Giovanni Luca Christian Masala

Mammogram segmentation by contour searching and massive lesion classification with neural network

The mammography is the most effective procedure for an early diagnosis of the breast cancer. In this paper, an algorithm for detecting massive lesions in mammographic images will be presented. The database consists of 3762 digital images acquired in several hospitals belonging to the MAGIC-5 collaboration. A reduction of the surface under investigation is achieved, without loss of meaningful information, through segmentation of the whole image, by means of a ROI Hunter algorithm. In the following classification step, feature extraction plays a fundamental role: some features give geometrical information, other ones provide shape parameters. Once the features are computed for each ROI, they are used as inputs to a supervised neural network with momentum. The output neuron provides the probability that the ROI is pathological or not. Results are provided in terms of ROC and FROC curves; the area under the ROC curve was found to be Az=(85.6plusmn0.8)%. This software is included in the CAD station actually working in the hospitals belonging to the MAGIC-5 Collaboration

A comparative study of K-Nearest Neighbour, Support Vector Machine and Multi-Layer Perceptron for Thalassemia screening

In this paper, we investigate the feasibility of two typical techniques of Pattern Recognition in the classification for Thalassemia screening. They are the Support Vector Machine (SVM) and the K-Nearest Neighbour (KNN). We compare SVM and KNN with a Multi-Layer Perceptron (MLP) classifier. We propose a two-classifier system based on SVM. The first layer is used to differentiate between pathological and non-pathological cases while the second layer is used to discriminate between two different pathologies (α-thalassemia carrier against β-thalassemia carrier) from the first output layer (pathological cases). Using the parameters sensitivity (percentage of pathologic cases correctly classified) and specificity (percentage of non-pathologic cases correctly classified), the results obtained with this analysis show that the MLP classifier gives slightly better results than SVM although the amount of data available is limited. Both techniques enable thalassemia carriers to be discriminated from healthy subjects with 95% specificity, although the sensitivity of MLP is 92% while that of SVM is 83%.

A completely automated CAD system for mass detection in a large mammographic database

Mass localization plays a crucial role in computer-aided detection (CAD) systems for the classification of suspicious regions in mammograms. In this article we present a completely automated classification system for the detection of masses in digitized mammographic images. The tool system we discuss consists in three processing levels: (a) Image segmentation for the localization of regions of interest (ROIs). This step relies on an iterative dynamical threshold algorithm able to select iso-intensity closed contours around gray level maxima of the mammogram. (b) ROI characterization by means of textural features computed from the gray tone spatial dependence matrix (GTSDM), containing second-order spatial statistics information on the pixel gray level intensity. As the images under study were recorded in different centers and with different machine settings, eight GTSDM features were selected so as to be invariant under monotonic transformation. In this way, the images do not need to be normalized, as the adopted features depend on the texture only, rather than on the gray tone levels, too. (c) ROI classification by means of a neural network, with supervision provided by the radiologists diagnosis. The CAD system was evaluated on a large database of 3369 mammographic images [2307 negative, 1062 pathological (or positive), containing at least one confirmed mass, as diagnosed by an expert radiologist]. To assess the performance of the system, receiver operating characteristic (ROC) and free-response ROC analysis were employed. The area under the ROC curve was found to be Az = 0.783 +/- 0.008 for the ROI-based classification. When evaluating the accuracy of the CAD against the radiologist-drawn boundaries, 4.23 false positives per image are found at 80% of mass sensitivity.

