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ABSTRACT: In the diagnosis of preinvasive breast cancer, some of the intraductal proliferations pose a special challenge. The continuum of intraductal breast lesions includes the usual ductal hyperplasia (UDH), atypical ductal hyperplasia (ADH), and ductal carcinoma in situ (DCIS). The current standard of care is to perform percutaneous needle biopsies for diagnosis of palpable and image-detected breast abnormalities. UDH is considered benign and patients diagnosed UDH undergo routine follow-up, whereas ADH and DCIS are considered actionable and patients diagnosed with these two subtypes get additional surgical procedures. About 250 000 new cases of intraductal breast lesions are diagnosed every year. A conservative estimate would suggest that at least 50% of these patients are needlessly undergoing unnecessary surgeries. Thus, improvement in the diagnostic reproducibility and accuracy is critically important for effective clinical management of these patients. In this study, a prototype system for automatically classifying breast microscopic tissues to distinguish between UDH and actionable subtypes (ADH and DCIS) is introduced. This system automatically evaluates digitized slides of tissues for certain cytological criteria and classifies the tissues based on the quantitative features derived from the images. The system is trained using a total of 327 regions of interest (ROIs) collected across 62 patient cases and tested with a sequestered set of 149 ROIs collected across 33 patient cases. An overall accuracy of 87.9% is achieved on the entire test data. The test accuracy of 84.6% is obtained with borderline cases (26 of the 33 test cases) only, when compared against the diagnostic accuracies of nine pathologists on the same set (81.2% average), indicates that the system is highly competitive with the expert pathologists as a stand-alone diagnostic tool and has a great potential in improving diagnostic accuracy and reproducibility when used as a “second reader-
1D; in conjunction with the pathologists.
IEEE Transactions on Biomedical Engineering 08/2011; · 2.28 Impact Factor
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ABSTRACT: In the diagnosis of preinvasive breast cancer, some of the intraductal proliferations pose a special challenge. The continuum of intraductal breast lesions includes the usual ductal hyperplasia (UDH), atypical ductal hyperplasia (ADH), and ductal carcinoma in situ (DCIS). The current standard of care is to perform percutaneous needle biopsies for diagnosis of palpable and image-detected breast abnormalities. UDH is considered benign and patients diagnosed UDH undergo routine follow-up, whereas ADH and DCIS are considered actionable and patients diagnosed with these two subtypes get additional surgical procedures. About 250,000 new cases of intraductal breast lesions are diagnosed every year. A conservative estimate would suggest that at least 50% of these patients are needlessly undergoing unnecessary surgeries. Thus, improvement in the diagnostic reproducibility and accuracy is critically important for effective clinical management of these patients. In this study, a prototype system for automatically classifying breast microscopic tissues to distinguish between UDH and actionable subtypes (ADH and DCIS) is introduced. This system automatically evaluates digitized slides of tissues for certain cytological criteria and classifies the tissues based on the quantitative features derived from the images. The system is trained using a total of 327 regions of interest (ROIs) collected across 62 patient cases and tested with a sequestered set of 149 ROIs collected across 33 patient cases. An overall accuracy of 87.9% is achieved on the entire test data. The test accuracy of 84.6% is obtained with borderline cases (26 of the 33 test cases) only, when compared against the diagnostic accuracies of nine pathologists on the same set (81.2% average), indicates that the system is highly competitive with the expert pathologists as a stand-alone diagnostic tool and has a great potential in improving diagnostic accuracy and reproducibility when used as a "second reader" in conjunction with the pathologists.
IEEE transactions on bio-medical engineering 02/2011; 58(7):1977-84. · 2.15 Impact Factor
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ABSTRACT: Follicular lymphoma (FL) is one of the most common lymphoid malignancies in the western world. FL has a variable clinical course, and important clinical treatment decisions for FL patients are based on histological grading, which is done by manually counting the large malignant cells called centroblasts (CB) in ten standard microscopic high-power fields from H&E-stained tissue sections. This method is tedious and subjective; as a result, suffers from considerable inter and intrareader variability even when used by expert pathologists. In this paper, we present a computer-aided detection system for automated identification of CB cells from H&E-stained FL tissue samples. The proposed system uses a unitone conversion to obtain a single-channel image that has the highest contrast. From the resulting image, which has a bimodal distribution due to the H&E stain, a cell-likelihood image is generated. Finally, a two-step CB detection procedure is applied. In the first step, we identify evident nonCB cells based on size and shape. In the second step, the CB detection is further refined by learning and utilizing the texture distribution of nonCB cells. We evaluated the proposed approach on 100 region-of-interest images extracted from ten distinct tissue samples and obtained a promising 80.7% detection accuracy.
