Ioannis Kalatzis

Improving brain tumor characterization on MRI by probabilistic neural networks and non-linear transformation of textural features

The aim of the present study was to design, implement and evaluate a software system for discriminating between metastatic and primary brain tumors (gliomas and meningiomas) on MRI, employing textural features from routinely taken T1 post-contrast images. The proposed classifier is a modified probabilistic neural network (PNN), incorporating a non-linear least squares features transformation (LSFT) into the PNN classifier. Thirty-six textural features were extracted from each one of 67 T1-weighted post-contrast MR images (21 metastases, 19 meningiomas and 27 gliomas). LSFT enhanced the performance of the PNN, achieving classification accuracies of 95.24% for discriminating between metastatic and primary tumors and 93.48% for distinguishing gliomas from meningiomas. To improve the generalization of the proposed classification system, the external cross-validation method was also used, resulting in 71.43% and 81.25% accuracies in distinguishing metastatic from primary tumors and gliomas from meningiomas, respectively. LSFT improved PNN performance, increased class separability and resulted in dimensionality reduction.

Design and implementation of an SVM-based computer classification system for discriminating depressive patients from healthy controls using the P600 component of ERP signals

A computer-based classification system has been designed capable of distinguishing patients with depression from normal controls by event-related potential (ERP) signals using the P600 component. Clinical material comprised 25 patients with depression and an equal number of gender and aged-matched healthy controls. All subjects were evaluated by a computerized version of the digit span Wechsler test. EEG activity was recorded and digitized from 15 scalp electrodes (leads). Seventeen features related to the shape of the waveform were generated and were employed in the design of an optimum support vector machine (SVM) classifier at each lead. The outcomes of those SVM classifiers were selected by a majority-vote engine (MVE), which assigned each subject to either the normal or depressive classes. MVE classification accuracy was 94% when using all leads and 92% or 82% when using only the right or left scalp leads, respectively. These findings support the hypothesis that depression is associated with dysfunction of right hemisphere mechanisms mediating the processing of information that assigns a specific response to a specific stimulus, as those mechanisms are reflected by the P600 component of ERPs. Our method may aid the further understanding of the neurophysiology underlying depression, due to its potentiality to integrate theories of depression and psychophysiology.

Osteoarthritis severity of the hip by computer-aided grading of radiographic images

A computer-aided classification system was developed for the assessment of the severity of hip osteoarthritis (OA) . Sixty-four radiographic images of normal and osteoarthritic hips were digitized and enhanced. Employing the Kellgren and Lawrence scale, the hips were grouped by three experienced orthopaedists into three OA-severity categories: Normal, Mild/Moderate and Severe. Utilizing custom-developed software, 64 ROIs corresponding to the radiographic Hip Joint Spaces were manually segmented and novel textural features were generated. These features were used in the design of a two-level classification scheme for characterizing hips as normal or osteoarthritic (1st level) and as of Mild/Moderate or Severe OA (2nd level). At each classification level, an ensemble of three classifiers was implemented. The proposed classification scheme discriminated correctly all normal hips from osteoarthritic hips (100% accuracy), while the discrimination accuracy between Mild/Moderate and Severe osteoarthritic hips was 95.7%. The proposed system could be used as a diagnosis decision-supporting tool.

Pattern recognition system for the discrimination of multiple sclerosis from cerebral microangiopathy lesions based on texture analysis of magnetic resonance images.

In this study, a pattern recognition system has been developed for the discrimination of multiple sclerosis (MS) from cerebral microangiopathy (CM) lesions based on computer-assisted texture analysis of magnetic resonance images. Twenty-three textural features were calculated from MS and CM regions of interest, delineated by experienced radiologists on fluid attenuated inversion recovery images and obtained from 11 patients diagnosed with clinically definite MS and from 18 patients diagnosed with clinically definite CM. The probabilistic neural network classifier was used to construct the proposed pattern recognition system and the generalization of the system to unseen data was evaluated using an external cross validation process. According to the findings of the present study, statistically significant differences exist in the values of the textural features between CM and MS: MS regions were darker, of higher contrast, less homogeneous and rougher as compared to CM.

Independent component analysis for source localization of EEG sleep spindle components

Sleep spindles are bursts of sleep electroencephalogram (EEG) quasirhythmic activity within the frequency band of 11–16 Hz, characterized by progressively increasing, then gradually decreasing amplitude. The purpose of the present study was to process sleep spindles with Independent Component Analysis (ICA) in order to investigate the possibility of extracting, through visual analysis of the spindle EEG and visual selection of Independent Components (ICs), spindle “components” (SCs) corresponding to separate EEG activity patterns during a spindle, and to investigate the intracranial current sources underlying these SCs. Current source analysis using Low-Resolution Brain Electromagnetic Tomography (LORETA) was applied to the original and the ICA-reconstructed EEGs. Results indicated that SCs can be extracted by reconstructing the EEG through back-projection of separate groups of ICs, based on a temporal and spectral analysis of ICs. The intracranial current sources related to the SCs were found to be spatially stable during the time evolution of the sleep spindles.

