A novel kernelized fuzzy C-means algorithm with application in medical image segmentation

Decreased Central Macular Choriocapillaris Perfusion Correlates With Increased Low Luminance Visual Acuity Deficits

PURPOSE

Correlations between low luminance visual acuity deficits (LLVADs) and central choriocapillaris perfusion deficits were investigated to help explain how increases in LLVAD scores at baseline predict annual growth rates of geographic atrophy (GA).

DESIGN

Prospective cross-sectional study.

METHODS

Photopic luminance best-corrected visual acuity (PL-BCVA) and low luminance BCVA (LL-BCVA) were measured using the Early Treatment Diabetic Retinopathy Study chart. LL-BCVA was measured using a 2.0-log unit neutral density filter. LLVADs were calculated as the difference between PL-BCVA and LL-BCVA. Within a fovea-centered 1-mm circle, the percentage of choriocapillaris flow deficits (CC FD%), drusen volume, optical attenuation coefficient (OAC) elevation volume, and outer retinal layer (ORL) thickness were assessed.

RESULTS

In all 90 eyes (30 normal eyes; 31 drusen-only eyes; 29 non-foveal GA eyes), significant correlations were found between the central CC FD% and PL-BCVA (r = -0.393, P < .001), LL-BCVA (r = -0.534, P < .001), and the LLVAD (r = 0.439, P < .001). Central cube root (cubrt) drusen volume, cubrt OAC elevation volume, and ORL thickness were correlated with PL-BCVA, LL-BCVA, and LLVADs (all P < .05). Stepwise regression models showed that central cubrt OAC elevation volume and ORL thickness were associated with PL-BCVA (R2 = 0.24, P < .05); central CC FD%, cubrt OAC elevation volume, and ORL thickness were associated with LL-BCVA (R2 = 0.44, P < .01); and central CC FD% and ORL thickness were associated with LLVAD (R2 = 0.24, P < .01).

CONCLUSIONS

The significant correlations between central CC FD% and LLVAD support the hypothesis that the ability of LLVAD to predict the growth of GA is mediated through a decrease in macular choriocapillaris perfusion.

CT medical image segmentation algorithm based on deep learning technology

For the problems of blurred edges, uneven background distribution, and many noise interferences in medical image segmentation, we proposed a medical image segmentation algorithm based on deep neural network technology, which adopts a similar U-Net backbone structure and includes two parts: encoding and decoding. Firstly, the images are passed through the encoder path with residual and convolutional structures for image feature information extraction. We added the attention mechanism module to the network jump connection to address the problems of redundant network channel dimensions and low spatial perception of complex lesions. Finally, the medical image segmentation results are obtained using the decoder path with residual and convolutional structures. To verify the validity of the model in this paper, we conducted the corresponding comparative experimental analysis, and the experimental results show that the DICE and IOU of the proposed model are 0.7826, 0.9683, 0.8904, 0.8069, and 0.9462, 0.9537 for DRIVE, ISIC2018 and COVID-19 CT datasets, respectively. The segmentation accuracy is effectively improved for medical images with complex shapes and adhesions between lesions and normal tissues.

A fast method for discovering suitable number of clusters for fuzzy clustering

One main problem of Fuzzy c-Means (FCM) is deciding on an appropriate number of clusters. Although methods have been proposed to address this, they all require clustering algorithms to be executed several times before the right number is chosen. The aim of this study was to develop a method for determining cluster numbers without repeated execution. We propose a new method that combines FCM and singular value decomposition. Based on the percentage of variance, this method can calculate the appropriate number of clusters. The proposed method was applied to several well-known datasets to demonstrate its effectiveness.

An Unsupervised Fuzzy Clustering Approach for Early Screening of COVID-19 From Radiological Images

A global pandemic scenario is witnessed worldwide owing to the menace of the rapid outbreak of the deadly COVID-19 virus. To save mankind from this apocalyptic onslaught, it is essential to curb the fast spreading of this dreadful virus. Moreover, the absence of specialized drugs has made the scenario even more badly and thus an early-stage adoption of necessary precautionary measures would provide requisite supportive treatment for its prevention. The prime objective of this article is to use radiological images as a tool to help in early diagnosis. The interval type 2 fuzzy clustering is blended with the concept of superpixels, and metaheuristics to efficiently segment the radiological images. Despite noise sensitivity of watershed-based approach, it is adopted for superpixel computation owing to its simplicity where the noise problem is handled by the important edge information of the gradient image is preserved with the help of morphological opening and closing based reconstruction operations. The traditional objective function of the fuzzy c-means clustering algorithm is modified to incorporate the spatial information from the neighboring superpixel-based local window. The computational overhead associated with the processing of a huge amount of spatial information is reduced by incorporating the concept of superpixels and the optimal clusters are determined by a modified version of the flower pollination algorithm. Although the proposed approach performs well but should not be considered as an alternative to gold standard detection tests of COVID-19. Experimental results are found to be promising enough to deploy this approach for real-life applications.

