Breast cancer is one of the leading causes of death worldwide among women. According to GLOBOCAN Data, the International Agency for Research on Cancer (IARC), in 2012 there were 14.067.894 new cases of cancer and 8.201.575 deaths from cancer worldwide (Kementerian Kesehatan Republik Indonesia [KemenkesRI], 2015). Mammography is the most common and effective technique for detecting breast tumors. However, mammograms have poor image quality with low contrast. A Computer-Aided Detection (CAD) system has been developed to help radiologists effectively detect lesions on mammograms that indicate the presence of breast tumor. The feature extraction method in the CAD system is an important part of getting high accuracy results in classifying normal and abnormal breast tumors. By using the combination of 2D-Discrete wavelet transform and Gray-Level Co-Occurrence Matrix (GLCM) obtained an accuracy value of 100% on MIAS and UDIAT Database in classifying the presence of masses in the mammogram image and obtained an accuracy value of 93.8% for classifying normal, benign, and malignant. The proposed method has the potential to identify the presence of masses in the mammogram image as a decision support system to the radiologist.
Breast cancer is a leading cause of death in women due to cancer. According to WHO in 2018, it is estimated that 627.000 women died from breast cancer, that is approximately 15 % of all cancer deaths among women [3]. Early detection is a very important factor to reduce mortality by 25-30 %. Mammography is the most commonly used technique in detecting breast cancer using a low-dose X-ray system in the examination of breast tissue that can reduce false positives. A Computer-Aided Detection (CAD) system has been developed to effectively assist radiologists in detecting masses on mammograms that indicate the presence of breast tumors. The type of abnormality in mammogram images can be seen from the presence of microcalcifications and the presence of mass lesions. In this research, a new approach was developed to improve the performance of CAD System for classifying benign and malignant tumors. Areas suspected of being masses (RoI) in mammogram images were detected using an adaptive thresholding method and mathematical morphological operations. Wavelet decomposition is performed on the Region of Interest (RoI) and the feature extraction process is performed using a GLCM method with 4 statistical features, namely, contrast, correlation, entropy, and homogeneity. Classification of benign and malignant tumors using the MIAS database provided an accuracy of 95.83 % with a sensitivity of 95.23 % and a specificity of 96.49 %. A comparison with other methods illustrates that the proposed method provides better performance.
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