A novel multithreshold method for nodule detection in lung CT

Multislice computed tomography (MSCT) is a valuable tool for lung cancer detection, thanks to its ability to identify noncalcified nodules of small size (from about 3 mm). Due to the large number of images generated by MSCT, there is much interest in developing computer-aided detection (CAD) systems that could assist radiologists in the lung nodule detection task. A complete multistage CAD system, including lung boundary segmentation, regions of interest (ROIs) selection, feature extraction, and false positive reduction is presented. The selection of ROIs is based on a multithreshold surface-triangulation approach. Surface triangulation is performed at different threshold values, varying from a minimum to a maximum value in a wide range. At a given threshold value, a ROI is defined as the volume inside a connected component of the triangulated isosurface. The evolution of a ROI as a function of the threshold can be represented by a treelike structure. A multithreshold ROI is defined as a path on this tree, which starts from a terminal ROI and ends on the root ROI. For each ROI, the volume, surface area, roundness, density, and moments of inertia are computed as functions of the threshold and used as input to a classification system based on artificial neural networks. The method is suitable to detect different types of nodules, including juxta-pleural nodules and nodules connected to blood vessels. A training set of 109 low-dose MSCT scans made available by the Pisa center of the Italung-CT trial and annotated by expert radiologists was used for the algorithm design and optimization. The system performance was tested on an independent set of 23 low-dose MSCT scans coming from the Pisa Italung-CT center and on 83 scans made available by the Lung Image Database Consortium (LIDC) annotated by four expert radiologists. On the Italung-CT test set, for nodules having a diameter greater than or equal to 3 mm, the system achieved 84% and 71% sensitivity at false positive/scan rates of 10 and 4, respectively. For nodules having a diameter greater than or equal to 4 mm, the sensitivities were 97% and 80% at false positive/scan rates of 10 and 4, respectively. On the LIDC data set, the system achieved a 79% sensitivity at a false positive/scan rate of 4 in the detection of nodules with a diameter greater than or equal to 3 mm that have been annotated by all four radiologists.

Comparison of two portable solid state detectors with an improved collimation and alignment device for mammographic x-ray spectroscopy

We describe a portable system for mammographic x-ray spectroscopy, based on a 2 X 2 X 1 mm3 cadmium telluride (CdTe) solid state detector, that is greatly improved over a similar system based on a 3 X 3 X 2 mm3 cadmium zinc telluride (CZT) solid state detector evaluated in an earlier work. The CdTe system utilized new pinhole collimators and an alignment device that facilitated measurement of mammographic x-ray spectra. Mammographic x-ray spectra acquired by each system were comparable. Half value layer measurements obtained using an ion chamber agreed closely with those derived from the x-ray spectra measured by either detector. The faster electronics and other features of the CdTe detector allowed its use with a larger pinhole collimator than could be used with the CZT detector. Additionally, the improved pinhole collimator and alignment features of the apparatus permitted much more rapid setup for acquisition of x-ray spectra than was possible on the system described in the earlier work. These improvements in detector technology, collimation and ease of alignment, as well as low cost, make this apparatus attractive as a tool for both laboratory research and advanced mammography quality control.

The MAGIC-5 Project: medical applications on a GRID infrastructure connection

The MAGIC-5 Project aims at developing computer aided detection (CAD) software for medical applications on distributed databases by means of a GRID infrastructure connection. The use of automatic systems for analyzing medical images is of paramount importance in the screening programs, due to the huge amount of data to check. Examples are: mammographies for breast cancer detection, computed-tomography (CT) images for lung cancer analysis, and the positron emission tomography (PET) imaging for the early diagnosis of the Alzheimer disease. The need for acquiring and analyzing data stored in different locations requires a GRID approach of distributed computing system and associated data management. The GRID technologies allow remote image analysis and interactive online diagnosis, with a relevant reduction of the delays actually associated to the screening programs. From this point of view, the MAGIC-5 Collaboration can be seen as a group of distributed users sharing their resources for implementing different virtual organizations (VO), each one aiming at developing screening programs, tele-training, tele-diagnosis and epidemiologic studies for a particular pathology.

Phase contrast imaging simulation and measurements using polychromatic sources with small source-object distances

Phase contrast imaging is a technique widely used in synchrotron facilities for nondestructive analysis. Such technique can also be implemented through microfocus x-ray tube systems. Recently, a relatively new type of compact, quasimonochromatic x-ray sources based on Compton backscattering has been proposed for phase contrast imaging applications. In order to plan a phase contrast imaging system setup, to evaluate the system performance and to choose the experimental parameters that optimize the image quality, it is important to have reliable software for phase contrast imaging simulation. Several software tools have been developed and tested against experimental measurements at synchrotron facilities devoted to phase contrast imaging. However, many approximations that are valid in such conditions (e.g., large source-object distance, small transverse size of the object, plane wave approximation, monochromatic beam, and Gaussian-shaped source focal spot) are not generally suitable for x-ray tubes and othe...

