Classification Of Microcalcifications In Mammograms Research Articles

Computational growth model of breast microcalcification clusters in simulated mammographic environments

BackgroundWhen screening for breast cancer, the radiological interpretation of mammograms is a difficult task, particularly when classifying precancerous growth such as microcalcifications (MCs). Biophysical modeling of benign vs. malignant growth of MCs in simulated mammographic backgrounds may improve characterization of these structures MethodsA mathematical model based on crystal growth rules for calcium oxide (benign) and hydroxyapatite (malignant) was used in conjunction with simulated mammographic backgrounds, which were generated by fractional Brownian motion of varying roughness and quantified by the Hurst exponent to mimic tissue of varying density. Simulated MC clusters were compared by fractal dimension, average circularity of individual MCs, average number of MCs per cluster, and average cluster area. ResultsBenign and malignant clusters were distinguishable by average circularity, average number of MCs per cluster, and average cluster area with p<0.01 across all Hurst exponent values considered. Clusters were distinguishable by fractal dimension with p<0.05 in low Hurst exponent environments. As the Hurst exponent increased (tissue density increased) benign and malignant MCs became indistinguishable by fractal dimension. ConclusionsThe fractal dimension of MCs changes with breast tissue density, which suggests tissue environment plays a role in regulating MC growth. Benign and malignant MCs are distinguishable in all types of tissue by shape, size, and area, which is consistent with findings in the literature. These results may help to better understand the effects of the tissue environment on tumor progression, and improve classification of MCs in mammograms via computer-aided diagnosis.

Computer-aided detection and classification of microcalcifications in mammograms: a survey

Breast cancer continues to be a significant public health problem in the world. Approximately, 182,000 new cases of breast cancer are diagnosed and 46,000 women die of breast cancer each year in the United States. Even more disturbing is the fact that one out of eight women in US will develop breast cancer at some point during her lifetime. Primary prevention seems impossible since the causes of this disease still remain unknown. Early detection is the key to improving breast cancer prognosis. Mammography is one of the reliable methods for early detection of breast carcinomas. There are some limitations of human observers, and it is difficult for radiologists to provide both accurate and uniform evaluation for the enormous number of mammograms generated in widespread screening. The presence of microcalcification clusters (MCCs) is an important sign for the detection of early breast carcinoma. An early sign of 30–50% of breast cancer detected mammographically is the appearance of clusters of fine, granular microcalcification, and 60–80% of breast carcinomas reveal MCCs upon histological examinations. The high correlation between the appearance of the microcalcification clusters and the diseases show that the CAD (computer aided diagnosis) systems for automated detection/classification of MCCs will be very useful and helpful for breast cancer control. In this survey paper, we summarize and compare the methods used in various stages of the computer-aided detection systems (CAD). In particular, the enhancement and segmentation algorithms, mammographic features, classifiers and their performances are studied and compared. Remaining challenges and future research directions are also discussed.