A tumour segmentation approach from FLAIR MRI brain images using SVM and genetic algorithm

In recent years, generative adversarial networks (GANs) have gained tremendous popularity for various imaging related tasks such as artificial image generation to support AI training. GANs are especially useful for medical imaging-related tasks where training datasets are usually limited in size and heavily imbalanced against the diseased class. We present a systematic review, following the PRISMA guidelines, of recent GAN architectures used for medical image analysis to help the readers in making an informed decision before employing GANs in developing medical image classification and segmentation models. We have extracted 54 papers that highlight the capabilities and application of GANs in medical imaging from January 2015 to August 2020 and inclusion criteria for meta-analysis. Our results show four main architectures of GAN that are used for segmentation or classification in medical imaging. We provide a comprehensive overview of recent trends in the application of GANs in clinical diagnosis through medical image segmentation and classification and ultimately share experiences for task-based GAN implementations.

Background and Objectives: Brain Tumor Fusion-based Segments and Classification-Non-enhancing tumor (BTFSC-Net) is a hybrid system for classifying brain tumors that combine medical image fusion, segmentation, feature extraction, and classification procedures. Materials and Methods: to reduce noise from medical images, the hybrid probabilistic wiener filter (HPWF) is first applied as a preprocessing step. Then, to combine robust edge analysis (REA) properties in magnetic resonance imaging (MRI) and computed tomography (CT) medical images, a fusion network based on deep learning convolutional neural networks (DLCNN) is developed. Here, the brain images’ slopes and borders are detected using REA. To separate the sick region from the color image, adaptive fuzzy c-means integrated k-means (HFCMIK) clustering is then implemented. To extract hybrid features from the fused image, low-level features based on the redundant discrete wavelet transform (RDWT), empirical color features, and texture characteristics based on the gray-level cooccurrence matrix (GLCM) are also used. Finally, to distinguish between benign and malignant tumors, a deep learning probabilistic neural network (DLPNN) is deployed. Results: according to the findings, the suggested BTFSC-Net model performed better than more traditional preprocessing, fusion, segmentation, and classification techniques. Additionally, 99.21% segmentation accuracy and 99.46% classification accuracy were reached using the proposed BTFSC-Net model. Conclusions: earlier approaches have not performed as well as our presented method for image fusion, segmentation, feature extraction, classification operations, and brain tumor classification. These results illustrate that the designed approach performed more effectively in terms of enhanced quantitative evaluation with better accuracy as well as visual performance.

Chapter 9 - Multiclass SVM coupled with optimization techniques for segmentation and classification of medical images

Interpreting medical images is certainly a complex task which requires extensive knowledge [1]. According to Computer Aided Diagnosis (CAD) serves as a second opinion that will help radiologists in diagnosis and on the other hand Content-based Image Retrieval uses visual content to help users browse, search and retrieve similar medical images from a database based on the user’s interest [2-4]. The competency of the CBMIR system depends on feature extraction methods [5]. The textural features are very important to determine the content of a medical image. Textural features provide scenic depth, the spatial distribution of tonal variation, and surface orientation [6]. Therefore, this study seeks to compare and evaluate some of the hand-crafted texture feature extraction techniques in CBMIR. This is to help those concerned in enhancing CBIR systems to make informed decisions concerning the selection of the best textural feature extraction techniques. Since there is no clear indication of which of the various texture feature extraction techniques is best suited for a given performance metric when considering which of the techniques to choose for a particular study in CBMIR systems. The objective of this work, therefore, is to comparatively evaluate the performance of the following texture feature extraction techniques; Local Binary Pattern (LBP), Gabor Filter, Gray-Level Co-occurrence Matrix (GLCM), Haralick Descriptor, Features from Accelerated Segment Test (FAST) and Features from Accelerated Segment Test and Binary Robust Independent Elementary Features (FAST &BRIEF) using the metrics; precision, recall, f1-score, mean squared error (MSE), accuracy and time. These techniques are coupled with specific similarity measure to obtain results. The results showed that LBP, Haralick Descriptor, FAST, and GLCM had the best results in terms of (Precision and Accuracy), Time, F1-Score, and Recall respectively. LBP had 82.05% and 88.23% scores for precision and accuracy respectively. The following scores represent the performance of the Haralick descriptor, FAST, and GLCM models respectively; 0.88s, 38.7%, and 44.82%. These test scores are obtained from datasets ranging from 1k-10.5k. Aside from LBP outperforming the other 5 models mentioned, it still outperformed the following proposed models ' [7]’, ‘Tamura texture feature and wavelet transform combined with Hausdorff distance - [8]’, ‘ [9]’ in terms of (precision, accuracy, and recall) and (precision and recall) respectively and probably f1-score (since f1-score is the weighted average of precision and recall). It is believed that an ensemble of LBP, Haralick descriptors, and Support Vector Machine (SVM) can represent a robust system for both medical image retrieval and classification.

