Keywords
             | 
        
        
            | Cervical cancer, cervix, acoustic shadowing, trim mean filter, ROI | 
        
        
            
            INTRODUCTION
             | 
        
        
            Cervical cancer has become one of the major causes of death among women worldwide. It can be cured when it is 
            detected and treated in its earlier stage. But for most of the cases it throws symptoms only in the advanced stages. The 
            traditional visual procedures are time consuming and error prone. Further it is impossible for a handful pair of eyes to 
            sit and screen each and every woman on the planet. To solve this problem we need some automated process that could 
            accelerate the process and also produce accurate results. The automated system would consist of three phases [1] 
            namely pre-processing phase for noise removal, segmentation phase to identify the cells and to separate nucleus and 
            cytoplasm and feature extraction phase to identify and locate the cancerous cells which is shown in figure 1. | 
        
        
            Image segmentation is a very important image analysis task by which you can decompose the image into disjoint 
            regions so that the features within each region have strong statistical correlation, visual similarity and reasonable 
            homogeneity. Image segmentation algorithms may be classified into number of groups depending on their 
            segmentation techniques like feature thresholding, region based techniques, contour based techniques, clustering 
            techniques [2]-[12] etc. All these approaches have their own set of advantages and limitations in terms of performance, 
            computational cost, applicability and suitability. Since the detection of cervical cancer mainly depends on the results of 
            segmentation phase this paper mainly concentrates on segmentation techniques. Each segmentation algorithm works 
            well for certain class of images and not for all images. | 
        
        
            Classification of medical images using textural classification have been successfully performed various medical images 
            such as breast cancer, liver cancer, lung disease etc., [13 -17]. Textural features looks directly into the compensation of 
            the image itself, hence it reveals a lot about the image. Here we utilize SVM to classify the features extracted.Support 
            vector machines (SVMs) are a set of related supervised learning methods which analyze data and recognize patterns, 
            used for statistical classification and regression analysis. Since an SVM is a classifier, then given a set of training 
            examples, each marked as belonging to one of two categories, an SVM training algorithm builds a model that predicts 
            whether a new example falls into one category or the other. Intuitively, an SVM model is a representation of the 
            examples as points in space, mapped so that the examples of the separate categories are divided by a clear gap that is as 
            wide as possible. | 
        
        
            New examples are then mapped into that same space and predicted to belong to a category based on which side of the 
            gap they fall on. More formally, a support vector machine constructs a hyper plane or set of hyper planes in a high or 
            infinite dimensional space, which can be used for classification, regression or other tasks. Intuitively, a good separation | 
        
        
            
            CLASSIFICATION OF STAGES OF MALIGNANCIES USING ACOUSTICSHADOWING
             | 
        
        
            
            A. Input Image
             | 
        
        
            The input image is an ultrasound image. Normally the image is in gray scale. A sample cervical image is shown 
            Fig.2 | 
        
        
            
            B. Pre-Processing
             | 
        
        
            The Input Image presents a set of weak features which need to be strengthened so that features can be extracted more 
            accurately. Also to reduce the running time it is better that we concentrate only on the regions of interest rather than the 
            whole image. There are numerous methods like edge detection methods and fuzzy clustering proposed for isolating 
            these regions of interest [1]-[11]. Anyone of these methods technique can be used for isolating the regions of interest. 
            The pre-processing technique first converts the image to Gray scale color model and then filters the noise with the help 
            of trim mean filter. Trim mean filter is the hybrid of mean and median filter. At the end we end up getting an image as 
            shown in fig 3 [18]. | 
        
        
            | Now that the ROI is isolated from the rest of the image we can extract the features better. | 
        
        
            
            C. Feature Extraction
             | 
        
        
            Cervical cancer like all other cancers develops through a series of stages. The first stage is the nucleoplasm stage which 
            is the outcome of unwanted mitosis process. The second stage is called the pre-cancerous stage where the unwanted 
            cells clump to form denser regions and in turn form tumors. This is the stage where normally cancers are detected. The 
            last stage is the Cancer stage which is the advanced stage and survival is not guaranteed. To detect cancer in each stage 
            you need different features and hence we in this paper have embodied a set of unique features that will not only say 
            where the cell has symptoms of cancer but also it would tell at what stage the cancer is in. | 
        
        
            1) Mean: In the pre-cancerous stage, cells clump together to become denser and in turn form tumors. Using the 
            mean feature extraction we can easily detect when this particular process starts. When you look at a cervical cell it 
            would be light shaded. But if you put two or more cells on top of it, it would look as if it is darker. In order to find these 
            darker elements we use a histogram h(v) to chart the distribution of colors in the image. Then the mean of the color 
            frequency distribution is determined by | 
        
        
              (1) | 
        
        
            2) Standard deviation: Standard deviation is same as mean except for the fact it tends to take into account the total 
            number of pixels or in other words the population and sees how much it deviates from the neighboring cells. This 
            statistical data can tell the difference between a cell and its neighbors and is determined by [19] | 
        
        
              (2) | 
        
        
            3) Skewness: Each cell process a unique shape. But when cells clump together they lose their shape and become 
            irregularly shaped. This normally happens at the onset of the pre-cancerous stage and is determined by [19] | 
        
        
              (3) | 
        
        
            4)Kurtosis: When the cancer enters the precancerous stage, tumors start to grow. Tumors are normally denser than 
            normal cells as they are 3 dimensional. To detect these tumors we must first detect the density which is determined by | 
        
