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« Endometrial cancer characterization
based on computer-aided microscopy
and pattern recognition methods »
« Endometrial cancer characterization
based on computer-aided microscopy
and pattern recognition methods »
Louis Papageorgiou, Spiros Kostopoulos,Louis Papageorgiou, Spiros Kostopoulos,
Dimitris Glotsos, Panagiota Ravazoula,Dimitris Glotsos, Panagiota Ravazoula,
Dionisis CavourasDionisis Cavouras
ATHENSATHENS 20132013
Department of Informatics and Telecommunications, University of Athens, GreeceDepartment of Informatics and Telecommunications, University of Athens, Greece
Medical Image and Signal Processing Laboratory, Department of MedicalMedical Image and Signal Processing Laboratory, Department of Medical
Instruments Technology, Technological Educational Institute of Athens, GreeceInstruments Technology, Technological Educational Institute of Athens, Greece
Department of Pathology, University Hospital of Patras, Rio, GreeceDepartment of Pathology, University Hospital of Patras, Rio, Greece
- Contents -- Contents -
• Introduction
• Endometrial cancer
• Process description
• Digital image processing
• Features extraction
• Pattern recognition
• Results
• Conclusions
11
Introduction
The objective of the foreclosed thesis is the study
and development of a system which receives,
processes and analyses histopathological
microscopical images.
• This system developed to assist / support the
diagnosis of endometrial cancer.
• The support of diagnosis begins, presenting the
region of interest (ROI) where detected the
endometrial cancer into the images.
• Then using features and pattern recognition
techniques, images characterized into three grades
of endometrial cancer (grade I, II or III).
22
Endometrial CancerEndometrial Cancer
• One of the most serious health
problems occurring throughout
the world.
• 7.6 million people worldwide
died, 13% causes of death.
• In 2008 diagnosed 12.7 million
several cases.
• Until 2030 expected to reach 13.1
million deaths.
• One of the most common cancer
cause of death in female sex are
Gynecological cancers.
CancerCancer
Endometrial cancer is one of the
frequent gynecological cancers.
Grows up in the outer layer of the
uterus.
Endometrial cancerEndometrial cancer
33
Endometrial Cancer
Endometrial cancer biopsies, analyzed immuno-
histochemically by histopathologist. Oncogene cerb-B
expressed where nuclei stained brown and the other
nuclei colored blue-violet due to the hematoxylin stain.
DiagnosisDiagnosis
44
Endometrial Cancer
SampleSample
Classification between three stage of endometrial cancer
Classes / Stages
Digital histopathological
images
Endometrial Cancer I 30
Endometrial Cancer II 59
Endometrial Cancer III 28
55
ProcessProcess
DigitizationDigitizationDigitizationDigitization Image ProcessImage ProcessImage ProcessImage Process
Pattern RecognitionPattern RecognitionPattern RecognitionPattern Recognition
DiagnosisDiagnosis::
Endometrial cancerEndometrial cancer
gradesgrades ΙΙ ,, ΙΙΙΙ oror ΙΙΙΙΙΙ
DiagnosisDiagnosis::
Endometrial cancerEndometrial cancer
gradesgrades ΙΙ ,, ΙΙΙΙ oror ΙΙΙΙΙΙ
Features ExtractionFeatures Extraction
BiopsiesBiopsies
66
DigitizationDigitization
Process of converting image data from analog to digital
form. With digitization we can input, slide information for
computer processing.
77
Digital image processingDigital image processing
Separate region of interest (ROI) from histopathological
microscopical images using several techniques.
