{"id":28850,"date":"2019-09-25T11:40:41","date_gmt":"2019-09-25T11:40:41","guid":{"rendered":"http:\/\/biomedpharmajournal.org\/?p=28850"},"modified":"2020-04-22T08:40:38","modified_gmt":"2020-04-22T08:40:38","slug":"extraction-of-fetal-features-from-b-mode-ultrasonograms-for-efficient-diagnosis-of-down-syndrome-in-first-and-second-trimester","status":"publish","type":"post","link":"https:\/\/biomedpharmajournal.org\/staging\/vol12no3\/extraction-of-fetal-features-from-b-mode-ultrasonograms-for-efficient-diagnosis-of-down-syndrome-in-first-and-second-trimester\/","title":{"rendered":"Extraction of Fetal Features from B Mode Ultrasonograms for Efficient Diagnosis of Down Syndrome in First and Second Trimester"},"content":{"rendered":"<p><strong>Introduction<\/strong><\/p>\n<p>Partitioning or dividing an image into connected regions which shares some common features based on grey level, texture or statistics is referred to as segmentation. Estimation of features which represents the tissue characteristics for diagnosis in a suitable way using ultrasound is still a serious problem and affects the diagnostic accuracy. Normally two adjacent regions having different properties is expected to exhibit high variations (which we refer to as high frequency region) along their common borders. But practically especially in the case of ultrasounds this thumb rule cannot be used as such. This is because of the fact that in ultrasounds at most times what we see or measure is not always what we want. The weak shape constraints (smoothness), Shape space constraints and geometrical constraints along with appearance and motion constraints makes the ultrasound segmentation a challenging task.<\/p>\n<p>Approaches to segmentation of ultrasounds can be classified as pixel based approach, continuity approach, edge based approach and statistical models. Pixel based methods can be easily implemented but their output is influenced by noise. Continuity based and edge based algorithms achieve segmentation by searching for similarities or differences. Statistical methods classify pixels to a region based on their correlation with a cost function.<\/p>\n<p>In this paper the segmentation of ultrasound image is achieved by computing the co-occurrence matrix using mean and variance derived from the wavelet coefficients. The resultant images are smoothened, morphologically treated and subjected to watershed transform in order to obtain the segmented image. The remainder of the paper is organized as follows: Section II details the generation of co-occurrence matrix and the various steps used. In section III we present the results and discussion and conclusion in section IV.<\/p>\n<p><strong>Proposed Segmentation Scheme<\/strong><\/p>\n<p>The detailed process flow diagram of the proposed scheme is shown in figure 1. The image is decomposed by using haar transform. The 1D algorithm for transforming a two element vector [x(1), x(2)]<sup>T <\/sup>into\u00a0 [y(1), y(2)]<sup>T<\/sup> by using the relation [1]\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28854\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_1.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_1\" width=\"158\" height=\"102\" \/><\/p>\n<p>In two dimension x and y becomes 2X2 matrices<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28855\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_2.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_2\" width=\"399\" height=\"42\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_2-300x32.jpg 300w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_2.jpg 399w\" sizes=\"(max-width: 399px) 100vw, 399px\" \/><\/p>\n<p>The above operations in y correspond to 2D low pass filter-LL [a+b+c+d], horizontal high pass and vertical low pass filter- HL [a-b+c-d], horizontal low pass and vertical high pass fiter \u2013 LH [a+b-c-d] and 2D high pass filter- HH [a-b-c+d]. Inorder to apply the transform we group the pixels in the image into 2X2 blocks and the haar transformation equation is applied. It can be noted that majority of the energy is contained in the LL region and least energy is in the HH region. The HL and LH regions depict the boundaries of various objects in the image.<\/p>\n<p>The decomposed image using DWT is subjected to statistical processing for the computation of co-occurrence matrix. In this case the co-occurrence matrix is constructed and the energy and contrast features are computed. The equation for energy and contrast is given by [1]\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28856\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_3.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_3\" width=\"202\" height=\"139\" \/><\/p>\n<p>But researches over the years have found out that the presence of speckle can be best modeled by a Rayleigh distribution and hence in this work the co-occurrence matrix has been formed using Mean<sub>RL <\/sub>and Variance<sub>RL<\/sub> which can be given by [2]\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28857\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_4.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_4\" width=\"355\" height=\"107\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_4-300x90.jpg 300w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_4.jpg 355w\" sizes=\"(max-width: 355px) 100vw, 355px\" \/><\/p>\n<p>Where \u03b3=0.5772 is Euler constant, n<sub>1<\/sub> is image dynamic range, and n<sub>2<\/sub> is gain setting (ratio of minimum to maximum signal). It can be concluded that the mean depends on three factors: initial Rayleigh variance, n<sub>1<\/sub> and n2, while the variance depends only on the dynamic range n<sub>1<\/sub>.