IEEE Transactions on Biomedical Engineering 11/2010; · 2.28 Impact Factor
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ABSTRACT: One way of evaluating muscle quality is to determine its fiber type composition in histological sections. A complete muscle fiber type characterization system requires combining information from successive muscle histology images with different ATPase stain. Due to the local and global deformations introduced in slide preparation process, a precise non-rigid registration is essential to construct the spatial correspondences between these successive images. This study proposes an approach for automated non-rigid registration of successive muscle histological sections. We propose a feature-based registration that uses a two stage approach: a rigid initialization followed by a non-rigid refinement. The rigid initialization step globally aligns successive tissue slides by finding correspondences between individually segmented muscle fibers using Fourier shape descriptors and computing the global rigid transformation using a voting scheme tolerant to mismatches. In the non-rigid stage we establish precise point correspondences using the normalized cross correlation metric and compute the non-rigid distortion using a polynomial transformation that minimizes the mean square distance between these control points.
Biomedical Imaging: From Nano to Macro, 2010 IEEE International Symposium on; 05/2010
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ABSTRACT: Histopathological examination is one of the most important steps in evaluating prognosis of patients with neuroblastoma (NB). NB is a pediatric tumor of sympathetic nervous system and current evaluation of NB tumor histology is done according to the International Neuroblastoma Pathology Classification. The number of cells undergoing either mitosis or karyorrhexis (MK) plays an important role in this classification system. However, manual counting of such cells is tedious and subject to considerable inter- and intra-reader variations. A computer-assisted system may allow more precise results leading to more accurate prognosis in clinical practice. In this study, we propose an image analysis approach that operates on digitized NB histology samples. Based on the likelihood functions estimated from the samples of manually marked regions, we compute the probability map that indicates how likely a pixel belongs to an MK cell. Component-wise 2-step thresholding of the generated probability map provides promising results in detecting MK cells with an average sensitivity of 81.1% and 12.2 false positive detections on average.
Engineering in Medicine and Biology Society, 2009. EMBC 2009. Annual International Conference of the IEEE; 10/2009
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ABSTRACT: In this paper, we are proposing a novel automated method to recognize centroblast (CB) cells from non-centroblast (non-CB) cells for computer-assisted evaluation of follicular lymphoma tissue samples. The method is based on training and testing of a quadratic discriminant analysis (QDA) classifier. The novel aspects of this method are the identification of the CB object with prior information, and the introduction of the principal component analysis (PCA) in the spectral domain to extract color texture features. Both geometric and texture features are used to achieve the classification. Experimental results on real follicular lymphoma images demonstrate that the combined feature space improved the performance of the system significantly. The implemented method can identify centroblast cells (CB) from non-centroblast cells (non-CB) with a classification accuracy of 82.56%.
Engineering in Medicine and Biology Society, 2009. EMBC 2009. Annual International Conference of the IEEE; 10/2009
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ABSTRACT: GPUs have recently evolved into very fast parallel co-processors capable of executing general purpose computations extremely efficiently. At the same time, multi-core CPUs evolution continued and today's CPUs have 4-8 cores. These two trends, however, have followed independent paths in the sense that we are aware of very few works that consider both devices cooperating to solve general computations. In this paper we investigate the coordinated use of CPU and GPU to improve efficiency of applications even further than using either device independently. We use Anthill runtime environment, a data-flow oriented framework in which applications are decomposed into a set of event-driven filters, where for each event, the runtime system can use either GPU or CPU for its processing. For evaluation, we use a histopathology application that uses image analysis techniques to classify tumor images for neuroblas-toma prognosis. Our experimental environment includes dual and octa-core machines, augmented with GPUs and we evaluate our approach's performance for standalone and distributed executions. Our experiments show that a pure GPU optimization of the application achieved a factor of 15 to 49 times improvement over the single core CPU version, depending on the versions of the CPUs and GPUs. We also show that the execution can be further reduced by a factor of about 2 by using our runtime system that effectively choreographs the execution to run cooperatively both on GPU and on a single core of CPU. We improve on that by adding more cores, all of which were previously neglected or used ineffectively. In addition, the evaluation on a distributed environment has shown near linear scalability to multiple hosts.
Cluster Computing and Workshops, 2009. CLUSTER '09. IEEE International Conference on; 10/2009
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ABSTRACT: In this paper, a novel color texture classification approach is introduced and applied to computer-assisted grading of follicular lymphoma from whole-slide tissue samples. The digitized tissue samples of follicular lymphoma were classified into histological grades under a statistical framework. The proposed method classifies the image either into low or high grades based on the amount of cytological components. To further discriminate the lower grades into low and mid grades, we proposed a novel color texture analysis approach. This approach modifies the gray level cooccurrence matrix method by using a nonlinear color quantization with self-organizing feature maps (SOFMs). This is particularly useful for the analysis of H&E stained pathological images whose dynamic color range is considerably limited. Experimental results on real follicular lymphoma images demonstrate that the proposed approach outperforms the gray level based texture analysis.