Swept-Source Optical Coherence Tomography Detection of Bruch's Membrane and Choriocapillaris Abnormalities in Sorsby Macular Dystrophy

PURPOSE

Swept-source optical coherence tomography angiography (SS-OCTA) was used to analyze Bruch's membrane (BM) and choriocapillaris (CC) abnormalities in undiagnosed family members with Sorsby macular dystrophy (SMD).

METHODS

In a family with SMD (TIMP3 Tyr191Cys), SS-OCTA imaging was performed using the 6X6mm scan patter and previously validated algorithms to detect abnormalities in BM and the CC, as well as the presence of reticular pseudodrusen (RPD) and macular neovascularization (MNV). Genetic analyses were performed for TIMP3 mutations.

RESULTS

Of eight family members, two were previously diagnosed with SMD and six were asymptomatic. SS-OCTA imaging of the 33-year-old proband revealed type 1 MNV in the left eye and bilateral RPD, thickening of BM, CC thinning, and increases in CC flow deficits (FDs). A TIMP3 mutation was confirmed. His niece, despite having no clinical evidence of SMD, showed BM thickening and CC thinning on SS-OCTA. A TIMP3 mutation was confirmed. The proband's younger nephew and niece also carried the TIMP3 mutation without clinical evidence of SMD. Two additional members had normal exams, unremarkable SS-OCTA findings, and no TIMP3 mutation.

CONCLUSIONS

SS-OCTA imaging can detect BM and CC abnormalities in vivo in subjects unaware of their TIMP3 status in a family with SMD.

Adaptive kernel fuzzy clustering for missing data

Many machine learning procedures, including clustering analysis are often affected by missing values. This work aims to propose and evaluate a Kernel Fuzzy C-means clustering algorithm considering the kernelization of the metric with local adaptive distances (VKFCM-K-LP) under three types of strategies to deal with missing data. The first strategy, called Whole Data Strategy (WDS), performs clustering only on the complete part of the dataset, i.e. it discards all instances with missing data. The second approach uses the Partial Distance Strategy (PDS), in which partial distances are computed among all available resources and then re-scaled by the reciprocal of the proportion of observed values. The third technique, called Optimal Completion Strategy (OCS), computes missing values iteratively as auxiliary variables in the optimization of a suitable objective function. The clustering results were evaluated according to different metrics. The best performance of the clustering algorithm was achieved under the PDS and OCS strategies. Under the OCS approach, new datasets were derive and the missing values were estimated dynamically in the optimization process. The results of clustering under the OCS strategy also presented a superior performance when compared to the resulting clusters obtained by applying the VKFCM-K-LP algorithm on a version where missing values are previously imputed by the mean or the median of the observed values.

A bibliometric of publication trends in medical image segmentation: Quantitative and qualitative analysis

PURPOSE

Medical images are important in diagnosing disease and treatment planning. Computer algorithms that describe anatomical structures that highlight regions of interest and remove unnecessary information are collectively known as medical image segmentation algorithms. The quality of these algorithms will directly affect the performance of the following processing steps. There are many studies about the algorithms of medical image segmentation and their applications, but none involved a bibliometric of medical image segmentation.

METHODS

This bibliometric work investigated the academic publication trends in medical image segmentation technology. These data were collected from the Web of Science (WoS) Core Collection and the Scopus. In the quantitative analysis stage, important visual maps were produced to show publication trends from five different perspectives including annual publications, countries, top authors, publication sources, and keywords. In the qualitative analysis stage, the frequently used methods and research trends in the medical image segmentation field were analyzed from 49 publications with the top annual citation rates.

RESULTS

The analysis results showed that the number of publications had increased rapidly by year. The top related countries include the Chinese mainland, the United States, and India. Most of these publications were conference papers, besides there are also some top journals. The research hotspot in this field was deep learning-based medical image segmentation algorithms based on keyword analysis. These publications were divided into three categories: reviews, segmentation algorithm publications, and other relevant publications. Among these three categories, segmentation algorithm publications occupied the vast majority, and deep learning neural network-based algorithm was the research hotspots and frontiers.