<\/p>\n<p>The co-occurrence matrix is formed by estimating the variance using the above equations. The edges in ultrasound image can be formed by groups.<sup>3<\/sup> 1. Edge between two objects of interest and 2.The edge between speckle region and speckle scattered regions. It can be found in literature that even though the histogram of two regions of interest under diagnosis remains similar the statistical values could be different. Therefore it can be concluded that the histogram in region of interaction between the organs of diagnostic importance and specular scatter will have a long range compared to the region of interaction between two specular regions of diagnostic importance. By this we can identify the edges and segment the regions of diagnostic importance by defining suitable cost functions with Local Histogram Range Image (LHRI). Using the above features, mean and variance the co-occurrence matrix is generated. A new matrix from the co-occurrence matrix is formed by estimating the differences in the co-occurrence matrix in both horizontal and vertical directions.<\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td>\u00a0<img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-28862\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_1-150x150.jpg\" alt=\"Figure 1\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_1-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_1-256x256.jpg 256w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_1.jpg 776w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/td>\n<td><strong>Figure 1: Process flowchart for the proposed scheme<\/strong><\/p>\n<p><a href=\"http:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_1.jpg\" target=\"_blank\">Click here to view Figure<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Due to the spurious nature of ultrasound within the region of interest where high differences of features appeared it is possible that spots and noise may be formed. These were removed by applying an averaging filter at each band. The resultant coefficients are thresholded using global threshold by applying the otsu\u2019s method which results in a binary image with thick boundaries (black and white). Skeletonization is achieved by suitable morphological operations to remove the isolated pixels and to remove the unwanted pixels at the boundaries making up the image skeleton. Applying inverse wavelet transforms in the above coefficient matrices will give us the segmented output.<\/p>\n<p><strong>Results and Discussion<\/strong><\/p>\n<p>The algorithm was applied on fetal images to evaluate the results. Figure 2 shows the results obtained at various stages. The algorithms are implemented and tested in 1.86 GHz processor using matlab 13. The resuts of the proposed scheme are shown in figure 2.<\/p>\n<p>Q<strong>uantitative evaluation of segmentation schemes<\/strong><\/p>\n<p>The similarity measures which have been applied for the evaluation of the performance of the segmentation scheme are Dice Similarity Coefficient, Tanimoto Index and Overlap index.<\/p>\n<p><strong>Dice Similarity Coefficient<\/strong><\/p>\n<p>The measure of similarity\/dissimilarity and reproducibility of the segmented region is given by the Dice similarity coefficient (DSC). If the DSC value is zero it means the segments doesn\u2019t overlap at all. A DSC value of 1 shows that the segments are completely overlapped. A value between zero and one represents partialy segmented results. A diagramatic representation of the above conditions showing overlap and reproducibility is given in figure 3.<\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td>\u00a0<img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-28863\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_2-150x150.jpg\" alt=\"Figure 2\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_2-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_2-256x256.jpg 256w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_2.jpg 576w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/td>\n<td><strong>Figure 2: Original B Mode Diagnostic Ultrasound Image (Left) and the segmented image (Right)<\/strong><\/p>\n<p><a href=\"http:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_2.jpg\" target=\"_blank\">Click here to view Figure<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td>\u00a0<img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-28864\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_3-150x150.jpg\" alt=\"Figure 3\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_3-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_3-256x256.jpg 256w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_3.jpg 372w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/td>\n<td><strong>Figure 3: The Dice similarity coefficient representing spatial overlap and reproducibility<\/strong>.<\/p>\n<p><a href=\"http:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_fig_3.jpg\" target=\"_blank\">Click here to view Figure<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>DSC is a similarity measure related to the Jaccard index. The similarity measure S is given by,<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28858\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_5.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_5\" width=\"86\" height=\"39\" \/><\/p>\n<p>where X and Y are the strings obtained using Bigrams. The Jaccard index for DSC is given by<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28859\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_6.