Complementary DNA Microarray Image Processing Based on the Fuzzy Gaussian Mixture Model

The objective of this paper was to investigate the segmentation ability of the fuzzy Gaussian mixture model (FGMM) clustering algorithm, applied on complementary DNA (cDNA) images. Following a standard established procedure, a simulated microarray image of 1600 cells, each containing one spot, was produced. For further evaluation of the algorithm, three real microarray images were also used, each containing 6400 spots. For the task of locating spot borders and surrounding background (BG) in each cell, an automatic gridding process was developed and applied on microarray images. The FGMM and the Gaussian mixture model (GMM) algorithms were applied to each cell with the purpose of discriminating foreground (FG) from BG. The segmentation abilities of both algorithms were evaluated by means of the segmentation matching factor, coefficient of determination, and concordance correlation, in respect to the actual classes (FG-BG pixels) of the simulated spots. Pairwise correlation and mean absolute error of the real images among replicates were also calculated. The FGMM was found to perform better and with equal processing time, as compared to the GMM, rendering the FGMM algorithm an efficient alternative for segmenting cDNA microarray images.

Improving accuracy in astrocytomas grading by integrating a robust least squares mapping driven support vector machine classifier into a two level grade classification scheme

Grading of astrocytomas is an important task for treatment planning; however, it suffers from significantly great inter-observer variability. Computer-assisted diagnosis systems have been propose to assist towards minimizing subjectivity, however, these systems present either moderate accuracy or utilize specialized staining protocols and grading systems that are difficult to apply in daily clinical practice. The present study proposes a robust mathematical formulation by integrating state-of-art technologies (support vector machines and least squares mapping) in a cascade classification scheme for separating low from high and grade III from grade IV astrocytic tumours. Results have indicated that low from high-grade tumours can be correctly separated with a certainty as high as 97.3%, whereas grade III from grade IV tumours with 97.8%. The overall performance was 95.2%. These high rates have been a result of applying the least squares mapping technique to features prior to classification. A significant byproduct of least squares mapping is that the number of support vectors of the SVM classifiers dropped dramatically from about 80% when no mapping was used to less than 5% when mapping was used. The latter is a clear indication that the SVM classifier has a greater potential to generalize well to new data. In this way, digital image analysis systems for automated grading of astrocytomas are brought closer to clinical practice.

Segmentation of Complementary DNA Microarray Images by Wavelet-Based Markov Random Field Model

A wavelet-based modification of the Markov random field (WMRF) model is proposed for segmenting complementary DNA (cDNA) microarray images. For evaluation purposes, five simulated and a set of five real microarray images were used. The one-level stationary wavelet transform (SWT) of each microarray image was used to form two images, a denoised image, using hard thresholding filter, and a magnitude image, from the amplitudes of the horizontal and vertical components of SWT. Elements from these two images were suitably combined to form the WMRF model for segmenting spots from their background. The WMRF was compared against the conventional MRF and the Fuzzy C means (FCM) algorithms on simulated and real microarray images and their performances were evaluated by means of the segmentation matching factor (SMF) and the coefficient of determination (r 2). Additionally, the WMRF was compared against the SPOT and SCANALYZE, and performances were evaluated by the mean absolute error (MAE) and the coefficient of variation (CV). The WMRF performed more accurately than the MRF and FCM (SMF: 92.66, 92.15, and 89.22, r 2 : 0.92, 0.90, and 0.84, respectively) and achieved higher reproducibility than the MRF, SPOT, and SCANALYZE (MAE: 497, 1215, 1180, and 503, CV: 0.88, 1.15, 0.93, and 0.90, respectively).

Non-linear least squares features transformation for improving the performance of probabilistic neural networks in classifying human brain tumors on MRI

The aim of the present study was to design, implement, and evaluate a software system for discriminating between metastases, meningiomas, and gliomas on MRI. The proposed classifier is a modified probabilistic neural network (PNN), incorporating a second degree least squares features transformation (LSFT) into the PNN classifier. Thirty-six textural features were extracted from each one of 75 T1-weighted post-contrast MR images (24 metastases, 21 meningiomas, and 30 gliomas). Classification performance was evaluated employing the leave-one-out method and for all possible textural feature combinations. LSFT enhanced the performance of the PNN, achieving 93.33%in discriminating between the three major types of human brain tumors, against 89.33% scored by the PNN alone. Best feature combination for achieving highest discrimination power included the mean value and entropy, which reflect specific properties of texture, i.e. signal strength and inhomogeneity. LSFT improved PNN performance, increased class separability, and resulted in dimensionality reduction.

Colour-Texture based image analysis method for assessing the Hormone Receptors status in Breast tissue sections

Hormone receptors have been used in prognosis of breast carcinomas and their positive status is of clinical value in hormonal therapy. Determination of this status is based on the subjective visual inspection of the stained nuclei in the specimens. The aim of this study was the assessment of the estrogen receptors (ER) positive status of breast carcinomas, by means of colour-texture based image analysis methodology. Twenty two cases of immunohistochemically (IHC) stained breast biopsies were initially assessed by a histopathologist for ER positive status, following a clinical scoring protocol. Custom-designed image analysis software was developed for automatically assessing the ER positive status, employing colour textural features and the k-Nearest Neighbor weighted votes classification algorithm. Computer-based image analysis system resulted in 86.4% overall accuracy and in 0.875 Kendalls coefficient of concordance (p<0.001), ranking correctly 19/22 cases. Colour-texture analysis of IHC stained specimens might have an impact in the quantitative assessment of ER status.