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GPCALMA, a mammographic CAD in a GRID connection

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 Added by Alessandra Retico
 Publication date 2003
  fields Physics
and research's language is English




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Purpose of this work is the development of an automatic system which could be useful for radiologists in the investigation of breast cancer. A breast neoplasia is often marked by the presence of microcalcifications and massive lesions in the mammogram: hence the need for tools able to recognize such lesions at an early stage. GPCALMA (Grid Platform Computer Assisted Library for MAmmography), a collaboration among italian physicists and radiologists, has built a large distributed database of digitized mammographic images (at this moment about 5500 images corresponding to 1650 patients). This collaboration has developed a CAD (Computer Aided Detection) system which, installed in an integrated station, can also be used for digitization, as archive and to perform statistical analysis. With a GRID configuration it would be possible for the clinicians tele- and co-working in new and innovative groupings (virtual organisations) and, using the whole database, by the GPCALMA tools several analysis can be performed. Furthermore the GPCALMA system allows to be abreast of the CAD technical progressing into several hospital locations always with remote working by GRID connection. We report in this work the results obtained by the GPCALMA CAD software implemented with a GRID connection.

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The next generation of High Energy Physics experiments requires a GRID approach to a distributed computing system and the associated data management: the key concept is the Virtual Organisation (VO), a group of geographycally distributed users with a common goal and the will to share their resources. A similar approach is being applied to a group of Hospitals which joined the GPCALMA project (Grid Platform for Computer Assisted Library for MAmmography), which will allow common screening programs for early diagnosis of breast and, in the future, lung cancer. HEP techniques come into play in writing the application code, which makes use of neural networks for the image analysis and shows performances similar to radiologists in the diagnosis. GRID technologies will allow remote image analysis and interactive online diagnosis, with a relevant reduction of the delays presently associated to screening programs.
The GPCALMA (Grid Platform for Computer Assisted Library for MAmmography) collaboration involves several departments of physics, INFN sections, and italian hospitals. The aim of this collaboration is developing a tool that can help radiologists in early detection of breast cancer. GPCALMA has built a large distributed database of digitised mammographic images (about 5500 images corresponding to 1650 patients) and developed a CAD (Computer Aided Detection) software which is integrated in a station that can also be used for acquire new images, as archive and to perform statistical analysis. The images are completely described: pathological ones have a consistent characterization with radiologists diagnosis and histological data, non pathological ones correspond to patients with a follow up at least three years. The distributed database is realized throught the connection of all the hospitals and research centers in GRID tecnology. In each hospital local patients digital images are stored in the local database. Using GRID connection, GPCALMA will allow each node to work on distributed database data as well as local database data. Using its database the GPCALMA tools perform several analysis. A texture analysis, i.e. an automated classification on adipose, dense or glandular texture, can be provided by the system. GPCALMA software also allows classification of pathological features, in particular massive lesions analysis and microcalcification clusters analysis. The performance of the GPCALMA system will be presented in terms of the ROC (Receiver Operating Characteristic) curves. The results of GPCALMA system as second reader will also be presented.
The computer-aided diagnosis system we developed for the mass characterization is mainly based on a segmentation algorithm and on the neural classification of several features computed on the segmented mass. Mass segmentation plays a key role in most computerized systems. Our technique is a gradient-based one, showing the main characteristic that no free parameters have been evaluated on the dataset used in this analysis, thus it can directly be applied to datasets acquired in different conditions without any ad-hoc modification. A dataset of 226 masses (109 malignant and 117 benign) has been used in this study. The segmentation algorithm works with a comparable efficiency both on malignant and benign masses. Sixteen features based on shape, size and intensity of the segmented masses are analyzed by a multi-layered perceptron neural network. A feature selection procedure has been carried out on the basis of the feature discriminating power and of the linear correlations interplaying among them. The comparison of the areas under the ROC curves obtained by varying the number of features to be classified has shown that 12 selected features out of the 16 computed ones are powerful enough to achieve the best classifier performances. The radiologist assigned the segmented masses to three different categories: correctly-, acceptably- and non-acceptably-segmented masses. We initially estimated the area under ROC curve only on the first category of segmented masses (the 88.5% of the dataset), then extending the dataset to the second sub-class (reaching the 97.8% of the dataset) and finally to the whole dataset, obtaining Az = 0.805+-0.030, 0.787+-0.024 and 0.780+-0.023, respectively.
An image restoration approach based on a Bayesian maximum entropy method (MEM) has been applied to a radiological image deconvolution problem, that of reduction of geometric blurring in magnification mammography. The aim of the work is to demonstrate an improvement in image spatial resolution in realistic noisy radiological images with no associated penalty in terms of reduction in the signal-to-noise ratio perceived by the observer. Images of the TORMAM mammographic image quality phantom were recorded using the standard magnification settings of 1.8 magnification/fine focus and also at 1.8 magnification/broad focus and 3.0 magnification/fine focus; the latter two arrangements would normally give rise to unacceptable geometric blurring. Measured point-spread functions were used in conjunction with the MEM image processing to de-blur these images. The results are presented as comparative images of phantom test features and as observer scores for the raw and processed images. Visualization of high resolution features and the total image scores for the test phantom were improved by the application of the MEM processing. It is argued that this successful demonstration of image de-blurring in noisy radiological images offers the possibility of weakening the link between focal spot size and geometric blurring in radiology, thus opening up new approaches to system optimization.
To obtain the initial pressure from the collected data on a planar sensor arrangement in photoacoustic tomography, there exists an exact analytic frequency domain reconstruction formula. An efficient realization of this formula needs to cope with the evaluation of the datas Fourier transform on a non-equispaced mesh. In this paper, we use the non-uniform fast Fourier transform to handle this issue and show its feasibility in 3D experiments with real and synthetic data. This is done in comparison to the standard approach that uses linear, polynomial or nearest neighbor interpolation. Moreover, we investigate the effect and the utility of flexible sensor location to make optimal use of a limited number of sensor points. The computational realization is accomplished by the use of a multi-dimensional non-uniform fast Fourier algorithm, where non-uniform data sampling is performed both in frequency and spatial domain. Examples with synthetic and real data show that both approaches improve image quality.
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