Breast density analysis for whole breast ultrasound images.

Breast density has been established as an independent risk factor associated with the development of breast cancer. The terms mammographic density and breast density are often used interchangeably, since most breast density studies are performed with projection mammography. It is known that increase in mammographic density is associated with an increased cancer risk. A sensitive method that allows for the measurement of small changes in breast density may provide useful information for risk management. Despite the efforts to develop quantitative breast density measurements from projection mammograms, the measurements show large variability as a result of projection imaging, differing body position, differing levels of compression, and variation of the x-ray beam characteristics. This study used two separate computer-aided methods, threshold-based and proportion-based evaluations, to analyze breast density on whole breast ultrasound (US) imaging and to compare with the grading results of three radiologists using projection mammography. Thirty-two female subjects with 252 images per case were included in this study. Whole breast US images were obtained from an Aloka SSD-5500 ultrasound machine with an ASU-1004 transducer (Aloka, Japan). Before analyzing breast density, an adaptive speckle reduction filter was used for removing speckle noise, and a robust thresholding algorithm was used to divide breast tissue into fatty or fibroglandular classifications. Then, the proposed approaches were applied for analysis. In the threshold-based method, a statistical model was employed to determine whether each pixel in the breast region belonged to fibroglandular or fatty tissue. The proportion-based method was based on three-dimensional information to calculate the volumetric proportion of fibroglandular tissue to the total breast tissue. The experimental cases were graded by the proposed analysis methods and compared with the ground standard density classification assigned by a majority voting of three experienced breast radiologists. For the threshold-based method, 28 of 32 US test cases and for the proportion-based density classifier, 27 of 32 US test cases were found to be in agreement with the radiologist "ground standard" mammographic interpretations, resulting in overall accuracies of 87.5% and 84.4%, respectively. Moreover, the concordance values of the proposed methods were between 0.0938 and 0.1563, which were less than the average interobserver concordance of 0.3958. The experiment result showed that the proposed methods could be a reference opinion and offer concordant and reliable quantification of breast density for the radiologist.

Tamper detection and recovery for medical images using near-lossless information hiding technique.

Digital medical images are very easy to be modified for illegal purposes. For example, microcalcification in mammography is an important diagnostic clue, and it can be wiped off intentionally for insurance purposes or added intentionally into a normal mammography. In this paper, we proposed two methods to tamper detection and recovery for a medical image. A 1024 x 1024 x-ray mammogram was chosen to test the ability of tamper detection and recovery. At first, a medical image is divided into several blocks. For each block, an adaptive robust digital watermarking method combined with the modulo operation is used to hide both the authentication message and the recovery information. In the first method, each block is embedded with the authentication message and the recovery information of other blocks. Because the recovered block is too small and excessively compressed, the concept of region of interest (ROI) is introduced into the second method. If there are no tampered blocks, the original image can be obtained with only the stego image. When the ROI, such as microcalcification in mammography, is tampered with, an approximate image will be obtained from other blocks. From the experimental results, the proposed near-lossless method is proven to effectively detect a tampered medical image and recover the original ROI image. In this study, an adaptive robust digital watermarking method combined with the operation of modulo 256 was chosen to achieve information hiding and image authentication. With the proposal method, any random changes on the stego image will be detected in high probability.

Breast density analysis in 3-D whole breast ultrasound images.

The breast density information is one of important factors for estimating the risk in breast cancer detection and early prevention. In this paper, we present two methods, including threshold-based and proportion-based, to automatically analyze the breast density using whole breast ultrasound. The two algorithms are experimented with 32 cases which are scanned from 32 patients using the US machine SSD-5500 with a recent developed scanner ASU-1004 (Aloka, Japan). The experimental results are graded from 4 (extremely dense tissue) to 1 (almost entirely fat), and respectively compared with the majority grades of three radiologists. The accuracy of the threshold-based and proportion-based strategies is 88% and 84% respectively.

Three comparative approaches for breast density estimation in digital and screen film mammograms.

In general, several factors are used for risk estimation in breast cancer detection and early prevention, and one of the important factors in risk of breast cancer is breast density. The mammography is important and effective adjunct in diagnosing the breast cancer. The radiologists would analyze visually the breast density with the BI-RADS lexicon on mammograms. However, this usually causes a large inter-observer variability among the different experienced radiologists. In this paper, we individually adopt three methods, including pixel-based, region-based, and physics-based, to analyze the breast density on mammograms, and the results can offer radiologists a second quantification reading for predicting the risk of breast cancer. The three methods are tested on 208 digital and conventional film mammograms which are scanned from both breasts of 104 patients respectively. The experimental results show that the accuracy of the proposed region-based method, which is more consistent with the radiologists' viewpoint, is 88% more than other two conventional methods.