This paper addresses the task of class-imbalanced medical image classification using complication labels. Medical image classification plays an essential role in improving patient care and reducing the burden on healthcare systems, along with other computer aided diagnosis tasks. However, there are two common obstacles with medical image image classification. One is that there is a high cost of acquiring annotations from doctors/experts. Two is that in many cases there is a differences in the number of incidents that appear per symptom which lead to class-imbalance. The above factors make medical image classification difficult to deal with. Additionally, there are cases where multiple symptoms appear in a mixed manner (complications), such as diabetic complications where both symptoms of infection and ischaemia could appear at the same time, which also could influence the classification result negatively. In this paper, a method that jointly tackles the obstacles mentioned above is presented. First, we conduct extensive experiment with various class-imbalanced learning methods introduced in previous works and also propose a method that improves the baseline class-imbalanced approaches by utilizing complication labels in pre-training. Second, we validate the proposed method with the diabetic foot ulcer dataset introduced in Diabetic Foot Ulcer Challenge 2021.

ExHiF: Alzheimer's disease detection using exemplar histogram-based features with CT and MR images

A novel hybrid approach for the identification of brain regions using magnetic resonance images accountable for brain tumor is presented in this paper. Classification of medical images is substantial in both clinical and research areas. Magnetic resonance imaging (MRI) modality outperforms towards diagnosing brain abnormalities like brain tumor, multiple sclerosis, hemorrhage, and many more. The primary objective of this work is to propose a three-dimensional (3D) novel brain tumor classification model using MRI images with both micro- and macroscale textures designed to differentiate the MRI of brain under two classes of lesion, benign and malignant. The design approach was initially preprocessed using 3D Gaussian filter. Based on VOI (volume of interest) of the image, features were extracted using 3D volumetric Square Centroid Lines Gray Level Distribution Method (SCLGM) along with 3D run length and cooccurrence matrix. The optimal features are selected using the proposed refined gravitational search algorithm (RGSA). Support vector machines, over backpropagation network, and k-nearest neighbor are used to evaluate the goodness of classifier approach. The preliminary evaluation of the system is performed using 320 real-time brain MRI images. The system is trained and tested by using a leave-one-case-out method. The performance of the classifier is tested using the receiver operating characteristic curve of 0.986 (±002). The experimental results demonstrate the systematic and efficient feature extraction and feature selection algorithm to the performance of state-of-the-art feature classification methods.

Computer-Aided Detection/Diagnosis (CAD) through artificial Intelligence is emerging ara in Medical Image processing and health care to make the expert systems more and more intelligent. The aim of this paper is to analyze the performance of different feature extraction techniques for medical image classification problem. Efforts are made to classify Brain MRI and Knee MRI medical images. Gray Level Co-occurrence Matrix (GLCM) based texture features, DWT and DCT transform features and Invariant Moments are used to classify the data. Experimental results shown that the proposed system produced better results however the training data is less than testing data. Support Vector Machine classifier with linear kernel produced higher accuracy 100% when used with texture features.

