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Biomedical Science Celebi Mendonça Marques “… demonstrates the significant advancements in dermoscopy image analysis techniques, involving image-preprocessing, lesion segmentation (or border detection), feature extraction, pattern analysis, lesion classification, and database construction. The approaches described are state of the art and the details are sine qua non. … a good addition on the dermatologist and researcher’s bookshelf, and pilots further research in this field.” —Fengying Xie, Image Processing Center, Beihang University, Beijing, China “… a comprehensive description of computerized image analysis that is definitely useful for researchers in this field as a starting point for future developments.” —Giuseppe Argenziano, Dermatology Unit, Second University of Naples, Italy “… collect[s] high-quality research articles on dermoscopy image analysis. … presents the latest state-of-the-art techniques for classifying benign and malignant skin lesions. A very interesting point that emerged from the literature review, as one author points out, is that all these computer-aided diagnosis (CAD) systems offer invaluable help to the general practitioner (GP) in an initial diagnosis of the lesions. The high level of performance of these systems can thus provide an accurate evaluation of skin lesions without having to refer to a dermatologist at this initial stage.” —Lucia Ballerini, University of Edinburgh, Scotland “… deals with a very important and hot topic that attracts the interest of many researchers and doctors in the scientific community nowadays. … well written and clear. It provides a good overview of the dermoscopy image analysis field, and it is useful for engineers and computer scientists interested in developing similar applications, since it includes in-depth technical descriptions.” —Ilias Maglogiannis, University of Piraeus, Greece “… I definitely would like to have this book [on] my shelf. … a valuable resource for researchers and graduate students of computer vision and medical image analysis interested in skin cancer detection methods for dermoscopic images. It covers fundamentals of the area by providing thorough treatments of the theory and the concepts while making the material accessible to the reader with examples that nicely illustrate the concepts.” —Jacob Scharcanski, Universidade Federal do Rio Grande do Sul, Brazil “… provides a comprehensive, well-rounded coverage on the factors, challenges, and state-of-the-art solutions to the very difficult problem of dermascopy image analysis. … a good reference to have in the libraries of researchers in this field.” —Alexander Wong, University of Waterloo, Ontario, Canada K23910 ISBN: 978-1-4822-5326-9 90000 9 781482 253269 K23910_COVER.indd 1 8/14/15 4:00 PM DERMOSCOPY IMAGE ANALYSIS T&F Cat #K23910 — K23910 C000 — page i — 8/14/2015 — 10:48 Digital Imaging and Computer Vision Series Series Editor Rastislav Lukac Foveon, Inc./Sigma Corporation San Jose, California, U.S.A. Dermoscopy Image Analysis, by M. Emre Celebi, Teresa Mendonça, and Jorge S. Marques Semantic Multimedia Analysis and Processing, by Evaggelos Spyrou, Dimitris Iakovidis, and Phivos Mylonas Microarray Image and Data Analysis: Theory and Practice, by Luis Rueda Perceptual Digital Imaging: Methods and Applications, by Rastislav Lukac Image Restoration: Fundamentals and Advances, by Bahadir Kursat Gunturk and Xin Li Image Processing and Analysis with Graphs: Theory and Practice, by Olivier Lézoray and Leo Grady Visual Cryptography and Secret Image Sharing, by Stelvio Cimato and Ching-Nung Yang Digital Imaging for Cultural Heritage Preservation: Analysis, Restoration, and Reconstruction of Ancient Artworks, byFilippo Stanco, Sebastiano Battiato, and Giovanni Gallo Computational Photography: Methods and Applications, by Rastislav Lukac Super-Resolution Imaging, by Peyman Milanfar T&F Cat #K23910 — K23910 C000 — page ii — 8/14/2015 — 10:48 DERMOSCOPY IMAGE ANALYSIS Edited by M. Emre Celebi Louisiana State University, Shreveport, USA Teresa Mendonça University of Porto, Portugal Jorge S. Marques Instituto Superior Tecnico, Lisboa, Portugal Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business T&F Cat #K23910 — K23910 C000 — page iii — 8/14/2015 — 10:48 MATLAB® is a trademark of The MathWorks, Inc. and is used with permission. The MathWorks does not warrant the accuracy of the text or exercises in this book. This book’s use or discussion of MATLAB® soft- ware or related products does not constitute endorsement or sponsorship by The MathWorks of a particular pedagogical approach or particular use of the MATLAB® software. CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2016 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20150608 International Standard Book Number-13: 978-1-4822-5327-6 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmit- ted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright. com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Preface.......................................................................................................vii Editors........................................................................................................xi Contributors............................................................................................xiii