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International Journal of Emerging Technology and Advanced Engineering
Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 2, Issue 12, December 2012)
398
Thyroid Segmentation on US Medical Images: An Overview Sheeja Agustin A
1, S. Suresh Babu
2
1Research Scholar, Department of Computer Science, Noorul Islam Centre for Higher Education, Noorul Islam University,
Kumaracoil, Tamil Nadu 2Principal, T K M College of Engineering, Kollam, Kerala
Abstract- Thyroid is a small butterfly shaped gland located
in the front of the neck just below the Adams apple. Thyroid
is one of the endocrine gland , which produces hormones that
help the body to control metabolism. Different thyroid
disorders [10] includes Hyperthyroidism, Hypothyroidism,
goiter, and thyroid nodules (benign/malignant).Ultrasound
imaging is most commonly used to detect and classify
abnormalities of the thyroid gland. Other modalities
(CT/MRI) are also used. Computer aided diagnosis (CAD)
help radiologists and doctors to increase the diagnosis
accuracy, reduce biopsy ratio and save their time and effort.
Numerous researches have been carried out in thyroid
medical images and that are utilized for the diagnosis process
[11]. In this paper some methods are tested to detect and
segment thyroid US images.
Keyterms- Medical imaging, Thyroid, segmentation, FCM,
Histogram clustering, Quad tree, Region growing etc.
I. INTRODUCTION
Image processing [5] is any form of signal processing
for which the input is an image such as photograph or video
frame, the output of image processing may be either an
image or parameters related to the image. Image processing
usually refers to digital image processing. Digital image
processing is the use of computer algorithms to perform
image processing on digital images. Medical imaging is the
technique and process used to create images of the human
body for clinical purpose or medical science including the
study of normal anatomy and physiology. Different
Imaging technologies are:-Radiology, Magnetic resonance
imaging (MRI), Nuclear medicine, Photo acoustic imaging,
Breast thermograph, Tomography and ultrasound imaging.
In image processing segmentation algorithms constitute
one of the main focuses of research.
Image segmentation is the process of partitioning an
image into multiple segment or set of pixels used to locate
object and boundaries. Each of the pixels in a region is
similar with respect to some characteristics such as color,
intensity or texture. Different applications of image
segmentation are Medical Imaging, Locate objects in
satellite images, Face recognition, Fingerprint recognition,
Traffic control systems etc.
In the field of Image analysis segmentation of medical
images is a challenging problem due to poor resolution and
weak contrast of medical images.. Medical image
segmentation [12] means Segmentation of known anatomic
structures from medical images. Structures of interest
include organs such as cardiac ventricles or kidneys,
abnormalities such as tumors and cysts as well as other
structures such as bones, vessels, brain structures etc. Now
a day’s Medical image analysis has played more and more
important role in many clinical procedures and in detecting
different types of human diseases. Now a day’s most of the
peoples have thyroid diseases.
For diagnosing thyroid diseases, Ultrasound (US) and
Computerized Tomography (CT) are two of the most
popular imaging modalities. US imaging is inexpensive,
non-invasive and easy to use. US images are often adopted
due to their cost-effectiveness and portability in smaller
hospitals. The thyroid is well suited to ultrasound study
because of its superficial location, size and echogenicity
[12]. Computer-Aided Diagnosis (CAD) of Thyroid
Ultrasound is necessary in order to delineating nodules,
classifying benign/malignant and estimating the volumes of
thyroid tissues to increase reliability and reduce invasive
operations such as biopsy and Fine Needle Aspiration
(FNA).
Thyroid produces thyroid hormones T4( thyroxin) and
T3(triiodothyronine). These thyroid hormones tell the cells
in the body how fast to use energy and create proteins. The
thyroid gland also makes calcitonin, a hormone that helps
to regulate calcium levels in the blood by inhibiting the
breakdown (reabsorption) of bone and increasing calcium
excretion from the kidneys. The Hypothalamus
releases(thyrotopin-releasing hormone), which in turn
causes the pituitary gland to release TSH( thyroid-
stimulating hormone), TSH stimulates the thyroid gland to
produce and secrete thyroid hormones. When there is
sufficient thyroid hormone in the blood, the amount of TSH
decreases to maintain constant amounts of thyroid
hormones, T4 and T3.
International Journal of Emerging Technology and Advanced Engineering
Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 2, Issue 12, December 2012)
399
Fig I: Normal Thyroid US image
The rest of this paper is organized as follows. Section II
describes about preprocessing, section III describes about
segmentation, section IV describes about experimental
results .Finally, the conclusions as well as future directions
are summarized in Section V.
II. PREPROCESSING
The aim of pre-processing[5] is an improvement of the
image data that suppresses undesired distortions or
enhances some image features relevant for further
processing and analysis task. Neighboring pixels
corresponding to one real object have the same or similar
brightness value. Image pre-processing includes Geometric
correction – adjusts locations of pixels, and pixel values
and Radiometric correction – adjusts pixel values, analyst
judgment Image Preprocessing.