Overlapped coreOverlapped core
separationseparation
88
Digital image processingDigital image processing
Morphological image processing, ROIs detectionMorphological image processing, ROIs detection
Example fromExample from 4040xx lenslens Example fromExample from 2020xx lenslens
99
Greyscale ImagesGreyscale Images
ExamplesExamples
OutputOutput
separate binaryseparate binary
imagesimages
Digital image processingDigital image processing
Mapping regions of interestMapping regions of interest
Step IStep I ««Image processingImage processing»» exampleexample
1010
Region of interest (nuclei's ) separation from imageRegion of interest (nuclei's ) separation from image
Digital image processingDigital image processing
ROIs (nuclei) delimitation andROIs (nuclei) delimitation and improvement. Lapped nuclei separation if neededimprovement. Lapped nuclei separation if needed
Step IIStep II ««ROIs ProcessingROIs Processing»» examplesexamples
Greyscale ImagesGreyscale Images Binary imagesBinary images
from Step Ifrom Step I
SeparationSeparation Output ImagesOutput Images
NoNo
YesYes
YesYes
YesYes
YesYes
1111
Digital image processingDigital image processing
Searching for possible separation in a big ROIs (more than two overlappedSearching for possible separation in a big ROIs (more than two overlapped
nuclei's)nuclei's)
Step IIIStep III ««Big ROIs ProcessingBig ROIs Processing»» examplesexamples
Greyscale imagesGreyscale images
Binary imagesBinary images
from Step IIfrom Step II
ResultsResults
1212
Digital image processingDigital image processing
Segmentation Final ResultsSegmentation Final Results
1313
Features ExtractionFeatures Extraction
1414
Pattern RecognitionPattern Recognition
PatternPattern
1515
• Minimum Distance Classifier
(MDC)
• K-Nearest Neighbours (KNN)
• Least Squares Minimum
Distance Classifier (LSMDC)
• Linear Bayes Classifier (LBC)
• Probabilistic Neural Network
(PNN)
• Ensemble classifier
Pattern RecognitionPattern Recognition
Classes definitionClasses definition
1616
ClassifiersClassifiers
ClassClass ΑΑ
Endometrial cancer
grade I
ClassClass ΒΒ
Endometrial cancer
grade II
Class CClass C
Endometrial cancer
grade III
Pattern RecognitionPattern Recognition
• Estimate classifiers performance
for known's patterns using «leave
one out»
• Estimate classifiers performance
for unknown's patterns using
«External cross validation».
• Estimate ensemble classification
performance for unknown's
patterns using «External cross
validation».
• Select best method to classify
• Features selection using:
- Optimal techniques
- Non optimal techniques
• Classifiers training with
«leave one out» technique.
1717
ResultsResults
Leave one outLeave one out –– Knowns pattern classificationKnowns pattern classification
ClassifierClassifier
Classifiers Results
Optimal methodsOptimal methods Non Optimal methodsNon Optimal methods
«exhaustive search»
«Κruskal –
wallis»
«sequentialfs»
MDCMDC 76.9%76.9% 73.5%73.5% 73.573.5%%
KK--NNNN 88.0%88.0% 8877.2%.2% 90.90.66%%
LSMDCLSMDC 94.0%94.0% 7755..22%% 82.082.0%%
LBCLBC 84.6%84.6% 75.275.2%% 77.77.8%8%
PNNPNN 96.96.66%% 8877.2%.2% 94.0%94.0%
Features SelectionFeatures Selection
1818
ResultsResults
External Cross ValidationExternal Cross Validation –– Unknowns pattern classificationUnknowns pattern classification
Classifier
Classifier Performance
«Κruskal–wallis» «sequentialfs»
MDCMDC 66.6% ±4.4 69.1% ±5.7
K-NNK-NN 76.2% ±6.5 78.8% ±6.4
LSMDCLSMDC 71.7% ±5.8 76.5% ±5.9
LBCLBC 68.3% ±5.6 71.3% ±6.6
PNNPNN 76.2% ±5.8 82.5% ±6.3
Ensemble 3Ensemble 3
classifiersclassifiers
85.7% ±3.9 87.4% ±4.4
Classifiers ResultsClassifiers Results
* Non optimal feature selection function were employed.
1919*Average rate of correct classification at 50 trials
ConclusionsConclusions
• Regions of interest separate successfully, employing digital
processing techniques.
• Results are promising for the development of such system,
with some modest modifications suitable for a clinical
environment.
• Best classification algorithm was found the PNN that gave 94%
of correct classification when non optimal feature selection
method were employed. The PNN scored around 96% overall
accuracy employing the ‘exhaustive search‘ and the ‘leave one
out’ methods.
•The proposed image analysis system proved capable of
classifying a ‘new’ image with an average accuracy of 82%
employing the ‘external cross validation’ method.
