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Proceedings Paper

Computer-aided differential diagnosis of pulmonary nodules based on a hybrid classification approach
Author(s): Yoshiki Kawata; Noboru Niki; Hironobu Omatsu; Masahiko Kusumoto; Ryutaro Kakinuma; Kiyoshi Mori; Hiroyuki Nishiyama; Kenji Eguchi; Masahiro Kaneko; Noriyuki Moriyama
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Paper Abstract

We are developing computerized feature extraction and classification methods to analyze malignant and benign pulmonary nodules in 3D thoracic CT images. Internal structure features were derived form CT density and 3D curvatures to characterize the inhomogeneous of CT density distribution inside the nodule. In the classification step, we combined an unsupervised k-means clustering (KMC) procedure and a supervised linear discriminate (LD) classifier. The KMC procedure classified the sample nodules into two classes by using the mean CT density values for two different regions such as a core region and a complement of the core region in 3D nodule image. The LD classifier was designed for each class by using internal structure features. The forward stepwise procedure was used to select the best feature subset from multi-dimensional feature spaces. The discriminant scores output form the classifier were analyzed by receiver operating characteristic (ROC) method and the classification accuracy was quantified by the area, Ax, under the ROC curve. We analyzed a data set of 248 pulmonary nodules in this study. The hybrid classifier was more effective than the LD classifier alone in distinguishing malignant and benign nodules. The improvement was statistically significant in comparison to classification in the LD classifier alone. The results of this study indicate the potential of combining the KMC procedure and the LD classifier for computer-aided classification of pulmonary nodules.

Paper Details

Date Published: 3 July 2001
PDF: 11 pages
Proc. SPIE 4322, Medical Imaging 2001: Image Processing, (3 July 2001); doi: 10.1117/12.431069
Show Author Affiliations
Yoshiki Kawata, Univ. of Tokushima (Japan)
Noboru Niki, Univ. of Tokushima (Japan)
Hironobu Omatsu, National Cancer Ctr. Hospital East (Japan)
Masahiko Kusumoto, National Cancer Ctr. Hospital (Japan)
Ryutaro Kakinuma, National Cancer Ctr. Hospital East (Japan)
Kiyoshi Mori, National Tochigi Cancer Ctr. Hospital (Japan)
Hiroyuki Nishiyama, Social Health Insurance Medical Ctr. (Japan)
Kenji Eguchi, National Shikoku Cancer Ctr. Hospital (Japan)
Masahiro Kaneko, National Cancer Ctr. Hospital (Japan)
Noriyuki Moriyama, National Cancer Ctr. Hospital (Japan)


Published in SPIE Proceedings Vol. 4322:
Medical Imaging 2001: Image Processing
Milan Sonka; Kenneth M. Hanson, Editor(s)

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