A. Noise Reduction
Noise is an important factor that influences image
quality. Noise reduction[5] is necessary to do image
processing and image interpretation so as to acquire useful
information that we want. In this paper the median filter is
used to reduce noise in an image.
B. EDGE Detection
Edges characterize object boundaries and are therefore
useful for segmentation, registration, and identification of
objects in a scene. The sobel operator is used in image
processing, particularly within edge detection algorithms.
The Canny edge detector is an edge detection operator that
uses a multi-stage algorithm to detect a wide range of edges
in images.
C. Enhancement
Contrast enhancement is a technique that able to
suppress speckle in thyroid ultrasound image. One of the
popular methods in contrast enhancement is histogram
equalization. Contrast enhancement is complete by
suppressing speckles – the modulation of image brightness
by random dark and bright region. The procedures start
with computation of calibrated radio frequency (RF)
spectra.
D. Histogram Equalization
The histogram equalization[5] is appropriate to enhance
a given image. The approach is to design a transformation
T (.) such that the gray values in the output is uniformly
distributed in [0, 1].
III. SEGMENTATION
Segmentation [5] is a tool that used widely in many
applications including image processing.One of the
common applications of segmentation is in medical image
analysis for clinical diagnosis that has an important role in
terms of quality and quantity. Medical image segmentation
methods generally have restrictions because medical
images have very similar gray level and texture among the
interested objects. Therefore, significant segmentation error
may occur.
A. Fuzzy c-means Algorithm
Fuzzy c-means (FCM)[7] is a data clustering technique
in which a dataset is grouped into n clusters with every data
point in the dataset belonging to every cluster to a certain
degree. For example, a certain data point that lies close to
the center of a cluster[1] will have a high degree of
belonging or membership to that cluster and another data
point that lies far away from the center of a cluster will
have a low degree of belonging or membership to that
cluster.
B. Histogram Lustering
The threshold will most often be intensity or colour
value. Other forms of thresholding [7] exist where the
threshold is allowed to vary across the image, but
thresholding is a primitive technique, and will only work
for very simple segmentation tasks . Thresholding is a non-
linear operation that converts a grayscale image into a
binary image where the two levels are assigned to pixels
that are below or above the specified threshold value. the
selection of initial threshold value is depends upon the
histogram [8] of an image and the gray scale of an image.
International Journal of Emerging Technology and Advanced Engineering
Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 2, Issue 12, December 2012)
400
C. QUAD Tree
The quad tree [6] data structure is widely used in digital
image processing for modeling spatial segmentation of
images and surfaces. A quad tree is a tree in which each
node has four descendants. Since most algorithms based on quad trees require complex navigation between nodes,
efficient traversal methods as well as efficient storage
techniques are of great interest. The quad tree data structure
is a tree in which each node has at most four children. In
digital image processing, quad trees are used to efficiently
store image segmentations.
D. Region Growing
Region growing [7] is a procedure that groups pixels or
sub regions into larger regions based on predefined criteria
for growth. The basic approach is to start with a set of seed
points and from these grow regions by appending to each
seed those neighboring pixels have predefined properties
similar to the seed.
E. Random Walker
The random walker[4] algorithm is an algorithm for
image segmentation. In the first description of the
algorithm,user interactively labels a small number of pixels
with known labels .
The unlabeled pixels are each imagined to release a
random walker, and the probability is computed that each
pixel's random walker first arrives at a seed bearing each
label, i.e., if a user places K seeds, each with a different
label, then it is necessary to compute, for each pixel, the
probability that a random walker leaving the pixel will first
arrive at each seed. This computation may be determined
analytically by solving a system of linear equations. After
computing these probabilities for each pixel, the pixel is
assigned to the label for which it is most likely to send a
random walker. The image is modeled as a graph, in which
each pixel corresponds to a node which is connected to
neighboring pixels by edges, and the edges are weighted to
reflect the similarity between the pixels. for an introduction
to random walks on graphs[2]).
IV. EXPERIMENTAL RESULTS
The experiment involves four thyroid ultrasound images.
For the software development, the MATLAB software is
used . The results are shown below.
International Journal of Emerging Technology and Advanced Engineering
Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 2, Issue 12, December 2012)
401
Fig II: segmentation of thyroid UD image
Fig III: segmentation of thyroid with some disorder
International Journal of Emerging Technology and Advanced Engineering
Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 2, Issue 12, December 2012)
402
Fig IV: segmentation of thyroid with some disorder
International Journal of Emerging Technology and Advanced Engineering
Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 2, Issue 12, December 2012)
403
Fig V: segmentation of thyroid with benign nodule
Fig VI: segmentation of thyroid with benign nodule
V. CONCLUSION AND FUTURE WORK
In this work, segment the thyroid images using FCM,
Histogram clustering, Quad tree, Region growing and
Random Walker methods. The experimental results
shows that FCM efficiently segment thyroid images
compared to other methods. This work will be extended to
segment the thyroid images using fuzzy neurologic and
also classify the images to thyroid, non-thyroid, and
benign/malignant nodules.
International Journal of Emerging Technology and Advanced Engineering
Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 2, Issue 12, December 2012)
404
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