Due to the complexity of medical images, traditional medical image classification methods have been unable to meet the actual application needs. In recent years, the rapid development of deep learning theory has provided a technical approach for solving medical image classification. However, deep learning has the following problems in the application of medical image classification. First, it is impossible to construct a deep learning model with excellent performance according to the characteristics of medical images. Second, the current deep learning network structure and training strategies are less adaptable to medical images. Therefore, this paper first introduces the visual attention mechanism into the deep learning model so that the information can be extracted more effectively according to the problem of medical images, and the reasoning is realized at a finer granularity. It can increase the interpretability of the model. Additionally, to solve the problem of matching the deep learning network structure and training strategy to medical images, this paper will construct a novel multiscale convolutional neural network model that can automatically extract high-level discriminative appearance features from the original image, and the loss function uses the Mahalanobis distance optimization model to obtain a better training strategy, which can improve the robust performance of the network model. The medical image classification task is completed by the above method. Based on the above ideas, this paper proposes a medical classification algorithm based on a visual attention mechanism-multiscale convolutional neural network. The lung nodules and breast cancer images were classified by the method in this paper. The experimental results show that the accuracy of medical image classification in this paper is not only higher than that of traditional machine learning methods but also improved compared with other deep learning methods, and the method has good stability and robustness.

The segmentation, detection and extraction of malignant tumor regions from magnetic resonance (MR) images are challenging tasks in medical image analysis. Approaches based on machine and deep learning have been introduced, which performed better than traditional image processing methods. However, many approaches still show limited ability due to the complex dataset and image modalities. This study evaluated the deep learning approach's performance and traditional image processing algorithms for medical imaging segmentation, detection, and classification. The proposed system comprises multiple stages. The Median filters are used in the pre-processing step, and morphological operation and Otsu thresholding are used to segment MR images. Discrete Wavelet Transform (DWT) algorithm is considered in the extraction features, and their classification is executed by a convolutional neural network (CNN) and support vector machine (SVM) algorithms. The Mat lab has been used for simulation and experimental findings to evaluate the suggested method's performance on the brain's complex and highly 2D structures. The results show that the methodology is reliable and efficient, with 93.5% accuracy.

Support vector machines (SVM) are machine learning techniques that have been used for segmentation and classification of medical images, including segmentation of white matter hyper-intensities (WMH). Current approaches using SVM for WMH segmentation extract features from the brain and classify these followed by complex post-processing steps to remove false positives. The method presented in this paper combines advanced pre-processing, tissue-based feature selection and SVM classification to obtain efficient and accurate WMH segmentation. Features from 125 patients, generated from up to four MR modalities [T1-w, T2-w, proton-density and fluid attenuated inversion recovery(FLAIR)], differing neighbourhood sizes and the use of multi-scale features were compared. We found that although using all four modalities gave the best overall classification (average Dice scores of 0.54 ± 0.12, 0.72 ± 0.06 and 0.82 ± 0.06 respectively for small, moderate and severe lesion loads); this was not significantly different (p = 0.50) from using just T1-w and FLAIR sequences (Dice scores of 0.52 ± 0.13, 0.71 ± 0.08 and 0.81 ± 0.07). Furthermore, there was a negligible difference between using 5 × 5 × 5 and 3 × 3 × 3 features (p = 0.93). Finally, we show that careful consideration of features and pre-processing techniques not only saves storage space and computation time but also leads to more efficient classification, which outperforms the one based on all features with post-processing.