Chapter 1 Toward a Robust Analysis of Dermoscopy Images Acquired under Different Conditions.....................................1 Catarina Barata, M. Emre Celebi, and Jorge S. Marques Chapter 2 A Bioinspired Color Representation for Dermoscopy Image Analysis.....................................................................23 Ali Madooei and Mark S. Drew Chapter 3 Where’s the Lesion?: Variability in Human and Automated Segmentation of Dermoscopy Images of Melanocytic Skin Lesions.....................................................67 Federica Bogo, Francesco Peruch, Anna Belloni Fortina, and Enoch Peserico Chapter 4 A State-of-the-Art Survey on Lesion Border Detection in Dermoscopy Images.........................................97 M.EmreCelebi,QuanWen,HitoshiIyatomi,KouheiShimizu, Huiyu Zhou, and Gerald Schaefer Chapter 5 Comparison of Image Processing Techniques for Reticular Pattern Recognition in Melanoma Detection.....131 Jose Luis Garc´ıa Arroyo and Begon˜a Garc´ıa Zapirain Chapter 6 Global Pattern Classification in Dermoscopic Images........183 Aurora Sa´ez, Carmen Serrano, and Begon˜a Acha Chapter 7 Streak Detection in Dermoscopic Color Images Using Localized Radial Flux of Principal Intensity Curvature...........................................................................211 Hengameh Mirzaalian, Tim K. Lee, and Ghassan Hamarneh v T&F Cat #K23910 — K23910 C000 — page v — 8/14/2015 — 10:48 vi Contents Chapter 8 Dermoscopy Image Assessment Based on Perceptible Color Regions.....................................................................231 Gunwoo Lee, Onseok Lee, Jaeyoung Kim, Jongsub Moon, and Chilhwan Oh Chapter 9 Improved Skin Lesion Diagnostics for General Practice by Computer-Aided Diagnostics..........................247 Kajsa Møllersen, Maciel Zortea, Kristian Hindberg, Thomas R. Schopf, Stein Olav Skrøvseth, and Fred Godtliebsen Chapter 10 Accurate and Scalable System for Automatic Detection of Malignant Melanoma.....................................293 ManiAbedini,QiangChen,NoelC.F.Codella,RahilGarnavi, and Xingzhi Sun Chapter 11 Early Detection of Melanoma in Dermoscopy of Skin Lesion Images by Computer Vision–Based System....345 Hoda Zare and Mohammad Taghi Bahreyni Toossi Chapter 12 From Dermoscopy to Mobile Teledermatology...................385 Lu´ıs Rosado, Maria Joa˜o M. Vasconcelos, Rui Castro, and Jo˜ao Manuel R. S. Tavares Chapter 13 PH2: A Public Database for the Analysis of Dermoscopic Images...........................................................419 Teresa F. Mendonc¸a, Pedro M. Ferreira, Andr´e R. S. Marc¸al, Catarina Barata, Jorge S. Marques, Joana Rocha, and Jorge Rozeira Index........................................................................................................441 T&F Cat #K23910 — K23910 C000 — page vi — 8/14/2015 — 10:48 Preface Malignant melanoma is one of the most rapidly increasing cancers in the world. Invasive melanoma alone has an estimated incidence of 73,870 and an estimatedtotalof9940deathsintheUnitedStatesin2015[1].Earlydiagnosis is particularly important since melanoma can be cured with a simple excision if detected early. In the past, the primary form of diagnosis for melanoma has been unaided clinicalexamination.Inrecentyears,dermoscopyhasprovedvaluableinvisu- alizingthemorphologicalstructuresinpigmentedlesions.However,ithasalso beenshownthatdermoscopyisdifficulttolearnandsubjective.Therefore,the development of automated image analysis techniques for dermoscopy images has gained importance. The goal of this book is to summarize the state of the art in the compu- terized analysis of dermoscopy images and provide future directions for this exciting subfield of medical image analysis. The intended audience includes researchers and practicing clinicians, who are increasingly using digital analytic tools. The book opens with two chapters on preprocessing. In “Toward a Robust AnalysisofDermoscopyImagesAcquiredunderDifferentConditions,”Barata etal.investigatetheinfluenceofcolornormalizationonclassificationaccuracy. Theauthorsinvestigatethreecolorconstancyalgorithms,namely,grayworld, max-RGB,andshadesofgray,anddemonstratesignificantgainsinsensitivity and specificity on a heterogeneous set of images. In “A Bioinspired Color RepresentationforDermoscopyImageAnalysis,”MadooeiandDrewpropose a new color space that highlights the distribution of underlying melanin and hemoglobincolorpigments.Theadvantageofthisnewcolorrepresentation,in additiontoitsbiologicalunderpinnings,liesinitsattenuationoftheeffectsof confounding factors such as light color, intensity falloff, shading, and camera characteristics. The authors demonstrate that the new color space leads to more accurate classification and border detection results. Thebookcontinueswithtwochaptersonborderdetection(segmentation). In “Where’s the Lesion? Variability in Human and Automated Segmentation of Dermoscopy Images of Melanocytic Skin Lesions,” Bogo et al. examine the extent of agreement among dermatologist-drawn borders and that among dermatologist-drawnbordersandautomaticallydeterminedones.Theauthors conclude that state-of-the-art border detection algorithms can achieve a level of agreement that is only slightly lower than the level of agreement among experienced dermatologists themselves. In “A State-of-the-Art Survey on LesionBorderDetectioninDermoscopyImages,”Celebietal.presentacom- prehensive