CONCLUSIONS

Through this bibliometric research work, the research hotspot in the medical image segmentation field is uncovered and can point to future research in the field. It can be expected that more researchers will focus their work on deep learning neural network-based medical image segmentation.

Recent Advancements in Fuzzy C-means Based Techniques for Brain MRI Segmentation

BACKGROUND

Variations of image segmentation techniques, particularly those used for Brain MRI segmentation, vary in complexity from basic standard Fuzzy C-means (FCM) to more complex and enhanced FCM techniques.

OBJECTIVE

In this paper, a comprehensive review is presented on all thirteen variations of FCM segmentation techniques. In the review process, the concentration is on the use of FCM segmentation techniques for brain tumors. Brain tumor segmentation is a vital step in the process of automatically diagnosing brain tumors. Unlike segmentation of other types of images, brain tumor segmentation is a very challenging task due to the variations in brain anatomy. The low contrast of brain images further complicates this process. Early diagnosis of brain tumors is indeed beneficial to patients, doctors, and medical providers.

RESULTS

FCM segmentation works on images obtained from magnetic resonance imaging (MRI) scanners, requiring minor modifications to hospital operations to early diagnose tumors as most, if not all, hospitals rely on MRI machines for brain imaging.

CONCLUSION

In this paper, we critically review and summarize FCM based techniques for brain MRI segmentation.

Intuitionistic Fuzzy C-Means Algorithm Based on Membership Information Transfer-Ring and Similarity Measurement

The fuzzy C-means clustering (FCM) algorithm is used widely in medical image segmentation and suitable for segmenting brain tumors. Therefore, an intuitionistic fuzzy C-means algorithm based on membership information transferring and similarity measurements (IFCM-MS) is proposed to segment brain tumor magnetic resonance images (MRI) in this paper. The original FCM lacks spatial information, which leads to a high noise sensitivity. To address this issue, the membership information transfer model is adopted to the IFCM-MS. Specifically, neighborhood information and the similarity of adjacent iterations are incorporated into the clustering process. Besides, FCM uses simple distance measurements to calculate the membership degree, which causes an unsatisfactory result. So, a similarity measurement method is designed in the IFCM-MS to improve the membership calculation, in which gray information and distance information are fused adaptively. In addition, the complex structure of the brain results in MRIs with uncertainty boundary tissues. To overcome this problem, an intuitive fuzzy attribute is embedded into the IFCM-MS. Experiments performed on real brain tumor images demonstrate that our IFCM-MS has low noise sensitivity and high segmentation accuracy.

Review on 2D and 3D MRI Image Segmentation Techniques

BACKGROUND

Magnetic Resonance Imaging is most widely used for early diagnosis of abnormalities in human organs. Due to the technical advancement in digital image processing, automatic computer aided medical image segmentation has been widely used in medical diagnostics.

DISCUSSION

Image segmentation is an image processing technique which is used for extracting image features, searching and mining the medical image records for better and accurate medical diagnostics. Commonly used segmentation techniques are threshold based image segmentation, clustering based image segmentation, edge based image segmentation, region based image segmentation, atlas based image segmentation, and artificial neural network based image segmentation.

CONCLUSION

This survey aims at providing an insight about different 2-Dimensional and 3- Dimensional MRI image segmentation techniques and to facilitate better understanding to the people who are new in this field. This comparative study summarizes the benefits and limitations of various segmentation techniques.

A neutrosophic-entropy based clustering algorithm (NEBCA) with HSV color system: A special application in segmentation of Parkinson's disease (PD) MR images

BACKGROUND AND OBJECTIVES

Brain MR images consist of three major regions: gray matter, white matter and cerebrospinal fluid. Medical experts make decisions on different serious diseases by evaluating the developments in these areas. One of the significant approaches used in analyzing the MR images were segmenting the regions. However, their segmentation suffers from two major problems as: (a) the boundaries of their gray matter and white matter regions are ambiguous in nature, and (b) their regions are formed with unclear inhomogeneous gray structures. For these reasons, diagnosis of critical diseases is often very difficult.

METHODS

This study presented a new method for MR image segmentation, which consisted of two main parts as: (a) neutrosophic-entropy based clustering algorithm (NEBCA), and (b) HSV color system. The NEBCA's role in this study was to perform segmentation of MR regions, while HSV color system was used to provide better visual representation of features in segmented regions.