MAGIC-5: an Italian mammographic database of digitised images for research

The implementation of a database of digitised mammograms is discussed. The digitised images were collected beginning in 1999 by a community of physicists in collaboration with radiologists in several Italian hospitals as a first step in developing and implementing a computer-aided detection (CAD) system. All 3,369 mammograms were collected from 967 patients and classified according to lesion type and morphology, breast tissue and pathology type. A dedicated graphical user interface was developed to visualise and process mammograms to support the medical diagnosis directly on a high-resolution screen. The database has been the starting point for developing other medical imaging applications, such as a breast CAD, currently being upgraded and optimised for use in a distributed environment with grid services, in the framework of the Instituto Nazionale di Fisicia Nucleare (INFN)-funded Medical Applications on a Grid Infrastructure Connection (MAGIC)-5 project.RiassuntoIn qesto lavoro viene discussa l’implementazione di un database immagini mammografiche digitalizzate. Le immagini sono state raccolte dal 1999 da un gruppo di fisici in collaborazione con radiology di alcuni ospedali italiani, come primo passo dello sviluppo e implementazione di un sistema di Computer Aided Detection (CAD). I 3369 mammogrammi appartengono a 967 pazienti e sono classificati secondo I tipi e la morfologia delle lesioni, il tessuto mammario e i tipi di patologie. Una interfaccia grafica opportunamente progettata è stata sviluppata per la visualizzazione e l’elaborazione delle mammografie digitalizzate al fine di runpoter supportare direttamente una diagnosi medica su monitor ad alta risoluzione. Il database ha rappresentato il punto di partenza per lo sviluppo di altre applicazioni di imaging medicale come il CAD mammografico costantemente ottimizzato e aggiornato con l’uso di un ambiente distribuito che dispone di servizi GRID, nel framework del progetto MAGIC-5, finanziato dell’INFN.

Diagnostic performance of radiologists with and without different CAD systems for mammography

The purpose of this study is the evaluation of the variation of performance in terms of sensitivity and specificity of two radiologists with different experience in mammography, with and without the assistance of two different CAD systems. The CAD considered are SecondLookTM (CADx Medical Systems, Canada), and CALMA (Computer Assisted Library in MAmmography). The first is a commercial system, the other is the result of a research project, supported by INFN (Istituto Nazionale di Fisica Nucleare, Italy); their characteristics have already been reported in literature. To compare the results with and without these tools, a dataset composed by 70 images of patients with cancer (biopsy proven) and 120 images of healthy breasts (with a three years follow up) has been collected. All the images have been digitized and analysed by two CAD, then two radiologists with respectively 6 and 2 years of experience in mammography indipendently made their diagnosis without and with, the support of the two CAD systems. In this work sensitivity and specificity variation, the Az area under the ROC curve, are reported. The results show that the use of a CAD allows for a substantial increment in sensitivity and a less pronounced decrement in specificity. The extent of these effects depends on the experience of the readers and is comparable for the two CAD considered.

A Cognitive Neural Architecture Able to Learn and Communicate through Natural Language

Communicative interactions involve a kind of procedural knowledge that is used by the human brain for processing verbal and nonverbal inputs and for language production. Although considerable work has been done on modeling human language abilities, it has been difficult to bring them together to a comprehensive tabula rasa system compatible with current knowledge of how verbal information is processed in the brain. This work presents a cognitive system, entirely based on a large-scale neural architecture, which was developed to shed light on the procedural knowledge involved in language elaboration. The main component of this system is the central executive, which is a supervising system that coordinates the other components of the working memory. In our model, the central executive is a neural network that takes as input the neural activation states of the short-term memory and yields as output mental actions, which control the flow of information among the working memory components through neural gating mechanisms. The proposed system is capable of learning to communicate through natural language starting from tabula rasa, without any a priori knowledge of the structure of phrases, meaning of words, role of the different classes of words, only by interacting with a human through a text-based interface, using an open-ended incremental learning process. It is able to learn nouns, verbs, adjectives, pronouns and other word classes, and to use them in expressive language. The model was validated on a corpus of 1587 input sentences, based on literature on early language assessment, at the level of about 4-years old child, and produced 521 output sentences, expressing a broad range of language processing functionalities.