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Chen S, Yu J, Ruan R, Li Y, Tao Y, Shen Q, Cui Z, Shen C, Wang H, Jin J, Chen M, Jin C, Wang S. "Pink Pattern" Visualized in Magnifying Endoscopy With Narrow-Band Imaging Is a Novel Feature of Early Differentiated Gastric Cancer: A Bridge Between Endoscopic Images and Histopathological Changes. Front Med (Lausanne) 2021; 8:763675. [PMID: 34869471 PMCID: PMC8634361 DOI: 10.3389/fmed.2021.763675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 10/25/2021] [Indexed: 12/03/2022] Open
Abstract
Background: A pink color change occasionally found by us under magnifying endoscopy with narrow-band imaging (ME-NBI) may be a special feature of early gastric cancer (EGC), and was designated the “pink pattern”. The purposes of this study were to determine the relationship between the pink pattern and the cytopathological changes in gastric cancer cells and whether the pink pattern is useful for the diagnosis of EGC. Methods: The color features of ME-NBI images and pathological images of cancerous gastric mucosal surfaces were extracted and quantified. The cosine similarity was calculated to evaluate the correlation between the pink pattern and the nucleus-to-cytoplasm ratio of cancerous epithelial cells. Two diagnostic tests were performed by 12 endoscopists using stored ME-NBI images of 185 gastric lesions to investigate the diagnostic efficacy of the pink pattern for EGC. The diagnostic values, such as the area under the curve (AUC), the accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), of test 1 and test 2 were compared. Results: The cosine similarity between the color values of ME-NBI images and pathological images of 20 lesions was at least 0.744. The median AUC, accuracy, sensitivity, specificity, PPV, and NPV of test 2 were significantly better than those of test 1 for all endoscopists and for the junior and experienced groups. Conclusions: The pink pattern observed in ME-NBI images correlated strongly with the change in the nucleus-to-cytoplasm ratio of gastric epithelial cells, and could be considered a useful marker for the diagnosis of differentiated EGC.
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Affiliation(s)
- Shengsen Chen
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
| | - Jiangping Yu
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
| | - Rongwei Ruan
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
| | - Yandong Li
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
| | - Yali Tao
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
| | - Qiwen Shen
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
| | - Zhao Cui
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
| | - Cheng Shen
- Hithink RoyalFlush Information Network Co., Ltd, Hangzhou, China
| | - Huogen Wang
- Hithink RoyalFlush Information Network Co., Ltd, Hangzhou, China
| | - Jiayan Jin
- Hithink RoyalFlush Information Network Co., Ltd, Hangzhou, China
| | - Ming Chen
- Hithink RoyalFlush Information Network Co., Ltd, Hangzhou, China
| | - Chaohui Jin
- Hithink RoyalFlush Information Network Co., Ltd, Hangzhou, China
| | - Shi Wang
- Department of Endoscopy, Zhejiang Cancer Hospital, Institute of Cancer and Basic Medicine, University of Chinese Academy of Sciences, Hangzhou, China
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Kullback-Leibler distance and graph cuts based active contour model for local segmentation. Biomed Signal Process Control 2019. [DOI: 10.1016/j.bspc.2019.04.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Zheng Q, Warner S, Tasian G, Fan Y. A Dynamic Graph Cuts Method with Integrated Multiple Feature Maps for Segmenting Kidneys in 2D Ultrasound Images. Acad Radiol 2018; 25:1136-1145. [PMID: 29449144 DOI: 10.1016/j.acra.2018.01.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Revised: 01/01/2018] [Accepted: 01/02/2018] [Indexed: 10/18/2022]
Abstract
RATIONALE AND OBJECTIVES Automatic segmentation of kidneys in ultrasound (US) images remains a challenging task because of high speckle noise, low contrast, and large appearance variations of kidneys in US images. Because texture features may improve the US image segmentation performance, we propose a novel graph cuts method to segment kidney in US images by integrating image intensity information and texture feature maps. MATERIALS AND METHODS We develop a new graph cuts-based method to segment kidney US images by integrating original image intensity information and texture feature maps extracted using Gabor filters. To handle large appearance variation within kidney images and improve computational efficiency, we build a graph of image pixels close to kidney boundary instead of building a graph of the whole image. To make the kidney segmentation robust to weak boundaries, we adopt localized regional information to measure similarity between image pixels for computing edge weights to build the graph of image pixels. The localized graph is dynamically updated and the graph cuts-based segmentation iteratively progresses until convergence. Our method has been evaluated based on kidney US images of 85 subjects. The imaging data of 20 randomly selected subjects were used as training data to tune parameters of the image segmentation method, and the remaining data were used as testing data for validation. RESULTS Experiment results demonstrated that the proposed method obtained promising segmentation results for bilateral kidneys (average Dice index = 0.9446, average mean distance = 2.2551, average specificity = 0.9971, average accuracy = 0.9919), better than other methods under comparison (P < .05, paired Wilcoxon rank sum tests). CONCLUSIONS The proposed method achieved promising performance for segmenting kidneys in two-dimensional US images, better than segmentation methods built on any single channel of image information. This method will facilitate extraction of kidney characteristics that may predict important clinical outcomes such as progression of chronic kidney disease.