RESULTS

Application of the proposed method was demonstrated in 30 different MR images of Parkinson's disease (PD). Experimental results were presented individually for the NEBCA and HSV color system. The performance of the proposed method was evaluated in terms of statistical metrics used in an image segmentation domain. Experimental results, including statistical analysis reflected the efficiency of the proposed method over the existing well-known image segmentation methods available in literature. For the proposed method and existing methods, the average CPU time (in nanosecond) was computed and it was found that the proposed method consumed less time to segment MR images.

CONCLUSION

The proposed method can effectively segment different regions of MR images and can very clearly represent those segmented regions.

Application of Soft Computing Models with Input Vectors of Snow Cover Area in Addition to Hydro-Climatic Data to Predict the Sediment Loads

The accurate estimate of sediment load is important for management of the river ecosystem, designing of water infrastructures, and planning of reservoir operations. The direct measurement of sediment is the most credible method to estimate the sediments. However, this requires a lot of time and resources. Because of these two constraints, most often, it is not possible to continuously measure the daily sediments for most of the gauging sites. Nowadays, data-based sediment prediction models are famous for bridging the data gaps in the estimation of sediment loads. In data-driven sediment predictions models, the selection of input vectors is critical in determining the best structure of models for the accurate estimation of sediment yields. In this study, time series inputs of snow cover area, basin effective rainfall, mean basin average temperature, and mean basin evapotranspiration in addition to the flows were assessed for the prediction of sediment loads. The input vectors were assessed with artificial neural network (ANN), adaptive neuro-fuzzy logic inference system with grid partition (ANFIS-GP), adaptive neuro-fuzzy logic inference system with subtractive clustering (ANFIS-SC), adaptive neuro-fuzzy logic inference system with fuzzy c-means clustering (ANFIS-FCM), multiple adaptive regression splines (MARS), and sediment rating curve (SRC) models for the Gilgit River, the tributary of the Indus River in Pakistan. The comparison of different input vectors showed improvements in the prediction of sediments by using the snow cover area in addition to flows, effective rainfall, temperature, and evapotranspiration. Overall, the ANN model performed better than all other models. However, as regards sediment load peak time series, the sediment loads predicted using the ANN, ANFIS-FCM, and MARS models were found to be closer to the measured sediment loads. The ANFIS-FCM performed better in the estimation of peak sediment yields with a relative accuracy of 81.31% in comparison to the ANN and MARS models with 80.17% and 80.16% of relative accuracies, respectively. The developed multiple linear regression equation of all models show an R2 value of 0.85 and 0.74 during the training and testing period, respectively.

MF2C3: Multi-Feature Fuzzy Clustering to Enhance Cell Colony Detection in Automated Clonogenic Assay Evaluation

A clonogenic assay is a biological technique for calculating the Surviving Fraction (SF) that quantifies the anti-proliferative effect of treatments on cell cultures: this evaluation is often performed via manual counting of cell colony-forming units. Unfortunately, this procedure is error-prone and strongly affected by operator dependence. Besides, conventional assessment does not deal with the colony size, which is generally correlated with the delivered radiation dose or administered cytotoxic agent. Relying upon the direct proportional relationship between the Area Covered by Colony (ACC) and the colony count and size, along with the growth rate, we propose MF2C3, a novel computational method leveraging spatial Fuzzy C-Means clustering on multiple local features (i.e., entropy and standard deviation extracted from the input color images acquired by a general-purpose flat-bed scanner) for ACC-based SF quantification, by considering only the covering percentage. To evaluate the accuracy of the proposed fully automatic approach, we compared the SFs obtained by MF2C3 against the conventional counting procedure on four different cell lines. The achieved results revealed a high correlation with the ground-truth measurements based on colony counting, by outperforming our previously validated method using local thresholding on L*u*v* color well images. In conclusion, the proposed multi-feature approach, which inherently leverages the concept of symmetry in the pixel local distributions, might be reliably used in biological studies.

Location detection of key areas in medical images based on Haar-like fusion contour feature learning

BACKGROUND:

Key area location is an important content of medical image processing and an important detail of auxiliary medical diagnosis.

OBJECTIVE:

In this paper, a prior knowledge fusion method based on Haar-like feature and contour feature is proposed to locate and detect key areas in medical images.

