Begoña Acha

Digital imaging in remote diagnosis of burns

Images are capable of giving an accurate representation of skin color and have been used extensively in teaching about and researching burn therapy. The advance from analogue to digital imaging allows the remote transmission of the clinical information contained in the digital image of a burn, using a suitable system. The large size of these image files reduces transmission speed and makes data compression desirable. Compression, by means of the JPEG algorithm, of up to 50 times the original size of 38 digital images of burns suffered by 22 consecutive patients did not lessen its great usefulness in determining the depth of burn injuries, according to a group of experts in burn care. The success rate was close to 90%, both for non-compressed images in original BMP format (mean size:1500 Kb) and for compressed images with a Q index of 50 (30 Kb files), when compared with the clinical diagnoses confirmed one week after the accident.

Pattern analysis of dermoscopic images based on Markov random fields

In this paper a method for detecting different patterns in dermoscopic images is presented. In order to diagnose a possible skin cancer, physicians assess the lesion based on different rules. While the most famous one is the ABCD rule (asymmetry, border, colour, diameter), the new tendency in dermatology is to classify the lesion performing a pattern analysis. Due to the colour textured appearance of these patterns, this paper presents a novel method based on Markov random field (MRF) extended for colour images that classifies images representing different dermatologic patterns. First, each image plane in L^*a^*b^* colour space is modelled as a MRF following a finite symmetric conditional model (FSCM). Coupling of colour components is taken into account by supposing that features of the MRF in the three colour planes follow a multivariate Normal distribution. Performance is analysed in different colour spaces. The best classification rate is 86% on average.

Fast Vision Through Frameless Event-Based Sensing and Convolutional Processing: Application to Texture Recognition

Address-event representation (AER) is an emergent hardware technology which shows a high potential for providing in the near future a solid technological substrate for emulating brain-like processing structures. When used for vision, AER sensors and processors are not restricted to capturing and processing still image frames, as in commercial frame-based video technology, but sense and process visual information in a pixel-level event-based frameless manner. As a result, vision processing is practically simultaneous to vision sensing, since there is no need to wait for sensing full frames. Also, only meaningful information is sensed, communicated, and processed. Of special interest for brain-like vision processing are some already reported AER convolutional chips, which have revealed a very high computational throughput as well as the possibility of assembling large convolutional neural networks in a modular fashion. It is expected that in a near future we may witness the appearance of large scale convolutional neural networks with hundreds or thousands of individual modules. In the meantime, some research is needed to investigate how to assemble and configure such large scale convolutional networks for specific applications. In this paper, we analyze AER spiking convolutional neural networks for texture recognition hardware applications. Based on the performance figures of already available individual AER convolution chips, we emulate large scale networks using a custom made event-based behavioral simulator. We have developed a new event-based processing architecture that emulates with AER hardware Manjunaths frame-based feature recognition software algorithm, and have analyzed its performance using our behavioral simulator. Recognition rate performance is not degraded. However, regarding speed, we show that recognition can be achieved before an equivalent frame is fully sensed and transmitted.

Segmentation and classification of burn images by color and texture information

In this paper, a burn color image segmentation and classification system is proposed. The aim of the system is to separate burn wounds from healthy skin, and to distinguish among the different types of burns (burn depths). Digital color photographs are used as inputs to the system. The system is based on color and texture information, since these are the characteristics observed by physicians in order to form a diagnosis. A perceptually uniform color space (L*u*v*) was used, since Euclidean distances calculated in this space correspond to perceptual color differences. After the burn is segmented, a set of color and texture features is calculated that serves as the input to a Fuzzy-ARTMAP neural network. The neural network classifies burns into three types of burn depths: superficial dermal, deep dermal, and full thickness. Clinical effectiveness of the method was demonstrated on 62 clinical burn wound images, yielding an average classification success rate of 82%.

Emphysema quantification in a multi-scanner HRCT cohort using local intensity distributions

This article investigates the suitability of local intensity distributions to analyze six emphysema classes in 342 CT scans obtained from 16 sites hosting scanners by 3 vendors and a total of 9 specific models in subjects with Chronic Obstructive Pulmonary Disease (COPD). We propose using kernel density estimation to deal with the inherent sparsity of local intensity histograms obtained from scarcely populated regions of interest. We validate our approach by leave-one-subject-out classification experiments and full-lung analyses. We compare our results with recently published LBP texture-based methodology. We demonstrate the efficacy of using intensity information alone in multi-scanner cohorts, which is a simpler, more intuitive approach.

