Developed Computer-aided Detection System Research Articles

Detection Accuracy and Latency of Colorectal Lesions with Computer-Aided Detection System Based on Low-Bias Evaluation.

We developed a computer-aided detection (CADe) system to detect and localize colorectal lesions by modifying You-Only-Look-Once version 3 (YOLO v3) and evaluated its performance in two different settings. The test dataset was obtained from 20 randomly selected patients who underwent endoscopic resection for 69 colorectal lesions at the Jikei University Hospital between June 2017 and February 2018. First, we evaluated the diagnostic performances using still images randomly and automatically extracted from video recordings of the entire endoscopic procedure at intervals of 5 s, without eliminating poor quality images. Second, the latency of lesion detection by the CADe system from the initial appearance of lesions was investigated by reviewing the videos. A total of 6531 images, including 662 images with a lesion, were studied in the image-based analysis. The AUC, sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 0.983, 94.6%, 95.2%, 68.8%, 99.4%, and 95.1%, respectively. The median time for detecting colorectal lesions measured in the lesion-based analysis was 0.67 s. In conclusion, we proved that the originally developed CADe system based on YOLO v3 could accurately and instantaneously detect colorectal lesions using the test dataset obtained from videos, mitigating operator selection biases.

A fully-automated system for identification and classification of subsolid nodules in lung computed tomographic scans

A fully-automated computer-aided detection (CAD) system is being proposed in this paper for identification and classification of subsolid lung nodules present in Computed Tomography(CT) scans. The system consists of two stages. The first stage aims at detecting locations of the nodules, while the second one classifies the same into the solid and subsolid category. The system performs segmentation of the region of interest (ROI) and extraction of relevant features from the segmented ROI. Graylevel covariance matrix (GLCM) is being used to extract the Feature vectors. Principle component analysis (PCA) algorithm is used to select significant features in the feature space formed by the vectors. The nodule localization is performed using support vector machine, fuzzy C-means, and random forest classification algorithms. The identified nodules are further grouped into solid and subsolid nodules by extracting histogram of gradient (HoG) features adopting K-means and support vector machine (SVM) classifiers. A large number of annotated images from the widely available benchmark database is tested to validate the results. Efficiency and reliability of the system are evaluated visually and numerically using the relevant quantitative measures. The developed CAD system is found to identify subsolid nodules with a high percentage of accuracy.

Automated diagnosis of celiac disease using DWT and nonlinear features with video capsule endoscopy images

Celiac disease is a common immune response when gluten is ingested. Over time, this response will impair the lining of the small intestine and result in malabsorption. This could bring about critical health complications. However, the symptoms of celiac disease vary and hence, it is relatively challenging to make an accurate diagnosis. This results in a high percentage of misdiagnoses. Therefore, a computer-aided detection (CAD) system is proposed to overcome the challenges. Hence, this study employed the discrete wavelet transform (DWT) to decompose the video images, after which textural and nonlinear features were extracted. Thereafter, the particle swarm optimization (PSO) was performed to choose 30 optimal features for classification. An accuracy level of 86.47%, and sensitivity and specificity of 88.43% and 84.60%, respectively, was achieved with the 10-fold cross-validation strategy. Moreover, an accuracy of 85.91% was attained with the leave-one-out cross-validation (LOOCV) technique. This methodology demonstrates potential for accurately identifying celiac disease. It can therefore be noted that the developed CAD system may improve the diagnostic performance in the detection of celiac disease, and thus reduce the number of misdiagnoses.

Mammographic Image Denoising and Enhancement Using the Anscombe Transformation, Adaptive Wiener Filtering, and the Modulation Transfer Function

A new restoration methodology is proposed to enhance mammographic images through the improvement of contrast features and the simultaneous suppression of noise. Denoising is performed in the first step using the Anscombe transformation to convert the signal-dependent quantum noise into an approximately signal-independent Gaussian additive noise. In the Anscombe domain, noise is filtered through an adaptive Wiener filter, whose parameters are obtained by considering local image statistics. In the second step, a filter based on the modulation transfer function of the imaging system in the whole radiation field is applied for image enhancement. This methodology can be used as a preprocessing module for computer-aided detection (CAD) systems to improve the performance of breast cancer screening. A preliminary assessment of the restoration algorithm was performed using synthetic images with different levels of quantum noise. Afterward, we evaluated the effect of the preprocessing on the performance of a previously developed CAD system for clustered microcalcification detection in mammographic images. The results from the synthetic images showed an increase of up to 11.5 dB (p = 0.002) in the peak signal-to-noise ratio. Moreover, the mean structural similarity index increased up to 8.3 % (p < 0.001). Regarding CAD performance, the results suggested that the preprocessing increased the detectability of microcalcifications in mammographic images without increasing the false-positive rates. Receiver operating characteristic analysis revealed an average increase of 14.1 % (p = 0.01) in overall CAD performance when restored image sets were used.