METHOD:

For the image to be processed, six Haar-like features and five contour features are extracted respectively. The improvement of Haar-like feature extraction template better adapts to the complexity of regional structure of medical images. The design of the contour feature extraction process fully reflects the consideration of feature invariance. The two features, together with prior knowledge, are fed into their respective decision makers and final fusers as the basis for determining and locating key regions.

RESULTS:

The experimental results show that the proposed method has excellent performance in locating key regions of medical images on MRI. When the capacity of the database increases from 10 to 200, the accuracy of locating the key areas of the image to be processed still reaches more than 90%.

CONCLUSION:

The proposed method realizes the accurate location of the key areas of medical images, which is of great significance for the auxiliary medical diagnosis.

Fuzzy support vector machine-based personalizing method to address the inter-subject variance problem of physiological signals in a driver monitoring system

Physiological signals can be utilized to monitor conditions of a driver, but the inter-subject variance of physiological signals can degrade the classification accuracy of the monitoring system. Personalization of the system using the data of a tested subject, called local data, can be a solution, but the acquisition of sufficient local data may not be possible in real situations. Therefore, this paper proposes an effective personalizing method using small-sized local data. The proposed method utilizes a fuzzy support vector machine to allocate higher weight to the local data than to others, and a fuzzy membership is assigned to the training data by analyzing the importance of each datum. Three classification problems for a physiological signal-based driver monitoring system are introduced and utilized to validate the proposed method. The classification accuracy is compared with that of other personalizing methods, and the results show that the proposed method achieves a better accuracy on average, which is 3.46% higher than that of the simple approach using a basic support vector machine, thereby proving its effectiveness. The proposed method can train a personalized classifier with improved accuracy for a tested subject. The advantages of the proposed method can be utilized to develop a practical driver monitoring system.

A Survey on Computer-Aided Diagnosis of Brain Disorders through MRI Based on Machine Learning and Data Mining Methodologies with an Emphasis on Alzheimer Disease Diagnosis and the Contribution of the Multimodal Fusion

Computer-aided diagnostic (CAD) systems use machine learning methods that provide a synergistic effect between the neuroradiologist and the computer, enabling an efficient and rapid diagnosis of the patient’s condition. As part of the early diagnosis of Alzheimer’s disease (AD), which is a major public health problem, the CAD system provides a neuropsychological assessment that helps mitigate its effects. The use of data fusion techniques by CAD systems has proven to be useful, they allow for the merging of information relating to the brain and its tissues from MRI, with that of other types of modalities. This multimodal fusion refines the quality of brain images by reducing redundancy and randomness, which contributes to improving the clinical reliability of the diagnosis compared to the use of a single modality. The purpose of this article is first to determine the main steps of the CAD system for brain magnetic resonance imaging (MRI). Then to bring together some research work related to the diagnosis of brain disorders, emphasizing AD. Thus the most used methods in the stages of classification and brain regions segmentation are described, highlighting their advantages and disadvantages. Secondly, on the basis of the raised problem, we propose a solution within the framework of multimodal fusion. In this context, based on quantitative measurement parameters, a performance study of multimodal CAD systems is proposed by comparing their effectiveness with those exploiting a single MRI modality. In this case, advances in information fusion techniques in medical imagery are accentuated, highlighting their advantages and disadvantages. The contribution of multimodal fusion and the interest of hybrid models are finally addressed, as well as the main scientific assertions made, in the field of brain disease diagnosis.

Quantification in Musculoskeletal Imaging Using Computational Analysis and Machine Learning: Segmentation and Radiomics

Although still limited in clinical practice, quantitative analysis is expected to increase the value of musculoskeletal (MSK) imaging. Segmentation aims at isolating the tissues and/or regions of interest in the image and is crucial to the extraction of quantitative features such as size, signal intensity, or image texture. These features may serve to support the diagnosis and monitoring of disease. Radiomics refers to the process of extracting large amounts of features from radiologic images and combining them with clinical, biological, genetic, or any other type of complementary data to build diagnostic, prognostic, or predictive models. The advent of machine learning offers promising prospects for automatic segmentation and integration of large amounts of data. We present commonly used segmentation methods and describe the radiomics pipeline, highlighting the challenges to overcome for adoption in clinical practice. We provide some examples of applications from the MSK literature.

