Spectral clustering of shape and probability prior models for automatic prostate segmentation.

Imaging artifacts in Transrectal Ultrasound (TRUS) images and inter-patient variations in prostate shape and size challenge computer-aided automatic or semi-automatic segmentation of the prostate. In this paper, we propose to use multiple mean parametric models derived from principal component analysis (PCA) of shape and posterior probability information to segment the prostate. In contrast to traditional statistical models of shape and intensity priors, we use posterior probability of the prostate region determined from random forest classification to build, initialize and propagate our model. Multiple mean models derived from spectral clustering of combined shape and appearance parameters ensure improvement in segmentation accuracies. The proposed method achieves mean Dice similarity coefficient (DSC) value of 0.96±0.01, with a mean segmentation time of 0.67±0.02 seconds when validated with 46 images from 23 datasets in a leave-one-patient-out validation framework.

A textural approach for mass false positive reduction in mammography.

During the last decade several algorithms have been proposed for automatic mass detection in mammographic images. However, almost all these methods suffer from a high number of false positives. In this paper we propose a new approach for tackling this false positive reduction problem. The key point of our proposal is the use of Local Binary Patterns (LBP) for representing the textural properties of the masses. We extend the basic LBP histogram descriptor into a spatially enhanced histogram which encodes both the local region appearance and the spatial structure of the masses. Support Vector Machines (SVM) are then used for classifying the true masses from the ones being actually normal parenchyma. Our approach is evaluated using 1792 ROIs extracted from the DDSM database. The experiments show that LBP are effective and efficient descriptors for mammographic masses. Moreover, the comparison with current methods illustrates that our proposal obtains a better performance.

A novel breast tissue density classification methodology.

It has been shown that the accuracy of mammographic abnormality detection methods is strongly dependent on the breast tissue characteristics, where a dense breast drastically reduces detection sensitivity. In addition, breast tissue density is widely accepted to be an important risk indicator for the development of breast cancer. Here, we describe the development of an automatic breast tissue classification methodology, which can be summarized in a number of distinct steps: 1) the segmentation of the breast area into fatty versus dense mammographic tissue; 2) the extraction of morphological and texture features from the segmented breast areas; and 3) the use of a Bayesian combination of a number of classifiers. The evaluation, based on a large kappa = 0.81 and 0.67 for the two data sets) between automatic and expert-based Breast Imaging Reporting and Data System mammographic density assessment.

Optimally discriminant moments for speckle detection in real B-scan images.

The paper presents and evaluates a speckle detection method for B-scan images. This is a fully automatic method and does not require information about the sensor parameters, which is often missing in retrospective studies. The characterization and posterior detection of speckle noise in ultrasound (US) has been regarded as an important research topic in US imaging, for improving signal-to-noise ratio by removing speckle noise and for exploiting speckle correlation information. Most of the existing methods require either manual intervention, the need to know sensor parameters or are based on statistical models which often do not generalize well to B-scans of different imaging areas. The proposed method aims to overcome those limitations. The main novelty of this work is to show that speckle detection can be improved based on finding optimally discriminant low order speckle statistics. In addition, and in contrast with other approaches the presented method is fully automatic and can be efficiently implemented to B-scan images. The method detects speckle patches using an ellipsoid discriminant function which classifies patches based on features extracted from optimally discriminant low order moments of the uncompressed intensity B-scan information. In addition, if the uncompressed signal is not available, we propose and evaluate a method for the estimation of this factor. The computation of low order moments using an optimality criteria, the decompression factor estimation and other key aspects of the method are quantitatively evaluated using both simulated and real (phantom and in vivo) data. Speckle detection results are obtained using again phantom and in vivo studies which show the validity of our approach. In addition, speckle probability images (SPI) are presented which provide valuable information about the distribution of speckle and non-speckle areas in an image. The presented evaluation and results show the effectiveness of our approach. In particular, the need for using discriminant analysis to determine the optimal discriminant power of the statistical moments and that this optimal value strongly depends on the characteristics and imaged tissues in the B-scan data.

Diagnosis of lung carcinoid with cutaneous hyperpigmentation eight years after bilateral adrenalectomy.

A 26-yr-old male was submitted to bilateral adrenalectomy in 1977 for Cushing's syndrome. Some months later he developed intense skin hyperpigmentation together with increased ACTH levels (149 to 4000 ng/l). The sellar region was always normal in X-ray studies. In April 1985, when the patient complained of chest pain, a chest x-ray showed a polycyclic mass in the upper left lobe of the lung. ACTH ranged from 20,000 to 100,000 ng/l, with no response to CRF or cyproheptadine administration. Urinary 5-OH-indolacetic acid was negative. Thoracotomy was performed in July 1985 with resection of two intrapulmonary masses. Histologic study demonstrated a carcinoid tumor, with positive neuron-specific enolase and ACTH immunochemical stain. ACTH concentration in tumoral tissue was 91 pg/g tissue. After surgery ACTH fell dramatically to 37 ng/l, and has remained at this level since then, associated with resolution of the skin hyperpigmentation.