression of recombinant proteins in Escherichia coli.

Due to their induction characteristics stationary-phase promoters have a great potential in biotechnological processes for the production of heterologous proteins on a large-scale. In order to broaden the utility of stationary-phase promoters in bacterial expression systems and to create novel promoters induced by metabolic conditions, a library of synthetic stationary-phase/stress promoters for Escherichia coli was constructed. For designing the promoters the known -10 consensus sequence as well as the extended -10 region and an A/T-rich region downstream of the -10 region were kept constant, while sequences from -37 to -14 were partially or completely randomized. For detection and selection of stationary-phase promoters GFP with enhanced fluorescence was used. The expression pattern of the GFP reporter system was compared with that of the LacZ reporter system. To screen and characterize colonies containing stationary-phase/stress promoters a bioinformatic approach was developed. In total, 33 promoters were selected which cover a broad range of promoter activities and induction times indicating that the strength of promoters can be modulated by partially randomizing the sequence upstream of the -10 region. The induction ratio of synthetic promoters at the transition from exponential to stationary-phase was from 4 to over 6000 and the induction time relative to the entrance into stationary-phase from -1.4 to 2.7 h. Ninety-one percentage of the promoters had no or only low background activity during exponential growth. The broad variability of the promoters offers good possibilities for fine-tuning of gene expression and for applications in industrial bioprocesses.

Reagent-free automatic cell viability determination using neural networks based machine vision and dark-field microscopy in Saccharomyces cerevisiae.

Fermentation industries require in-situ real-time monitoring of cell viability during fermentation processes. For this purpose, reagent-free approaches are desired because they can be used for in situ analysis and reduce the system's complexity. We have developed an automatic way of determining cell viability via analysis of time-lapse image sequences taken by dark field microscopy without the aid of any additional reagents. The image processing is based on neural networks based machine vision, involving Principal Component Analysis (PCA) to investigate the dynamic information of intracellular movements. In consequence, the essential features as the vital sign of the target cells are discovered. Viability predictions using the Support Vector Machine (SVM) classifier have been done successfully on the datasets with different qualities. Accuracy up to above 90% has been obtained on the basis of image enhancement. Robustness of the system is proved by the results of the tests. The model organism we have used is Saccharomyces cerevisiae, however, this technique can promisingly be applied for the identification of cell viability of other organisms as well.

Image fusion for dynamic contrast enhanced magnetic resonance imaging.

BACKGROUND: Multivariate imaging techniques such as dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) have been shown to provide valuable information for medical diagnosis. Even though these techniques provide new information, integrating and evaluating the much wider range of information is a challenging task for the human observer. This task may be assisted with the use of image fusion algorithms. METHODS: In this paper, image fusion based on Kernel Principal Component Analysis (KPCA) is proposed for the first time. It is demonstrated that a priori knowledge about the data domain can be easily incorporated into the parametrisation of the KPCA, leading to task-oriented visualisations of the multivariate data. The results of the fusion process are compared with those of the well-known and established standard linear Principal Component Analysis (PCA) by means of temporal sequences of 3D MRI volumes from six patients who took part in a breast cancer screening study. RESULTS: The PCA and KPCA algorithms are able to integrate information from a sequence of MRI volumes into informative gray value or colour images. By incorporating a priori knowledge, the fusion process can be automated and optimised in order to visualise suspicious lesions with high contrast to normal tissue. CONCLUSION: Our machine learning based image fusion approach maps the full signal space of a temporal DCE-MRI sequence to a single meaningful visualisation with good tissue/lesion contrast and thus supports the radiologist during manual image evaluation.

Human vs machine: evaluation of fluorescence micrographs.

To enable high-throughput screening of molecular phenotypes, multi-parameter fluorescence microscopy is applied. Object of our study is lymphocytes which invade human tissue. One important basis for our collaborative project is the development of methods for automatic and accurate evaluation of fluorescence micrographs. As a part of this, we focus on the question of how to measure the accuracy of microscope image interpretation, by human experts or a computer system. Following standard practice we use methods motivated by receiver operator characteristics to discuss the accuracies of human experts and of neural network-based algorithms. For images of good quality the algorithms achieve the accuracy of the medium-skilled experts. In images with increased noise, the classifiers are outperformed by some of the experts. Furthermore, the neural network-based cell detection is much faster than the human experts.