Computer-Aided Diagnosis System of Alzheimer's Disease Based on Multimodal Fusion: Tissue Quantification Based on the Hybrid Fuzzy-Genetic-Possibilistic Model and Discriminative Classification Based on the SVDD Model

An improved computer-aided diagnosis (CAD) system is proposed for the early diagnosis of Alzheimer’s disease (AD) based on the fusion of anatomical (magnetic resonance imaging (MRI)) and functional (⁸F-fluorodeoxyglucose positron emission tomography (FDG-PET)) multimodal images, and which helps to address the strong ambiguity or the uncertainty produced in brain images. The merit of this fusion is that it provides anatomical information for the accurate detection of pathological areas characterized in functional imaging by physiological abnormalities. First, quantification of brain tissue volumes is proposed based on a fusion scheme in three successive steps: modeling, fusion and decision. (1) Modeling which consists of three sub-steps: the initialization of the centroids of the tissue clusters by applying the Bias corrected Fuzzy C-Means (FCM) clustering algorithm. Then, the optimization of the initial partition is performed by running genetic algorithms. Finally, the creation of white matter (WM), gray matter (GM) and cerebrospinal fluid (CSF) tissue maps by applying the Possibilistic FCM clustering algorithm. (2) Fusion using a possibilistic operator to merge the maps of the MRI and PET images highlighting redundancies and managing ambiguities. (3) Decision offering more representative anatomo-functional fusion images. Second, a support vector data description (SVDD) classifier is used that must reliably distinguish AD from normal aging and automatically detects outliers. The “divide and conquer” strategy is then used, which speeds up the SVDD process and reduces the load and cost of the calculating. The robustness of the tissue quantification process is proven against noise (20% level), partial volume effects and when inhomogeneities of spatial intensity are high. Thus, the superiority of the SVDD classifier over competing conventional systems is also demonstrated with the adoption of the 10-fold cross-validation approach for synthetic datasets (Alzheimer disease neuroimaging (ADNI) and Open Access Series of Imaging Studies (OASIS)) and real images. The percentage of classification in terms of accuracy, sensitivity, specificity and area under ROC curve was 93.65%, 90.08%, 92.75% and 97.3%; 91.46%, 92%, 91.78% and 96.7%; 85.09%, 86.41%, 84.92% and 94.6% in the case of the ADNI, OASIS and real images respectively.

Prediction of Suspended Sediment Load Using Data-Driven Models

Estimation of suspended sediments carried by natural rivers is essential for projects related to water resource planning and management. This study proposes a dynamic evolving neural fuzzy inference system (DENFIS) as an alternative tool to estimate the suspended sediment load based on previous values of streamflow and sediment. Several input scenarios of daily streamflow and suspended sediment load measured at two locations of China—Guangyuan and Beibei—were tried to assess the ability of this new method and its results were compared with those of the other two common methods, adaptive neural fuzzy inference system with fuzzy c-means clustering (ANFIS-FCM) and multivariate adaptive regression splines (MARS) based on three commonly utilized statistical indices, root mean square error (RMSE), mean absolute error (MAE), and Nash–Sutcliffe efficiency (NSE). The data period covers 01/04/2007–12/31/2015 for the both stations. A comparison of the methods indicated that the DENFIS-based models improved the accuracy of the ANFIS-FCM and MARS-based models with respect to RMSE by 33% (32%) and 31% (36%) for the Guangyuan (Beibei) station, respectively. The NSE accuracy for ANFIS-FCM and MARS-based models were increased by 4% (36%) and 15% (19%) using DENFIS for the Guangyuan (Beibei) station, respectively. It was found that the suspended sediment load can be accurately estimated by DENFIS-based models using only previous streamflow data.

Segmentation and clustering in brain MRI imaging

Clustering is a vital task in magnetic resonance imaging (MRI) brain imaging and plays an important role in the reliability of brain disease detection, diagnosis, and effectiveness of the treatment. Clustering is used in processing and analysis of brain images for different tasks, including segmentation of brain regions and tissues (grey matter, white matter, and cerebrospinal fluid) and clustering of the atrophy in different parts of the brain. This paper presents a state-of-the-art review of brain MRI studies that use clustering techniques for different tasks.

A Cross Sectional Study of Tumors Using Bio-Medical Imaging Modalities

Background:

Digital Signal Processing (D.S.P) is an evolutionary field. It has a vast variety of applications in all fields. Bio medical engineering has various applications of digital signal processing. Digital Image Processing is one of the branches of signal processing. Medical image modalities proved to be helpful for disease diagnosis. Higher expertise is required in image analysis by medical professional, either doctors or radiologists.