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Zhang M, Lu Z, Feng Q, Zhang Y. Automatic Thalamus Segmentation from Magnetic Resonance Images Using Multiple Atlases Level Set Framework (MALSF). Sci Rep 2017; 7:4274. [PMID: 28655897 PMCID: PMC5487333 DOI: 10.1038/s41598-017-04276-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Accepted: 05/10/2017] [Indexed: 12/03/2022] Open
Abstract
In this paper, we present an original multiple atlases level set framework (MALSF) for automatic, accurate and robust thalamus segmentation in magnetic resonance images (MRI). The contributions of the MALSF method are twofold. First, the main technical contribution is a novel label fusion strategy in the level set framework. Label fusion is achieved by seeking an optimal level set function that minimizes energy functional with three terms: label fusion term, image based term, and regularization term. This strategy integrates shape prior, image information and the regularity of the thalamus. Second, we use propagated labels from multiple registration methods with different parameters to take full advantage of the complementary information of different registration methods. Since different registration methods and different atlases can yield complementary information, multiple registration and multiple atlases can be incorporated into the level set framework to improve the segmentation performance. Experiments have shown that the MALSF method can improve the segmentation accuracy for the thalamus. Compared to ground truth segmentation, the mean Dice metrics of our method are 0.9239 and 0.9200 for left and right thalamus.
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Affiliation(s)
- Minghui Zhang
- Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, 510515, China
| | - Zhentai Lu
- Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, 510515, China.
| | - Qianjin Feng
- Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, 510515, China
| | - Yu Zhang
- Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, 510515, China
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Modified localized multiplicative graph cuts based active contour model for object segmentation based on dynamic narrow band scheme. Biomed Signal Process Control 2017. [DOI: 10.1016/j.bspc.2016.11.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Li B, Chen Q, Peng G, Guo Y, Chen K, Tian L, Ou S, Wang L. Segmentation of pulmonary nodules using adaptive local region energy with probability density function-based similarity distance and multi-features clustering. Biomed Eng Online 2016; 15:49. [PMID: 27150553 PMCID: PMC4858846 DOI: 10.1186/s12938-016-0164-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2016] [Accepted: 04/25/2016] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Pulmonary nodules in computerized tomography (CT) images are potential manifestations of lung cancer. Segmentation of potential nodule objects is the first necessary and crucial step in computer-aided detection system of pulmonary nodules. The segmentation of various types of nodules, especially for ground-glass opacity (GGO) nodules and juxta-vascular nodules, present various challenges. The nodule with GGO characteristic possesses typical intensity inhomogeneity and weak edges, which is difficult to define the boundary; the juxta-vascular nodule is connected to a vessel, and they have very similar intensities. Traditional segmentation methods may result in the problems of boundary leakage and a small volume over-segmentation. This paper deals with the above mentioned problems. METHODS A novel segmentation method for pulmonary nodules is proposed, which uses an adaptive local region energy model with probability density function (PDF)-based similarity distance and multi-features dynamic clustering refinement method. Our approach has several novel aspects: (1) in the proposed adaptive local region energy model, the local domain for local energy model is selected adaptively based on k-nearest-neighbour (KNN) estimate method, and measurable distances between probability density functions of multi-dimension features with high class separability are used to build the cost function. (2) A multi-features dynamic clustering method is used for the segmentation refinement of juxta-vascular nodules, which is based on the nodule segmentation using active contour model (ACM) with adaptive local region energy and vessel segmentation using flow direction feature (FDF)-based region growing method. (3) it handles various types of nodules under a united framework. RESULTS The proposed method has been validated on a clinical dataset of 113 chest CT scans that contain 157 nodules determined by a ground truth reading process, and evaluating the algorithm on the provided data leads to an average Tanimoto/Jaccard error of 0.17, 0.20 and 0.24 for GGO, juxta-vascular and GGO juxta-vascular nodules, respectively. CONCLUSIONS Experimental results show desirable performances of the proposed method. The proposed segmentation method outperforms the traditional methods.
