Key points are not available for this paper at this time.
A system to characterize normal liver, cirrhotic liver and hepatocellular carcinoma (HCC) evolved on cirrhotic liver is proposed in this paper. The study is performed with 56 real ultrasound images (15 normal, 16 cirrhotic and 25 HCC liver images) taken from 56 subjects. A total of 180 nonoverlapping regions of interest (ROIs), i.e. 60 from each image class, are extracted by an experienced participating radiologist. The multiresolution wavelet packet texture descriptors, i.e. mean, standard deviation and energy features, are computed from all 180 ROIs by using various compact support wavelet filters including Haar, Daubechies (db4 and db6), biorthogonal (bior3.1,bior3.3 and bior4.4), symlets (sym3 and sym5) and coiflets (coif1 and coif2). It is observed that a combined texture descriptor feature vector of length 48 consisting of 16 mean, 16 standard deviation and 16 energy features estimated from all 16 subband feature images (wavelet packets) obtained by second-level decomposition with two-dimensional wavelet packet transform by using Haar wavelet filter gives the best characterization performance of 86.6 %. Feature selection by genetic algorithm-support vector machine method increased the classification accuracy to 88.8 % with sensitivity of 90 % for detecting normal and cirrhotic cases and sensitivity of 86.6 % for HCC cases. Considering limited sensitivity of B-mode ultrasound for detecting HCCs evolved on cirrhotic liver, the sensitivity of 86.6 % for HCC lesions obtained by the proposed computer-aided diagnostic system is quite promising and suggests that the proposed system can be used in a clinical environment to support radiologists in lesion interpretation.
Virmani et al. (Wed,) studied this question.