Methods:

Extensive research is being done and has produced remarkable results. The study is divided into three main parts. The first deals with introduction of mostly used imaging modalities such as, magnetic resonance imaging, x-rays, ultrasound, positron emission tomography and computed tomography. The next section includes explanation of the basic steps of digital image processing are also explained in the paper. Magnetic Resonance imaging modalities is selected for this research paper. Different methods are tested on MRI images.

Discussion:

Brain images are selected with and without tumor. Solid cum Cystic tumor is opted for the r esearch. Results are discussed and shown. The software used for digital image processing is MATLAB. It has in built functions which are used throughout the study. The study represents the importance of DIP for tumor segmentation and detection.

Conclusion:

This study provides an initial guideline for researchers from both fields, that is, medicine and engineering. The analyses are shown and discussed in detail through images. This paper shows the significance of image processing platform for tumor detection automation.

Intuitionistic Center-Free FCM Clustering for MR Brain Image Segmentation

In this paper, an intuitionistic center-free fuzzy c-means clustering method (ICFFCM) is proposed for magnetic resonance (MR) brain image segmentation. First, in order to suppress the effect of noise in MR brain images, a pixel-to-pixel similarity with spatial information is defined. Then, for the purpose of handling the vagueness in MR brain images as well as the uncertainty in clustering process, a pixel-to-cluster similarity measure is defined by employing the intuitionistic fuzzy membership function. These two similarities are used to modify the center-free FCM so that the ability of the method for MR brain image segmentation could be improved. Second, on the basis of the improved center-free FCM method, a local information term, which is also intuitionistic and center-free, is appended to the objective function. This generates the final proposed ICFFCM. The consideration of local information further enhances the robustness of ICFFCM to the noise in MR brain images. Experimental results on the simulated and real MR brain image datasets show that ICFFCM is effective and robust. Moreover, ICFFCM could outperform several fuzzy-clustering-based methods and could achieve comparable results to the standard published methods like statistical parametric mapping and FMRIB automated segmentation tool.

Improving visualization and quantitative assessment of choriocapillaris with swept source OCTA through registration and averaging applicable to clinical systems

Choriocapillaris (CC) visualization and quantification remains challenging. We propose an innovative three-step registration and averaging approach using repeated swept source optical coherence tomography angiography (SS-OCTA) scans to conduct automatic quantitative assessment on CC. Six subjects were enrolled, each imaged at several locations with SS-OCTA from macular to equatorial regions using 3 mm × 3 mm scanning pattern. Five repeated volumes were collected for each subject. The complex optical microangiography (OMAG) algorithm was applied to identify blood flow in CC slab. An automatic three-step registration of translation, affine and B-Spline was applied to en face OCTA images of CC, followed with averaging. A fuzzy clustering approach was used to segment vasculature and flow deficits from the averaged images. The improvement in visualization of CC was evaluated and the average intercapillary distance was estimated by calculating the averaged capillary lumen spacing. A series of quantitative indices of flow deficit density, number, size, complexity index and aspect ratio index (FDD, FDN, FDS, FDCI and FDARI) were designed and validated with the increase of repeated scan numbers for averaging. Quantitative assessment was applied and compared on CC in macular and equatorial regions. The intercapillary distance was observed to be around 24 µm at macula and increased toward equatorial regions. All five quantitative indices (FDD, FDN, FDS, FDCI and FDARI) showed significant changes with multiple averaging and tend to become stable with repeated number of 4. Our proposed registration and averaging algorithm significantly improved the visualization of CC with SS-OCTA. The designed five indices for CC provide more options in the quantitative assessment of CC and are of great potentials in assisting the understanding of disease pathology, early diagnosis and treatment monitoring.

A Hard C-Means Clustering Algorithm Incorporating Membership KL Divergence and Local Data Information for Noisy Image Segmentation

In this paper, the standard hard C-means (HCM) clustering approach to image segmentation is modified by incorporating weighted membership Kullback–Leibler (KL) divergence and local data information into the HCM objective function. The membership KL divergence, used for fuzzification, measures the proximity between each cluster membership function of a pixel and the locally-smoothed value of the membership in the pixel vicinity. The fuzzification weight is a function of the pixel to cluster-centers distances. The used pixel to a cluster-center distance is composed of the original pixel data distance plus a fraction of the distance generated from the locally-smoothed pixel data. It is shown that the obtained membership function of a pixel is proportional to the locally-smoothed membership function of this pixel multiplied by an exponentially distributed function of the minus pixel distance relative to the minimum distance provided by the nearest cluster-center to the pixel. Therefore, since incorporating the locally-smoothed membership and data information in addition to the relative distance, which is more tolerant to additive noise than the absolute distance, the proposed algorithm has a threefold noise-handling process. The presented algorithm, named local data and membership KL divergence based fuzzy C-means (LDMKLFCM), is tested by synthetic and real-world noisy images and its results are compared with those of several FCM-based clustering algorithms.