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Affiliation(s)
- Bin Li
- />School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510640 Guangdong China
| | - QingLin Chen
- />School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510640 Guangdong China
| | - Guangming Peng
- />Department of Radiology, Guangzhou General Hospital of Guangzhou Command, Guangzhou, 510010 Guangdong China
| | - Yuanxing Guo
- />Department of Radiology, Guangzhou General Hospital of Guangzhou Command, Guangzhou, 510010 Guangdong China
| | - Kan Chen
- />School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510640 Guangdong China
| | - LianFang Tian
- />School of Automation Science and Engineering, South China University of Technology, Guangzhou, 510640 Guangdong China
| | - Shanxing Ou
- />Department of Radiology, Guangzhou General Hospital of Guangzhou Command, Guangzhou, 510010 Guangdong China
| | - Lifei Wang
- />Department of Radiology, Shenzhen Third People’s Hospital, Shenzhen, 518112 Guangdong China
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Wang L, Hua G, Xue J, Gao Z, Zheng N. Joint Segmentation and Recognition of Categorized Objects from Noisy Web Image Collection. IEEE TRANSACTIONS ON IMAGE PROCESSING : A PUBLICATION OF THE IEEE SIGNAL PROCESSING SOCIETY 2014; 23:4070-4086. [PMID: 25051553 DOI: 10.1109/tip.2014.2339196] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The segmentation of categorized objects addresses the problem of joint segmentation of a single category of object across a collection of images, where categorized objects are referred to objects in the same category. Most existing methods of segmentation of categorized objects made the assumption that all images in the given image collection contain the target object. In other words, the given image collection is noise free. Therefore, they may not work well when there are some noisy images which are not in the same category, such as those image collections gathered by a text query from modern image search engines. To overcome this limitation, we propose a method for automatic segmentation and recognition of categorized objects from noisy Web image collections. This is achieved by cotraining an automatic object segmentation algorithm that operates directly on a collection of images, and an object category recognition algorithm that identifies which images contain the target object. The object segmentation algorithm is trained on a subset of images from the given image collection which are recognized to contain the target object with high confidence, while training the object category recognition model is guided by the intermediate segmentation results obtained from the object segmentation algorithm. This way, our co-training algorithm automatically identifies the set of true positives in the noisy Web image collection, and simultaneously extracts the target objects from all the identified images. Extensive experiments validated the efficacy of our proposed approach on four datasets: 1) the Weizmann horse dataset, 2) the MSRC object category dataset, 3) the iCoseg dataset, and 4) a new 30-categories dataset including 15,634 Web images with both hand-annotated category labels and ground truth segmentation labels. It is shown that our method compares favorably with the state-of-the-art, and has the ability to deal with noisy image collections.
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Qin C, Zhang G, Zhou Y, Tao W, Cao Z. Integration of the saliency-based seed extraction and random walks for image segmentation. Neurocomputing 2014. [DOI: 10.1016/j.neucom.2013.09.021] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Zhang P, Liang Y, Chang S, Fan H. Kidney segmentation in CT sequences using graph cuts based active contours model and contextual continuity. Med Phys 2013; 40:081905. [DOI: 10.1118/1.4812428] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Detection of pulmonary nodules in CT images based on fuzzy integrated active contour model and hybrid parametric mixture model. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2013; 2013:515386. [PMID: 23690876 PMCID: PMC3652289 DOI: 10.1155/2013/515386] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Revised: 03/12/2013] [Accepted: 03/23/2013] [Indexed: 11/27/2022]
Abstract
The segmentation and detection of various types of nodules in a Computer-aided detection
(CAD) system present various challenges, especially when (1) the nodule is connected to a vessel
and they have very similar intensities; (2) the nodule with ground-glass opacity (GGO)
characteristic possesses typical weak edges and intensity inhomogeneity, and hence it is difficult
to define the boundaries. Traditional segmentation methods may cause problems of boundary
leakage and “weak” local minima. This paper deals with the above mentioned problems. An
improved detection method which combines a fuzzy integrated active contour model
(FIACM)-based segmentation method, a segmentation refinement method based on Parametric
Mixture Model (PMM) of juxta-vascular nodules, and a knowledge-based C-SVM
(Cost-sensitive Support Vector Machines) classifier, is proposed for detecting various types of
pulmonary nodules in computerized tomography (CT) images. Our approach has several novel
aspects: (1) In the proposed FIACM model, edge and local region information is incorporated.
The fuzzy energy is used as the motivation power for the evolution of the active contour. (2) A
hybrid PMM Model of juxta-vascular nodules combining appearance and geometric
information is constructed for segmentation refinement of juxta-vascular nodules. Experimental
results of detection for pulmonary nodules show desirable performances of the proposed
method.
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