Deep learning and convolutional neural networks (CNNs) in particular are increasingly popular tools for segmentation and classification of medical images. CNNs were shown to be successful for segmentation of brain tumors into multiple regions or labels. However, in the environment which fosters data-sharing and collection of multi-institutional datasets, a question arises: does training with data from another institution with potentially different imaging equipment, contrast protocol, and patient population impact the segmentation performance of the CNN? Our study presents preliminary data towards answering this question. Specifically, we used MRI data of glioblastoma (GBM) patients for two institutions present in The Cancer Imaging Archive. We performed a process of training and testing CNN multiple times such that half of the time the CNN was tested on data from the same institution that was used for training and half of the time it was tested on another institution, keeping the training and testing set size constant. We observed a decrease in performance as measured by Dice coefficient when the CNN was trained with data from a different institution as compared to training with data from the same institution. The changes in performance for the entire tumor and for four different labels within the tumor were: 0.72 to 0.65 (p=0.06), 0.61 to 0.58 (p=0.49), 0.54 to 0.51 (p=0.82), 0.31 to 0.24 (p<0.03), and 0.43 to 0.31(p<0.003) respectively. In summary, we found that while data across institutions can be used for development of CNNs, this might be associated with a decrease in performance.

The purpose of the research is to find out how deep learning and the convolutional neural network will contribute to diagnosis, early detection and segmentation of brain tumors such as glioma, benign, malignant, etc. The aim is to achieve a higher degree of segmentation quality to resolve issues related to lack of the classification accuracy and poor performance in the segmentation and detection of tumors. The presented solution is an Advanced Cascaded Anisotropic Convolutional Neural Network (CA-CNN) architecture with an optimized feature selection method. The DFP (Data collection, feature extraction & selection and prediction) taxonomy is presented that involves data acquiring, data pre-processing, feature extraction, selection and prediction methods for effective tumor segmentation and detection. The presented system will enhance the prediction accuracy and involves the genetic algorithm for effective selection of features which prevents data redundancy and reduce the delay in the detection of tumors. The utilization of genetic algorithm minimizes the redundancy within input voxels and facilitates in the optimal selection of features which improves the classification accuracy of the solution. The research conducted is to improve the brain tumor segmentation and detection process in terms of accuracy, specificity and sensitivity using multi-scale prediction and cross-validation.

Accurate image segmentation is crucial in medical imaging for quantifying diseases, assessing prognosis, and evaluating treatment outcomes. However, existing methods often fall short in integrating global and local features in a meaningful way, failing to give sufficient attention to abnormal regions and boundary details in medical images. These limitations hinder the effectiveness of segmentation techniques in clinical settings. To address these issues, we propose a novel deep learning-based approach, MIPC-Net, designed for precise boundary segmentation in medical images. Our approach, inspired by radiologists' working patterns, introduces two distinct modules: 1. Mutual Inclusion of Position and Channel Attention (MIPC) Module: To improve boundary segmentation precision, we present the MIPC module. This module enhances the focus on channel information while extracting position features and vice versa, effectively enhancing the segmentation of boundaries in medical images. 2. Skip-Residue Module: To optimize the restoration of medical images, we introduce Skip-Residue, a global residual connection. This module improves the integration of the encoder and decoder by filtering out irrelevant information and recovering the most crucial information lost during the feature extraction process. We evaluate the performance of MIPC-Net on three publicly accessible datasets: Synapse, ISIC2018-Task, and Segpc. The evaluation uses metrics such as the Dice coefficient (DSC) and Hausdorff Distance (HD). Our ablation study confirms that each module contributes to the overall improvement of segmentation quality. Notably, with the integration of both modules, our model outperforms state-of-the-art methods across all metrics. Specifically, MIPC-Net achieves a 2.23 mm reduction in Hausdorff Distance on the Synapse dataset, highlighting the model's enhanced capability for precise image boundary segmentation. The introduction of the novel MIPC and Skip-Residue modules significantly improves feature extraction accuracy, leading to better boundary recognition in medical image segmentation tasks. Our approach demonstrates substantial improvements over existing methods, as evidenced by the results on benchmark datasets.

Image patch classification is an important task in many different medical imaging applications. In this work, we have designed a customized Convolutional Neural Networks (CNN) with shallow convolution layer to classify lung image patches with interstitial lung disease (ILD). While many feature descriptors have been proposed over the past years, they can be quite complicated and domain-specific. Our customized CNN framework can, on the other hand, automatically and efficiently learn the intrinsic image features from lung image patches that are most suitable for the classification purpose. The same architecture can be generalized to perform other medical image or texture classification tasks.