Acoustics, Speech and Signal Processing, 2008. ICASSP 2008. IEEE International Conference on; 05/2008 · 4.63 Impact Factor
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ABSTRACT: Neuroblastoma is one of the most malignant childhood cancers affecting infants mostly. The current prognosis is based on microscopic examination of slides by expert pathologists, a process that is error-prone, time consuming and may lead to inter- and intra-reader variations. Therefore, we are developing a Computer Aided Prognosis (CAP) system which provides computerized image analysis to assist pathologist in their prognosis. Since this system operates on relatively large- scale images and requires sophisticated algorithms, it takes a long time to process whole-slide images. In this paper, we propose a novel and efficient approach for the execution of a CAP system for neuroblastoma prognosis, using the graphics processing unit (GPU). By leveraging high memory bandwidth and strong floating point operation capabilities of the GPU, our goal is to achieve order of magnitude reduction in the overall execution time as compared to that on a CPU alone. The proposed approach was tested on a set of testing images with a promising accuracy of 99.4% and an execution performance gain factor up to 45 times compared to C++ code running on the CPU.
Bioinformatics and Biomedicine, 2007. BIBM 2007. IEEE International Conference on; 12/2007
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ABSTRACT: In this paper, the development of a computer-aided system for the classification of grade of neuroblastic differentiation is presented. This automated process is carried out within a multi-resolution framework that follows a coarse-to-fine strategy. Additionally, a novel segmentation approach using the Fisher-Rao criterion, embedded in the generic expectation-maximization algorithm, is employed. Multiple decisions from a classifier group are aggregated using a two-step classifier combiner that consists of a majority voting process and a weighted sum rule using priori classifier accuracies. The developed system, when tested on 14,616 image tiles, had the best overall accuracy of 96.89%. Furthermore, multi-resolution scheme combined with automated feature selection process resulted in 34% savings in computational costs on average when compared to a previously developed single-resolution system. Therefore, the performance of this system shows good promise for the computer-aided pathological assessment of the neuroblastic differentiation in clinical practice.
Image Processing, 2007. ICIP 2007. IEEE International Conference on;
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ABSTRACT: Neuroblastoma (NB) is one of the most frequently occurring cancerous tumors in children. The current grading evaluations for patients with this disease require pathologists to identify certain morphological characteristics with microscopic examinations of tumor tissues. Thanks to the advent of modern digital scanners, it is now feasible to scan cross-section tissue specimens and acquire whole-slide digital images. As a result, computerized analysis of these images can generate key quantifiable parameters and assist pathologists with grading evaluations. In this study, image analysis techniques are applied to histological images of haematoxylin and eosin (H&E) stained slides for identifying image regions associated with different pathological components. Texture features derived from segmented components of tissues are extracted and processed by an automated classifier group trained with sample images with different grades of neuroblastic differentiation in a multi-resolution framework. The trained classification system is tested on 33 whole-slide tumor images. The resulting whole-slide classification accuracy produced by the computerized system is 87.88%. Therefore, the developed system is a promising tool to facilitate grading whole-slide images of NB biopsies with high throughput.
Pattern Recognition.
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ABSTRACT: We are developing a computer-aided prognosis system for neuroblastoma (NB), a cancer of the nervous system and one of the most malignant tumors affecting children. Histopathological examination is an important stage for further treatment planning in routine clinical diagnosis of NB. According to the International Neuroblastoma Pathology Classification (the Shimada system), NB patients are classified into favorable and unfavorable histology based on the tissue morphology. In this study, we propose an image analysis system that operates on digitized H&E stained whole-slide NB tissue samples and classifies each slide as either stroma-rich or stroma-poor based on the degree of Schwannian stromal development. Our statistical framework performs the classification based on texture features extracted using co-occurrence statistics and local binary patterns. Due to the high resolution of digitized whole-slide images, we propose a multi-resolution approach that mimics the evaluation of a pathologist such that the image analysis starts from the lowest resolution and switches to higher resolutions when necessary. We employ an offline feature selection step, which determines the most discriminative features at each resolution level during the training step. A modified k-nearest neighbor classifier is used to determine the confidence level of the classification to make the decision at a particular resolution level. The proposed approach was independently tested on 43 whole-slide samples and provided an overall classification accuracy of 88.4%.
Pattern Recognition.
