Discrimination of basal cell carcinoma from benign lesions based on extraction of ulcer features in polarized-light dermoscopy images.

Discrimination of basal cell carcinoma from benign lesions based on extraction of ulcer features in polarized-light dermoscopy images.
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DOI:
10.1111/j.1600-0846.2011.00595.x
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发表时间:
2012-11
期刊:
Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)
影响因子:
--
通讯作者:
Stoecker WV
Stoecker WV
中科院分区:
其他
文献类型:
--
作者:
Kefel S;Guvenc P;LeAnder R;Stricklin SM;Stoecker WV

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Ulcers are frequently visible in magnified, cross-polarized, dermoscopy images of basal cell carcinoma. An ulcer without a history of trauma, a so-called “atraumatic” ulcer, is an important sign of basal cell carcinoma, the most common skin cancer. Distinguishing such ulcers from similar features found in benign lesions is challenging. In this research, color and texture features of ulcers are analyzed to discriminate basal cell carcinoma from benign lesions. Ulcers in polarized-light dermoscopy images of 49 biopsy-proven basal cell carcinomas were identified and manually selected. For 153 polarized-light dermoscopy images of benign lesions, those areas which most closely mimicked ulcers were similarly selected. Fifteen measures were analyzed over the areas of ulcers and ulcer mimics. Six of those measures were texture measures: energy, variance, smoothness, skewness, uniformity and entropy. Nine of those measures were color measures: relative measures of red, green and blue; chromaticity of red, green and blue; and the ratios blue-to-green, blue-to-red and green-to-red. A back-propagation artificial neural network was able to discriminate most of the basal cell carcinoma from benign lesions, with an area under the ROC curve as high as 92.46%, using color and texture features of ulcer areas. Separation of basal cell carcinoma from benign cutaneous lesions by image analysis techniques applied to ulcers is feasible. As ulcers are a critical feature in malignant lesions, this finding may have application in the automatic detection of basal cell carcinoma.
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