An Automatic Computer-Aided Detection System for Meniscal Tears on Magnetic Resonance Images

Knee-related injuries including meniscal tears are common in both young athletes and the aging population, and require accurate diagnosis and surgical intervention when appropriate. With proper techniques and radiologists' experienced skills, confidence in detection of meniscal tears can be quite high. This paper develops a novel computer-aided detection (CAD) diagnostic system for automatic detection of meniscal tears in the knee. Evaluation of this CAD system using an archived database of images from 40 individuals with suspected knee injuries indicates that the sensitivity and specificity of the proposed CAD system are 83.87% and 75.19%, respectively, compared to the mean sensitivity and specificity of 77.41% and 81.39%, respectively, obtained by experienced radiologists in routine diagnosis without using the CAD. The experimental results suggest that the developed CAD system has great potential and promise in automatic detection of both simple and complex meniscal tears of the knee.

CAD for polyp detection: an invaluable tool to meet the increasing need for colon-cancer screening

Colorectal cancer is the third most common cancer in both men and women and it was estimated that in 2003 nearly 150,000 cases would be diagnosed and 57,000 people would die. Screening has been accepted as a means for early detection of the disease, yet only a portion of the eligible population undergoes colorectal cancer screening, partially due to comfort issues of undergoing a full colonoscopic examination. Virtual colonoscopy (VC) has been demonstrated to be an effective means of performing screening and given the number of people who are candidate for screening better tools, such as Computer Aided Detection (CAD), are required to fulfill this increasing need. The developed CAD system, presented in this paper, has focused on the detection of polyps of sizes up to and including 20 mm. The results have demonstrated that: the developed algorithm generalizes, the sensitivity and specificity for middle- to large-sized polyps is on the average 95% while the overall sensitivity is roughly 88% and the false positive has remained at a manageable 4 per volume.

Incorporation of an iterative, linear segmentation routine into a mammographic mass CAD system.

In previous research, we have developed a computer-aided detection (CAD) system designed to detect masses in mammograms. The previous version of our system employed a simple but imprecise method to localize the masses. In this research, we present a more robust segmentation routine for use with mammographic masses. Our hypothesis is that by more accurately describing the morphology of the masses, we can improve the CAD system's ability to distinguish masses from other mammographic structures. To test this hypothesis, we incorporated the new segmentation routine into our CAD system and examined the change in performance. The developed iterative, linear segmentation routine is a gray level-based procedure. Using the identified regions from the previous CAD system as the initial seeds, the new segmentation algorithm refines the suspicious mass borders by making estimates of the interior and exterior pixels. These estimates are then passed to a linear discriminant, which determines the optimal threshold between the interior and exterior pixels. After applying the threshold and identifying the object's outline, two constraints on the border are applied to reduce the influence of background noise. After the border is constrained, the process repeats until a stopping criterion is reached. The segmentation routine was tested on a study database of 183 mammographic images extracted from the Digital Database for Screening Mammography. Eighty-three of the images contained 50 malignant and 50 benign masses; 100 images contained no masses. The previously developed CAD system was used to locate a set of suspicious regions of interest (ROIs) within the images. To assess the performance of the segmentation algorithm, a set of 20 features was measured from the suspicious regions before and after the application of the developed segmentation routine. Receiver operating characteristic (ROC) analysis was employed on the ROIs to examine the discriminatory capabilities of each individual feature before and after the segmentation routine. A statistically significant performance increase was found in many of the individual features, particularly those describing the mass borders. To examine how the incorporation of the segmentation routine affected the performance of the overall CAD system, free-response ROC (FROC) analysis was employed. When considering only malignant masses, the FROC performance of the system with the segmentation routine appeared better than the previous system. When detecting 90% of the malignant masses, the previous system achieved 4.9 false positives per image (FPpI) compared to the post-segmentation system's 4.2 FPpI. At 80% sensitivity, the respective FPpI were 3.5 and 1.6.