Abstract

A computer-aided detection (CAD) system is helpful for radiologists to detect pulmonary nodules at an early stage. In this paper, we propose a novel pulmonary nodule detection method based on hierarchical block classification. The proposed CAD system consists of three steps. In the first step, input computed tomography images are split into three-dimensional block images, and we apply entropy analysis on the block images to select informative blocks. In the second step, the selected block images are segmented and adjusted for detecting nodule candidates. In the last step, we classify the nodule candidate images into nodules and non-nodules. We extract feature vectors of the objects in the selected blocks. Lastly, the support vector machine is applied to classify the extracted feature vectors. Performance of the proposed system is evaluated on the Lung Image Database Consortium database. The proposed method has reduced the false positives in the nodule candidates significantly. It achieved 95.28% sensitivity with only 2.27 false positives per scan.

Highlights

  • The primary cause of cancer-related death is lung cancer [1]

  • Performance of the proposed computer-aided detection (CAD) system is evaluated using the Lung Image Database Consortium (LIDC) database [20]. It is publicly available in the National Biomedical Imaging Archive (NBIA), and its nodules have been fully annotated by multiple radiologists

  • The LIDC database consists of 84 computed tomography (CT) scans, but only 58 CT scans contain nodules

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Summary

Introduction

The primary cause of cancer-related death is lung cancer [1]. The mortality of lung cancer is higher than other cancers. The five-year relative survival rate of lung cancer is only 16%; if defective nodules are detected at an early stage, the survival rate can be increased [2]. Entropy 2013, 15 research, computed tomography (CT) is one of the most sensitive methods for detecting pulmonary nodules, where a nodule is defined as a rounded and irregular opaque figure on a CT scan, with a diameter up to 30 mm. The early detection of pulmonary nodules is important in the treatment of lung cancer. The use of a computer-aided detection (CAD) system can provide an effective solution by assisting radiologists in increasing the scanning efficiency and potentially improving nodule detection [3,4]

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