Abstract
BackgroundUnsupervised lung segmentation method is one of the mandatory processes in order to develop a Content Based Medical Image Retrieval System (CBMIRS) of CXR. The purpose of the study is to present a robust solution for lung segmentation of standard and mobile chest radiographs using fully automated unsupervised method.MethodsThe novel method is based on oriented Gaussian derivatives filter with seven orientations, combined with Fuzzy C-Means (FCM) clustering and thresholding to refine the lung region. In addition, a new algorithm to automatically generate a threshold value for each Gaussian response is also proposed. The algorithms are applied to both PA and AP chest radiographs from both public JSRT dataset and our private datasets from collaborative hospital. Two pre-processing blocks are introduced to standardize the images from different machines. Comparisons with the previous works found in the literature on JSRT dataset shows that our method gives a reasonably good result. We also compare our algorithm with other unsupervised methods to provide fairly comparative measures on the performances for all datasets.ResultsPerformance measures (accuracy, F-score, precision, sensitivity and specificity) for the segmentation of lung in public JSRT dataset are above 0.90 except for the overlap measure is 0.87. The standard deviations for all measures are very low, from 0.01 to 0.06. The overlap measure for the private image database is 0.81 (images from standard machine) and 0.69 (images from two mobile machines). The algorithm is fully automated and fast, with the average execution time of 12.5 s for 512 by 512 pixels resolution.ConclusionsOur proposed method is fully automated, unsupervised, with no training or learning stage is necessary to segment the lungs taken using both a standard machine and two different mobile machines. The proposed pre-processing blocks are significantly useful to standardize the radiographs from mobile machines. The algorithm gives good performance measures, robust, and fast for the application of the CBMIRS.
Highlights
Unsupervised lung segmentation method is one of the mandatory processes in order to develop a Content Based Medical Image Retrieval System (CBMIRS) of CXR
It is important to take note that the unsupervised method is mandatory for a robust retrieval system
This paper has realized a novel lung segmentation algorithm for chest radiographs including the image pre-processing stages with contrast adjustment and cropping blocks to standardize the images especially for the radiograph acquired by the mobile machines
Summary
Unsupervised lung segmentation method is one of the mandatory processes in order to develop a Content Based Medical Image Retrieval System (CBMIRS) of CXR. Standard chest radiography meets these requirements, except that current methods have moderate sensitivity. It is still more favourable despite the development of advances radiological exams like Computed Tomography (CT). By comparing the conventional CXR and CT chest, it is estimated that the latter is about 400 times higher than the former, which equivalent to 3.6 years of background exposure [2]. Another reason for the widespread use of conventional chest radiograph over CT is its economic feasibility. The topic of interest for this research is only on chest radiography, the previous literature on related work will be discussed thoroughly
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