• PNN classifier was the best choice for the classification part of
the system, considering the time and memory cost.
2200
Thanks YouThanks You
For your attentionFor your attention

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PRESENTATION_LOUIS_PAPAGEORGIOU_EN

  • 1. « Endometrial cancer characterization based on computer-aided microscopy and pattern recognition methods » « Endometrial cancer characterization based on computer-aided microscopy and pattern recognition methods » Louis Papageorgiou, Spiros Kostopoulos,Louis Papageorgiou, Spiros Kostopoulos, Dimitris Glotsos, Panagiota Ravazoula,Dimitris Glotsos, Panagiota Ravazoula, Dionisis CavourasDionisis Cavouras ATHENSATHENS 20132013 Department of Informatics and Telecommunications, University of Athens, GreeceDepartment of Informatics and Telecommunications, University of Athens, Greece Medical Image and Signal Processing Laboratory, Department of MedicalMedical Image and Signal Processing Laboratory, Department of Medical Instruments Technology, Technological Educational Institute of Athens, GreeceInstruments Technology, Technological Educational Institute of Athens, Greece Department of Pathology, University Hospital of Patras, Rio, GreeceDepartment of Pathology, University Hospital of Patras, Rio, Greece
  • 2. - Contents -- Contents - • Introduction • Endometrial cancer • Process description • Digital image processing • Features extraction • Pattern recognition • Results • Conclusions 11
  • 3. Introduction The objective of the foreclosed thesis is the study and development of a system which receives, processes and analyses histopathological microscopical images. • This system developed to assist / support the diagnosis of endometrial cancer. • The support of diagnosis begins, presenting the region of interest (ROI) where detected the endometrial cancer into the images. • Then using features and pattern recognition techniques, images characterized into three grades of endometrial cancer (grade I, II or III). 22
  • 4. Endometrial CancerEndometrial Cancer • One of the most serious health problems occurring throughout the world. • 7.6 million people worldwide died, 13% causes of death. • In 2008 diagnosed 12.7 million several cases. • Until 2030 expected to reach 13.1 million deaths. • One of the most common cancer cause of death in female sex are Gynecological cancers. CancerCancer Endometrial cancer is one of the frequent gynecological cancers. Grows up in the outer layer of the uterus. Endometrial cancerEndometrial cancer 33
  • 5. Endometrial Cancer Endometrial cancer biopsies, analyzed immuno- histochemically by histopathologist. Oncogene cerb-B expressed where nuclei stained brown and the other nuclei colored blue-violet due to the hematoxylin stain. DiagnosisDiagnosis 44
  • 6. Endometrial Cancer SampleSample Classification between three stage of endometrial cancer Classes / Stages Digital histopathological images Endometrial Cancer I 30 Endometrial Cancer II 59 Endometrial Cancer III 28 55
  • 7. ProcessProcess DigitizationDigitizationDigitizationDigitization Image ProcessImage ProcessImage ProcessImage Process Pattern RecognitionPattern RecognitionPattern RecognitionPattern Recognition DiagnosisDiagnosis:: Endometrial cancerEndometrial cancer gradesgrades ΙΙ ,, ΙΙΙΙ oror ΙΙΙΙΙΙ DiagnosisDiagnosis:: Endometrial cancerEndometrial cancer gradesgrades ΙΙ ,, ΙΙΙΙ oror ΙΙΙΙΙΙ Features ExtractionFeatures Extraction BiopsiesBiopsies 66
  • 8. DigitizationDigitization Process of converting image data from analog to digital form. With digitization we can input, slide information for computer processing. 77
  • 9. Digital image processingDigital image processing Separate region of interest (ROI) from histopathological microscopical images using several techniques. Overlapped coreOverlapped core separationseparation 88
  • 10. Digital image processingDigital image processing Morphological image processing, ROIs detectionMorphological image processing, ROIs detection Example fromExample from 4040xx lenslens Example fromExample from 2020xx lenslens 99