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_6\" width=\"114\" height=\"38\" \/><\/p>\n<p>where A and B are the image under processing and obtained segmented image to be compared for validation respectively.<\/p>\n<p><strong>Tanimoto Index<\/strong><\/p>\n<p>It is given by the ratio of total number of pixels in the region where A is the input image and B is the corresponding region in the segmented image of the original image A and the corresponding region in the segmented image B to the number of pixels in the region . The mathematical representation is given below<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28860\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_7.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_7\" width=\"202\" height=\"40\" \/><\/p>\n<p><strong>Overlap Index<\/strong><\/p>\n<p>It is given by the ratio of total number of pixels in the region where A is the input image and B is the corresponding region in the segmented image of the original image A and the corresponding region in the segmented image B to the total number of pixels in both the regions. The index can be mathematically expressed as<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-28861\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2019\/10\/Vol_12_No_3_ext_shi_eq_8.jpg\" alt=\"Vol_12_No_3_ext_shi_eq_8\" width=\"146\" height=\"43\" \/><\/p>\n<p>A quantitative comparison of these algorithms is presented in Table 1. It is observed from table 1 that the proposed segmentation scheme has better performance. As it is reported elsewhere, higher the value of evaluation parameters, better the segmentation. The dice similarity coefficient improves the stability.<\/p>\n<p><strong>Table 1: Segmentation Evaluation Parameters<\/strong><\/p>\n<table style=\"width: 95%;\" border=\"1\" cellspacing=\"0\" cellpadding=\"4\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"109\"><strong>Dice Similarity\u00a0<\/strong><strong>Coefficient<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"81\"><strong>Tanimoto Index<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"93\"><strong>Overlap Index<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"109\">0.61241<\/td>\n<td style=\"text-align: center;\" width=\"81\">0.25024<\/td>\n<td style=\"text-align: center;\" width=\"93\">0.39742<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Conclusion<\/strong><\/p>\n<p>In this paper a simple algorithm for ultrasound image segmentation has been proposed. The algorithm makes use of local histogram processing approach in the wavelet bands thereby increasing the computation speed. The use of statistical measures for generating the co-occurrence matrix has increased the stability of the algorithm with higher values of DSC, TI and Overlap index. This algorithm can be effectively used for segmentation of diagnostically significant features. Also the use of local histogram based approach has considerably reduced the computation load thereby increasing the processing speed.<\/p>\n<p><strong>References<\/strong><\/p>\n<ol>\n<li>Andrea Gavlasova \u0301, Ale\u02c7s Procha \u0301zka, and Martina Mudrova \u0301,\u00a0\u00a0Wavelet Based Image Segmentation, \u00a0http:\/\/uprt.vscht.cz\/prochazka\/ps\/06tc.pdf<\/li>\n<li>Ali Kermani, Ahmad Ayatollahi, Ahmad Mirzaei, Mohammad Barekatain,\u00a0\u201cMedical ultrasound image segmentation by modified local histogram range image method\u201d,\u00a0<em> Biomedical Science and Engineering<\/em>, 2010, 3, 1078-1084<\/li>\n<li>Priestly Shan and M.Madheswaran, \u201cNonlinear Cost optimization scheme for feature segmentation in second trimester fetal images\u201d <em>Proceedings of the 7<sup>th<\/sup>\u00a0 ACS\/IEEE International Conference on Computer Systems and Applications, Rabat, Morocco<\/em>, 2009, 456 \u2013 463.<\/li>\n<li>Won Y Yang, Cao, Morris, \u201cApplied Numerical Methods Using MATLAB\u201d John Wiley and sons, Singapore, 2005, 321 \u2013 357.<\/li>\n<li>Kelly H Zou, \u201cStatistical Validation of Image Segmentation Quality Based on a Spatial Overlap Index\u201d, <em>Acad Radiology<\/em>, 2004, 11(2): 178\u2013189.<\/li>\n<li>Larrabide, Feijoo, et.al, \u201cAn Image segmentation Method based on a Discrete version of the Topological derivative\u201d <em>6<sup>th<\/sup> World Congress on Structural and Multidisciplinary Optimization, Rio de Janerio, 30 May \u2013 03<\/em> June, 2005.<\/li>\n<li>Gonzalez C.R., Woods R.E., Digital Image Processing &#8211; Second Edition, Prentice Hall, 2001.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Introduction Partitioning or dividing an image into connected regions which  [&#8230;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[71],"tags":[],"class_list":["post-28850","post","type-post","status-publish","format-standard","hentry","category-vol12no3"],"_links":{"self":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts\/28850","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/comments?post=28850"}],"version-history":[{"count":5,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts\/28850\/revisions"}],"predecessor-version":[{"id":31888,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts\/28850\/revisions\/31888"}],"wp:attachment":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/media?parent=28850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/categories?post=28850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/tags?post=28850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}