Comparison of image intensity, local, and multi-atlas priors in brain tissue classification

PURPOSE

Automated and accurate tissue classification in three-dimensional brain magnetic resonance images is essential in volumetric morphometry or as a preprocessing step for diagnosing brain diseases. However, noise, intensity in homogeneity, and partial volume effects limit the classification accuracy of existing methods. This paper provides a comparative study on the contributions of three commonly used image information priors for tissue classification in normal brains: image intensity, local, and multi-atlas priors.

METHODS

We compared the effectiveness of the three priors by comparing the four methods modeling them: K-Means (KM), KM combined with a Markov Random Field (KM-MRF), multi-atlas segmentation (MAS), and the combination of KM, MRF, and MAS (KM-MRF-MAS). The key parameters and factors in each of the four methods are analyzed, and the performance of all the models is compared quantitatively and qualitatively on both simulated and real data.

RESULTS

The KM-MRF-MAS model that combines the three image information priors performs best.

CONCLUSIONS

The image intensity prior is insufficient to generate reasonable results for a few images. Introducing local and multi-atlas priors results in improved brain tissue classification. This study provides a general guide on what image information priors can be used for effective brain tissue classification.

A novel overlapped nuclei splitting algorithm for histopathological images

BACKGROUND AND OBJECTIVE

Nuclei segmentation is a common process for quantitative analysis of histopathological images. However, this process generally results in overlapping of nuclei due to the nature of images, the sample preparation and staining, and image acquisition processes as well as insufficiency of 2D histopathological images to represent 3D characteristics of tissues. We present a novel algorithm to split overlapped nuclei.

METHODS

The histopathological images are initially segmented by K-Means segmentation algorithm. Then, nuclei cluster are converted to binary image. The overlapping is detected by applying threshold area value to nuclei in the binary image. The splitting algorithm is applied to the overlapped nuclei. In first stage of splitting, circles are drawn on overlapped nuclei. The radius of the circles is calculated by using circle area formula, and each pixel's coordinates of overlapped nuclei are selected as center coordinates for each circle. The pixels in the circle that contains maximum number of intersected pixels in both the circle and the overlapped nuclei are removed from the overlapped nuclei, and the filled circle labeled as a nucleus.

RESULTS

The algorithm has been tested on histopathological images of healthy and damaged kidney tissues and compared with the results provided by an expert and three related studies. The results demonstrated that the proposed splitting algorithm can segment the overlapping nuclei with accuracy of 84%.

CONCLUSIONS

The study presents a novel algorithm splitting the overlapped nuclei in histopathological images and provides more accurate cell counting in histopathological analysis. Furthermore, the proposed splitting algorithm has the potential to be used in different fields to split any overlapped circular patterns.

3D Liver Tumor Segmentation in CT Images Using Improved Fuzzy C-Means and Graph Cuts

Three-dimensional (3D) liver tumor segmentation from Computed Tomography (CT) images is a prerequisite for computer-aided diagnosis, treatment planning, and monitoring of liver cancer. Despite many years of research, 3D liver tumor segmentation remains a challenging task. In this paper, an efficient semiautomatic method was proposed for liver tumor segmentation in CT volumes based on improved fuzzy C-means (FCM) and graph cuts. With a single seed point, the tumor volume of interest (VOI) was extracted using confidence connected region growing algorithm to reduce computational cost. Then, initial foreground/background regions were labeled automatically, and a kernelized FCM with spatial information was incorporated in graph cuts segmentation to increase segmentation accuracy. The proposed method was evaluated on the public clinical dataset (3Dircadb), which included 15 CT volumes consisting of various sizes of liver tumors. We achieved an average volumetric overlap error (VOE) of 29.04% and Dice similarity coefficient (DICE) of 0.83, with an average processing time of 45 s per tumor. The experimental results showed that the proposed method was accurate for 3D liver tumor segmentation with a reduction of processing time.