overview of 50 published border detection methods. The authors vii T&F Cat #K23910 — K23910 C000 — page vii — 8/14/2015 — 10:48 viii Preface reviewpreprocessing,segmentation,andpostprocessingaspectsofthesemeth- ods and discuss performance evaluation issues. They also propose guidelines for future studies in automated border detection. The book continues with four chapters on feature extraction. In “Comparison of Image Processing Techniques for Reticular Pattern Recog- nition in Melanoma Detection,” Garc´ıa Arroyo and Garc´ıa Zapirain present an in-depth overview of the state of the art in the extraction of pigment net- works from dermoscopy images. The authors give a detailed explanation of 20 selected methods and then compare them with respect to various crite- ria, including the number and diagnostic distribution of the images used for validation and the numerical results obtained in terms of sensitivity, speci- ficity,andaccuracy.In“GlobalPatternClassificationinDermoscopicImages,” Sa´ez et al. present an overview of six methods for extracting the global patterns (namely, reticular, globular, cobblestone, homogeneous, starburst, parallel, multicomponent, and lacunar patterns) as defined in the pattern analysis diagnostic scheme. The authors first illustrate each pattern and then describe the automated methods designed for extracting these patterns. The chapter concludes with a critical discussion of global pattern extraction. In “Streak Detection in Dermoscopic Color Images Using Localized Radial Flux of Principal Intensity Curvature,” Mirzaalian et al. present an automated method for detecting streaks based on the concept of quaternion tubularness andnonlinearsupportvectormachineclassification.Theauthorsdemonstrate the performance of their feature extraction method on 99 images from the EDRA atlas. Finally, in “Dermoscopy Image Assessment Based on Percep- tible Color Regions,” Lee et al. present a method for detecting perceptually significantcolorsindermoscopyimages.Theauthorsfirstpartitiontheimage into 27 color regions by dividing each of the red, green, and blue channels intothreelevelsofbrightnessusingamultithresholdingalgorithm.Theythen extract various color features from these regions. The classification perfor- mance of these features is demonstrated on 150 images obtained from the Korea University Guro Hospital. The book continues with four chapters on classification. In “Improved Skin Lesion Diagnostics for General Practice by Computer-Aided Diagnos- tics,” Møllersen et al. present a computer-aided diagnosis (CAD) system for melanomasthatfeaturesaninexpensiveacquisitiontool,clinicallymeaningful features, and interpretable classification feedback. The authors evaluate their systemon206imagesacquiredattwosites.In“AccurateandScalableSystem for Automatic Detection of Malignant Melanoma,” Abedini et al. present a comprehensiveliteraturereviewonCADsystemsformelanomas.Theauthors then propose a highly scalable CAD system implemented in the MapReduce framework and demonstrate its performance on approximately 3000 images obtained from two sources. In “Early Detection of Melanoma in Dermoscopy of Skin Lesion Images by a Computer Vision–Based System,” Zare and Toossi present a novel CAD system for melanomas that involves hair detection/removal based on edge detection, thresholding, and inpainting; T&F Cat #K23910 — K23910 C000 — page viii — 8/14/2015 — 10:48 Preface ix border detection using region-based active contours; extraction of various low-level features; feature selection using the t-test; and classification using a neural network classifier. The authors demonstrate the performance of their systemon322imagesobtainedfromtwodermoscopyatlases.Finally,in“From Dermoscopy to Mobile Teledermatology,” Rosado et al. discuss telemedicine aspects of dermatology. The authors first present an overview of dermato- logical image databases. They then discuss the challenges involved in the preprocessing of clinical skin lesion images acquired with mobile devices and describe a patient-oriented system for analyzing such images. Finally, they conclude with a comparative review of smart phone-adaptable dermoscopes. Achaptertitled“PH2:APublicDatabasefortheAnalysisofDermoscopic Images” by Mendonc¸a et al. completes the book. The authors present a pub- liclyavailabledatabaseofdermoscopyimages,whichcontains200high-quality images along with their medical annotations. This database can be used as ground truth in various dermoscopy image analysis tasks, including prepro- cessing, border detection, feature extraction, and classification. The authors also describe some of their projects that made use of this database. Aseditors,wehopethatthisbookoncomputerizedanalysisofdermoscopy imageswilldemonstratethesignificantprogressthathasoccurredinthisfield inrecentyears.Wealsohopethatthedevelopmentsreportedinthisbookwill motivate further research in this exciting field. REFERENCE 1. R.L.Siegel,K.D.Miller,andA.Jemal,“CancerStatistics,2015,”CA:ACancer Journal for Clinicians,vol.65,no.1,pp.5–29,2015. M. Emre Celebi Louisiana State University Shreveport, Louisiana Teresa F. Mendonc¸a Universidade do Porto Porto, Portugal Jorge S. Marques Instituto Superior T´ecnico Lisbon, Portugal T&F Cat #K23910 — K23910 C000 — page ix — 8/14/2015 — 10:48

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