  • 11. Greyscale ImagesGreyscale Images ExamplesExamples OutputOutput separate binaryseparate binary imagesimages Digital image processingDigital image processing Mapping regions of interestMapping regions of interest Step IStep I ««Image processingImage processing»» exampleexample 1010 Region of interest (nuclei's ) separation from imageRegion of interest (nuclei's ) separation from image
  • 12. Digital image processingDigital image processing ROIs (nuclei) delimitation andROIs (nuclei) delimitation and improvement. Lapped nuclei separation if neededimprovement. Lapped nuclei separation if needed Step IIStep II ««ROIs ProcessingROIs Processing»» examplesexamples Greyscale ImagesGreyscale Images Binary imagesBinary images from Step Ifrom Step I SeparationSeparation Output ImagesOutput Images NoNo YesYes YesYes YesYes YesYes 1111
  • 13. Digital image processingDigital image processing Searching for possible separation in a big ROIs (more than two overlappedSearching for possible separation in a big ROIs (more than two overlapped nuclei's)nuclei's) Step IIIStep III ««Big ROIs ProcessingBig ROIs Processing»» examplesexamples Greyscale imagesGreyscale images Binary imagesBinary images from Step IIfrom Step II ResultsResults 1212
  • 14. Digital image processingDigital image processing Segmentation Final ResultsSegmentation Final Results 1313
  • 17. • Minimum Distance Classifier (MDC) • K-Nearest Neighbours (KNN) • Least Squares Minimum Distance Classifier (LSMDC) • Linear Bayes Classifier (LBC) • Probabilistic Neural Network (PNN) • Ensemble classifier Pattern RecognitionPattern Recognition Classes definitionClasses definition 1616 ClassifiersClassifiers ClassClass ΑΑ Endometrial cancer grade I ClassClass ΒΒ Endometrial cancer grade II Class CClass C Endometrial cancer grade III
  • 18. Pattern RecognitionPattern Recognition • Estimate classifiers performance for known's patterns using «leave one out» • Estimate classifiers performance for unknown's patterns using «External cross validation». • Estimate ensemble classification performance for unknown's patterns using «External cross validation». • Select best method to classify • Features selection using: - Optimal techniques - Non optimal techniques • Classifiers training with «leave one out» technique. 1717
  • 19. ResultsResults Leave one outLeave one out –– Knowns pattern classificationKnowns pattern classification ClassifierClassifier Classifiers Results Optimal methodsOptimal methods Non Optimal methodsNon Optimal methods «exhaustive search» «Κruskal – wallis» «sequentialfs» MDCMDC 76.9%76.9% 73.5%73.5% 73.573.5%% KK--NNNN 88.0%88.0% 8877.2%.2% 90.90.66%% LSMDCLSMDC 94.0%94.0% 7755..22%% 82.082.0%% LBCLBC 84.6%84.6% 75.275.2%% 77.77.8%8% PNNPNN 96.96.66%% 8877.2%.2% 94.0%94.0% Features SelectionFeatures Selection 1818
  • 20. ResultsResults External Cross ValidationExternal Cross Validation –– Unknowns pattern classificationUnknowns pattern classification Classifier Classifier Performance «Κruskal–wallis» «sequentialfs» MDCMDC 66.6% ±4.4 69.1% ±5.7 K-NNK-NN 76.2% ±6.5 78.8% ±6.4 LSMDCLSMDC 71.7% ±5.8 76.5% ±5.9 LBCLBC 68.3% ±5.6 71.3% ±6.6 PNNPNN 76.2% ±5.8 82.5% ±6.3 Ensemble 3Ensemble 3 classifiersclassifiers 85.7% ±3.9 87.4% ±4.4 Classifiers ResultsClassifiers Results * Non optimal feature selection function were employed. 1919*Average rate of correct classification at 50 trials
  • 21. ConclusionsConclusions • Regions of interest separate successfully, employing digital processing techniques. • Results are promising for the development of such system, with some modest modifications suitable for a clinical environment. • Best classification algorithm was found the PNN that gave 94% of correct classification when non optimal feature selection method were employed. The PNN scored around 96% overall accuracy employing the ‘exhaustive search‘ and the ‘leave one out’ methods. •The proposed image analysis system proved capable of classifying a ‘new’ image with an average accuracy of 82% employing the ‘external cross validation’ method. • PNN classifier was the best choice for the classification part of the system, considering the time and memory cost. 2200
  • 22. Thanks YouThanks You For your attentionFor your attention