Development of computer-aided diagnosis methods in mammography

Computer-aided diagnosis (CAD) is developed as a diagnostic aid to provide a "second opinion" in diagnosis of breast cancer in early stage. Clustered microcalcifications (MCs) can be an important early sign of breast cancer. The goal of this work is to develop automatic CAD methods in mammography for breast cancer. Its contribution consists of both development of machine learning algorithms and study of related issues in detection and diagnosis of breast cancer with clustered MCs.;First, a bi-thresholding scheme is proposed for reduction of false-positives (FPs) associated with linear structures in MC detection. An unified classifier with dummy variable modeling is further developed to reduce the FPs caused by both linear structures and MC-like noise patterns. It is demonstrated that both of the proposed algorithms can reduce FPs in MC detection, and thus, improve the detection accuracy significantly.;Second, a spatial density modeling approach is investigated to quantify the spatial distribution of the MCs in a cluster when the MC detection is inaccurate. A spatial density function (SDF) is defined such that the extracted features are more robust to the presence of FPs and false-negatives (FNs) in MC detection. The results show that the features extracted from the SDF can achieve better class separation while being robust to the variations in MC detection when compared with those extracted from a traditional region-based method.;Third, a retrieval-boosted approach is studied to discriminate between the benign and malignant MC lesions. A retrieval strategy is proposed to boost the classification performance by taking into account the similarity both in image features and in pathology. An adaptive Adaboost classifier, which can be adapted to the retrieved cases at a low computational cost, is applied to demonstrate the benefit of the retrieval strategy. The results show that the retrieval-boosted approach can significantly outperform its baseline classifier and that inclusion of pathology information in the retrieval can further improve the classification accuracy.;Fourth, the perceptual similarity of MC lesions by radiologists is studied. The issues investigated include the degree of variability in the similarity ratings, the impact of this variability on agreement between readers in retrieval of similar lesions, and the factors contributing to the readers' similarity ratings. The results indicate that perceptually similar lesions could be of diagnostic value in diagnosis for clustered MCs.;Fifth, the feasibility of modeling the perceptual similarity of MC lesions is investigated. A support vector regression (SVR) is applied to model the perceptual similarity of clustered MCs, and a feature saliency analysis derived from SVR is used to determine the most relevant image features among a large set of candidate features. The results demonstrate that the relevant features are consistent in radiologists' similarity ratings among different MC lesions, indicating that the perceptual similarity of MC lesions by radiologists can be effectively modeled.;Finally, whether retrieval of similar images can effectively assist radiologists in diagnosis of clustered MCs is investigated. A retrieval system for relevant images is designed by considering both perceptually similar image features and the likelihood of malignancy of the lesion under consideration. An observer study is conducted to evaluate the diagnostic value of the proposed retrieval system. The results indicate that the proposed retrieval CADx system has the potential to improve the reader's ability in diagnosis of breast cancer with clustered MCs.