Breast tumor segmentation in medical images is a decisive step for diagnosis and treatment follow-up. Automating this challenging task helps radiologists to reduce the high manual workload of breast cancer analysis. In this paper, we propose two deep learning approaches to automate the breast tumor segmentation in dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) by building two fully convolutional neural networks (CNN) based on SegNet and U-Net. The obtained models can handle both detection and segmentation on each single DCE-MRI slice. In this study, we used a dataset of 86 DCE-MRIs, acquired before and after two cycles of chemotherapy, of 43 patients with local advanced breast cancer, a total of 5452 slices were used to train and validate the proposed models. The data were annotated manually by an experienced radiologist. To reduce the training time, a high-performance architecture composed of graphic processing units was used. The model was trained and validated, respectively, on 85% and 15% of the data. A mean intersection over union (IoU) of 68.88 was achieved using SegNet and 76.14% using U-Net architecture.
We propose a medical image segmentation approach based on the Active Shape Model theory. We apply this method for cervical vertebra detection. The main advantage of this approach is the application of a statistical model created after a training stage. Thus, the knowledge and interaction of the domain expert intervene in this approach. Our application allows the use of two different models, that is, a global one (with several vertebrae) and a local one (with a single vertebra). Two modes of segmentation are also proposed: manual and semiautomatic. For the manual mode, only two points are selected by the user on a given image. The first point needs to be close to the lower anterior corner of the last vertebra and the second near the upper anterior corner of the first vertebra. These two points are required to initialize the segmentation process. We propose to use the Harris corner detector combined with three successive filters to carry out the semiautomatic process. The results obtained on a large set of X-ray images are very promising.
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