VirSSPA- A virtual reality tool for surgical planning workflow

ObjectiveA virtual reality tool, called VirSSPA, was developed to optimize the planning of surgical processes.MethodsSegmentation algorithms for Computed Tomography (CT) images: a region growing procedure was used for soft tissues and a thresholding algorithm was implemented to segment bones. The algorithms operate semiautomati- cally since they only need seed selection with the mouse on each tissue segmented by the user. The novelty of the paper is the adaptation of an enhancement method based on histogram thresholding applied to CT images for surgical planning, which simplifies subsequent segmentation. A substantial improvement of the virtual reality tool VirSSPA was obtained with these algorithms.ResultsVirSSPA was used to optimize surgical planning, to decrease the time spent on surgical planning and to improve operative results. The success rate increases due to surgeons being able to see the exact extent of the patient’s ailment. This tool can decrease operating room time, thus resulting in reduced costs.ConclusionVirtual simulation was effective for optimizing surgical planning, which could, consequently, result in improved outcomes with reduced costs.

Fast parameter-free region growing segmentation with application to surgical planning

In this paper, we propose a self-assessed adaptive region growing segmentation algorithm. In the context of an experimental virtual-reality surgical planning software platform, our method successfully delineates main tissues relevant for reconstructive surgery, such as fat, muscle, and bone. We rely on a self-tuning approach to deal with a great variety of imaging conditions requiring limited user intervention (one seed). The detection of the optimal parameters is managed internally using a measure of the varying contrast of the growing region, and the stopping criterion is adapted to the noise level in the dataset thanks to the sampling strategy used for the assessment function. Sampling is referred to the statistics of a neighborhood around the seed(s), so that the sampling period becomes greater when images are noisier, resulting in the acquisition of a lower frequency version of the contrast function. Validation is provided for synthetic images, as well as real CT datasets. For the CT test images, validation is referred to manual delineations for 10 cases and to subjective assessment for another 35. High values of sensitivity and specificity, as well as Dice’s coefficient and Jaccard’s index on one hand, and satisfactory subjective evaluation on the other hand, prove the robustness of our contrast-based measure, even suggesting suitability for calibration of other region-based segmentation algorithms.

Evaluation of a telemedicine platform in a burn unit

The Biomedical Engineering Group of Seville University is undertaking a telemedicine project within the Virgen del Rocio Hospital to evaluate the effectiveness of telemedicine for plastic surgery applications. Because of the increase of telemedicine in the last years, telediagnosis is becoming more and more frequent. There are no studies for telediagnosis in burns. We are testing a PC platform for that application, using a digital photographic camera for data acquisition, the standard JPEG for image compression and the telephone network as communication media. We have also defined a set of protocols to carry out all these tasks and to evaluate the effectiveness of the platform.

Spike-Based Convolutional Network for Real-Time Processing

In this paper we propose the first bio-inspired six layer convolutional network (ConvNet) non-frame based that can be implemented with already physically available spikebased electronic devices. The system was designed to recognize people in three different positions: standing, lying or up-side down. The inputs were spikes obtained with a motion retina chip. We provide simulation results showing recognition delays of 16 milliseconds from stimulus onset (time-to-first spike) with a recognition rate of 94%. The weight sharing property in ConvNets and the use of AER protocol allow a great reduction in the number of both trainable parameters and connections (only 748 trainable parameters and 123 connections in our AER system (out of 506998 connections that would be required in a frame-based implementation).

Quantifiable diagnosis of muscular dystrophies and neurogenic atrophies through network analysis

BackgroundThe diagnosis of neuromuscular diseases is strongly based on the histological characterization of muscle biopsies. However, this morphological analysis is mostly a subjective process and difficult to quantify. We have tested if network science can provide a novel framework to extract useful information from muscle biopsies, developing a novel method that analyzes muscle samples in an objective, automated, fast and precise manner.MethodsOur database consisted of 102 muscle biopsy images from 70 individuals (including controls, patients with neurogenic atrophies and patients with muscular dystrophies). We used this to develop a new method, Neuromuscular DIseases Computerized Image Analysis (NDICIA), that uses network science analysis to capture the defining signature of muscle biopsy images. NDICIA characterizes muscle tissues by representing each image as a network, with fibers serving as nodes and fiber contacts as links.ResultsAfter a ‘training’ phase with control and pathological biopsies, NDICIA was able to quantify the degree of pathology of each sample. We validated our method by comparing NDICIA quantification of the severity of muscular dystrophies with a pathologist’s evaluation of the degree of pathology, resulting in a strong correlation (R = 0.900, P <0.00001). Importantly, our approach can be used to quantify new images without the need for prior ‘training’. Therefore, we show that network science analysis captures the useful information contained in muscle biopsies, helping the diagnosis of muscular dystrophies and neurogenic atrophies.ConclusionsOur novel network analysis approach will serve as a valuable tool for assessing the etiology of muscular dystrophies or neurogenic atrophies, and has the potential to quantify treatment outcomes in preclinical and clinical trials.