Abstract

There is a significant development in computer-aided detection (CADe) and computer-aided diagnostic (CADx) systems in recent years. This development coincides with the evolution of computing power and the growth of data. The CAD systems support detections and diagnosis of significant diseases, including cancer. Breast cancer is one of the most prevalent cancers influencing women and causing death around the world. Early detection of breast cancer has a significant effect on treatment. The typical CAD system goes through various steps, including image segmentation, feature extraction, and image classification. Image segmentation plays an important role in CAD systems and simplifies further processing. This review explores popular mammogram segmentation techniques. A mammogram is medical imaging which uses a low-dose x-ray system to see inner tissues of the breast. There are many segmentation techniques used to segment medical images. These techniques can be categorized into five main categories: region-based methods, boundary-based methods, atlas-based methods, model-based methods, and deep learning. A ground truth image is needed to measure the performance of the segmentation algorithm. Different performance measurements were used to evaluate the segmentation process, including accuracy, precision, recall, F1 score, Hausdorff Distance, Jaccard, and Dice Index. The research in mammogram segmentation has yielded promising results, but there is room for improvements.

Highlights

  • Over the years, Artificial Intelligence (AI) algorithms have been improving and having impact on every aspect of human life

  • The results show that the Dice Similarity Coefficient (DSC) =94.8, 94.6, and Relative Overlap (RO) = 90.2, 89.8 for MAIS and Digital Database for Screening Mammography (DDSM), respectively

  • An elaborate coverage has been performed in mammogram segmentation techniques

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Summary

INTRODUCTION

Artificial Intelligence (AI) algorithms have been improving and having impact on every aspect of human life. Diagnosing diseases through radiology is an important medical application of AI algorithms. An example of this application is CADe and CADx systems. Most CAD systems consist of the following steps: image preprocessing, segmentation, feature extraction, and classification. There are many studies conducted in using a CAD system to diagnose and detect breast cancer from medical imaging [1]. This review discuss different aspects related to mammogram segmentation. The rest of the review is divided into the following sections: Section II provides background about medical imaging and mammogram.

Medical Image Analysis
Breast Cancer
Mammogram Images
INbreast
PERFORMANCE MEASUREMENTS
MEDICAL IMAGING SEGMENTATION
Region based Segmentation
Boundary-based Segmentation
Atlas-based Segmentation
Model-based Segmentation
Deep Learning
DISCUSSION
Findings
Boundary-based segmentation
CONCLUSION
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