        
              (4) | 
        
        
            5) Acoustic Shadowing: In an ultrasound image, the absence of echoes produced by the presence of dense material, 
            such as calculi, which impede the transmission of sound waves. It is often used to detect biliary calculi. 
            Acoustic Shadowing occurs when the sound wave encounters a very echo dense structure; nearly all of the sound is 
            reflected, resulting in an acoustic shadow. | 
        
        
            
            D. Classification
             | 
        
        
            Support vector machines (SVM) are a set of related supervised learning methods which analyze data and recognize 
            patterns, used for statistical classification and regression analysis. SVM is a classifier which constructs a hyper plane or set of hyper planes in a high or infinite dimensional space, which can be used for classification. When given a set of 
            training examples, each marked as belonging to one of two categories. SVM training algorithm builds a model that 
            predicts whether a new example falls into one category or the other. | 
        
        
            
            CONCLUSION
             | 
        
        
            The proposed algorithm extracts features from the image more accurately. The proposed method can detect the cancer 
            in earlier stages. By detecting cancer in earlier stage, we can save many lives. | 
        
        
            |   | 
        
        
            
            Figures at a glance
             | 
        
        
            
            
                
                    
                          | 
                          | 
                          | 
                     
                    
                        | Figure 1 | 
                        Figure 2 | 
                        Figure 3 | 
                     
                
             
             | 
        
        
            |   | 
        
        
            
            References
             | 
        
        
            
            
                - Krishnan Nallaperumal, Krishnaveni. K, et.al  “AnefficientMultiscale Morphological Watershed Segmentationusing Gradient and  Markerextraction”,INDICON, 2006.
 
                 
                - Alan P. Mangan, Ross T, Whitaker. “Surface  Segmentation Using Morphological Watersheds”, IEEE Visualization '98:Late  Breaking Topics, pp.2932, 1998.
 
                 
                - S. Beucher, M. Bilodeau X. Yu, “Road  segmentation by watershed algorithms”, Proceedings of the Pro-art vision group  PROMETHEUSworkshop, Sophia-Antipolis, France, 1990.
 
                 
                - D. L. Page, A. F. Koschan, M. A. Abidi,  “Perception-based 3D Triangle Mesh Segmentation Using Fast Marching  Watersheds”, Proc. IEEEInternational Conference on Computer Vision and Pattern  Recognition, Madison, WI, USA,Vol. II, pp. 27-32, 2003.
 
                 
                - D. L. Page, “Part Decomposition of 3D Surfaces”,  Ph.D. Dissertation, The University of Tennessee, Knoxville, 2003.
 
                 
                - S. Beucher, “The Watershed Transformation  Applied to Image Segmentation”, Proc. Pfefferkorn Conf. on Signal and Image  Processing inMicroscopy and Microanalysis, Cambridge, UK, pp. 299-314, 1991.
 
                 
                - F. Meyer, P. Maragos, “Multiscale Morphological  Segmentations Based on Watershed, Flooding, and Eikonal PDE”. Proc. Int’l Conf.  on Scale-Space Theories in Computer Vision (SCALE-SPACE'99), Corfu, Greece,  1999.
 
                 
                - F. Meyer, S. Beucher, “Morphological  Segmentation”, Journalof Visual Communication and ImageRepresentation,  1(1):21-45, 1990.
 
                 
                - R. Lotufo,W. Silva, “Minimal set of markers for  the watershedtransform”, Proc. ISMM, 2002.
 
                 
                - R.Gonzalez, R.woods: “Digital Image Processing”.  AddisonWesley, 1993.
 
                 
                - SusantaMukhopadhyay and BhabatoshChanda.  “MultiscaleMorphological Segmentation of Gray Scale Image” IEEETransactions on  Image Processing, Vol.12, No. 5, May 2003.
 
                 
                - A.K.Jain: "Fundamentals of Digital Image  Processing",Englewoodcliffs.N: Prentice - Hall 1989.
 
                 
                - F. Chabat, G. Yang, and D. Hansell, “Obstructive  lungdiseases: texture classification for differentiation at ct,”Radiology, vol.  228, pp. 871–877, 2003.
 
                 
                - Y. Huang, J. Chen, and S. W.C., “Diagnosis of  hepatic tumorswith texture analysis in nonenhanced computed tomographyimages,”  Academicradiology, vol. 13, pp. 713–720, 2006.
 
                 
                - M. Mavroforakis, H. Georgiou, N. Dimitropoulos,  D.Cavouras, and S. Theodoridis, “Mammographic massescharacterization based on  localizedtexture and dataset fractalanalysis using linear, neural and support  vector machineclassifiers,” Artif. Intell.Med., vol. 37, pp. 145–162, 2006.
 
                 
                - N. Mudigonda, R. Rangayyan, and J. Desautels,  “Gradient andtexture analysis for the classification of mammographicmasses,”  IEEE Trans.Med. Imaging, vol. 19, pp. 1032–1043,2000.
 
                 
                - H. Sheshadri and A. Kandaswamy,  “Experimentalinvestigation on breast tissue classification based on  statisticalfeature extraction ofmammograms,” Comput. Med. ImagingGraph., vol.  31, pp. 46–48, 2007.
 
                 
                - Krishnan Nallaperumal et al, “An efficient MultiscaleMorphological  Watershed Segmentation using Gradient andMarker extraction”, India Conference,  2006 Annual IEEE, 12February 2007.
 
                 
                - KarstenRodenacker and EwertBengtsson, A feature  set forcytometry on digitized microscopic images a GSF NationalResearch Center  forEcology and Health, Institute ofBiomathematics and Biometry,  IngolstädterLandstrasse 1, D-85764 Neuherberg, Germany b Centre for Image  Analysis,Uppsala University, Lägerhyddvägen 17, S-75237 Uppsala
 
                 
             
             |