Classifying mammographic lesions using computerized image analysis.

The classification of 3 common breast lesions, fibroadenomas, cysts, and cancers, was achieved using computerized image analysis of tumor shape in conjunction with patient age. The process involved the digitization of 69 mammographic images using a video camera and a commercial frame grabber on a PC-based computer system. An interactive segmentation procedure identified the tumor boundary using a thresholding technique which successfully segmented 57% of the lesions. Several features were chosen based on the gross and fine shape describing properties of the tumor boundaries as seen on the radiographs. Patient age was included as a significant feature in determining whether the tumor was a cyst, fibroadenoma, or cancer and was the only patient history information available for this study. The concept of a radial length measure provided a basis from which 6 of the 7 shape describing features were chosen, the seventh being tumor circularity. The feature selection process was accomplished using linear discriminant analysis and a Euclidean distance metric determined group membership. The effectiveness of the classification scheme was tested using both the apparent and the leaving-one-out test methods. The best results using the apparent test method resulted in correctly classifying 82% of the tumors segmented using the entire feature space and the highest classification rate using the leaving-one-out test method was 69% using a subset of the feature space. The results using only the shape descriptors, and excluding patient age resulted in correctly classifying 72% using the entire feature space (except age), and 51% using a subset of the feature space.