hepatic oncology diagnosis based on imaging fractal analysis: preliminary results

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MEETING ABSTRACT Open Access Hepatic oncology diagnosis based on imaging fractal analysis: preliminary results Rostyslav V Bubnov 1* , Ivan M Melnyk 2From EPMA-World Congress 2013 Brussels, Belgium. 20-21 September 2013 Introduction Biological and medical systems are predominantly irre- gular, complex and non-linear, since cannot be quanti- fied by classical geometry approach. Novel mathematical algorithms can expand the information content of medi- cal images, providing an objective measurement to reduce subjectivity in the perception and interpretation [1,2]. The aim of the study was to assess the capabilities of fractal analysis for expand its diagnostic value of diag- nostic imaging. Methods Fractal Dimension (FD) is a statistical quantity that gives an indication of how completely a fractal appears to fill space, zooming down to more finer scales. We proposed a method of medical images analysis obtained from a wide range of sources - radiology imaging. The fractal para- meters of these images were calculated for 7 patients with liver lesions for ultrasound, CT, MRI images and gener- ated 3D vector and voxel models by patented method, coveringthe parts of these expertly segmented images by two-dimensional geometric shapes (squares, rectangles, triangles, circles, ellipses) and three-dimensional (cubes, simplices, balls, ellipsoids, pyramids) with applying iteration method, which involves finding the appropriate (i-th) value approaching the value of FD. Results FD was estimated as 1.67 for hepatocellular carcinoma case; 1.72 - for cholangiocarcinoma; 1.45-1.56 for com- plex cysts; and 1.15-1.35 for metastases. We consider that only three-dimensional reconstruction from expertly segmented images allows to perform accurate analysis. The most informative description of self-simi- larity is fractal analysis, conducted with the maximum number of steps. However, objective analysis is limited by resolution of diagnostic equipment, is possible only under visual control by expert. The application of auto- mated and semi-automated image analysis leads to con- trol the process, correctly selecting the areas for research, preselecting a suppositive fractal structure. Conclusion Fractal analysis of medical images is a promising non- invasive sophisticated approach, it should become an highly informative indicator of pathological formations using nonlinear mathematical parameters of structure, gives insights into tumor morphology and can become a useful tool for analyzing tumor growth patterns for diag- nosis, staging and treatment follow up. Recommendations Further studies on large patient cohorts are recom- mended to assess different pathological processes to establish scientifically valid standards. Authorsdetails 1 The Centre of ultrasound diagnostics and interventional sonography, Clinical hospital Pheophaniaof State Affairs Department, Kyiv, Ukraine. 2 International Research and Training Center for Information Technology and Systems NAS and MES of Ukraine, Kyiv, Ukraine. Published: 11 February 2014 * Correspondence: [email protected] Contributed equally 1 The Centre of ultrasound diagnostics and interventional sonography, Clinical hospital Pheophaniaof State Affairs Department, Kyiv, Ukraine Full list of author information is available at the end of the article Bubnov and Melnyk EPMA Journal 2014, 5(Suppl 1):A43 http://www.epmajournal.com/content/5/S1/A43 © 2014 Bubnov and Melnyk; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Page 1: Hepatic oncology diagnosis based on imaging fractal analysis: preliminary results

MEETING ABSTRACT Open Access

Hepatic oncology diagnosis based on imagingfractal analysis: preliminary resultsRostyslav V Bubnov1*, Ivan M Melnyk2†

From EPMA-World Congress 2013Brussels, Belgium. 20-21 September 2013

IntroductionBiological and medical systems are predominantly irre-gular, complex and non-linear, since cannot be quanti-fied by classical geometry approach. Novel mathematicalalgorithms can expand the information content of medi-cal images, providing an objective measurement toreduce subjectivity in the perception and interpretation[1,2]. The aim of the study was to assess the capabilitiesof fractal analysis for expand its diagnostic value of diag-nostic imaging.

MethodsFractal Dimension (FD) is a statistical quantity that givesan indication of how completely a fractal appears to fillspace, zooming down to more finer scales. We proposed amethod of medical images analysis obtained from a widerange of sources - radiology imaging. The fractal para-meters of these images were calculated for 7 patients withliver lesions for ultrasound, CT, MRI images and gener-ated 3D vector and voxel models by patented method,“covering” the parts of these expertly segmented images bytwo-dimensional geometric shapes (squares, rectangles,triangles, circles, ellipses) and three-dimensional (cubes,simplices, balls, ellipsoids, pyramids) with applyingiteration method, which involves finding the appropriate(i-th) value approaching the value of FD.

ResultsFD was estimated as 1.67 for hepatocellular carcinomacase; 1.72 - for cholangiocarcinoma; 1.45-1.56 for com-plex cysts; and 1.15-1.35 for metastases. We consider

that only three-dimensional reconstruction fromexpertly segmented images allows to perform accurateanalysis. The most informative description of self-simi-larity is fractal analysis, conducted with the maximumnumber of steps. However, objective analysis is limitedby resolution of diagnostic equipment, is possible onlyunder visual control by expert. The application of auto-mated and semi-automated image analysis leads to con-trol the process, correctly selecting the areas for research,preselecting a suppositive fractal structure.

ConclusionFractal analysis of medical images is a promising non-invasive sophisticated approach, it should become anhighly informative indicator of pathological formationsusing nonlinear mathematical parameters of structure,gives insights into tumor morphology and can become auseful tool for analyzing tumor growth patterns for diag-nosis, staging and treatment follow up.

RecommendationsFurther studies on large patient cohorts are recom-mended to assess different pathological processes toestablish scientifically valid standards.

Authors’ details1The Centre of ultrasound diagnostics and interventional sonography,Clinical hospital “Pheophania” of State Affairs Department, Kyiv, Ukraine.2International Research and Training Center for Information Technology andSystems NAS and MES of Ukraine, Kyiv, Ukraine.

Published: 11 February 2014

* Correspondence: [email protected]† Contributed equally1The Centre of ultrasound diagnostics and interventional sonography,Clinical hospital “Pheophania” of State Affairs Department, Kyiv, UkraineFull list of author information is available at the end of the article

Bubnov and Melnyk EPMA Journal 2014, 5(Suppl 1):A43http://www.epmajournal.com/content/5/S1/A43

© 2014 Bubnov and Melnyk; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Page 2: Hepatic oncology diagnosis based on imaging fractal analysis: preliminary results

References1. Bubnov RV, Melnyk IM: The methods of fractal analysis of diagnostic

images. Initial clinical experience. Lik Sprava 2011, , 3-4: 108-13.2. Bubnov R, Melnyk I: A novel approach to image analysis for hepatic

oncology diagnosis based on fractal geometry. Preliminary results.J Hepatol 2013, 58:S258-259.

doi:10.1186/1878-5085-5-S1-A43Cite this article as: Bubnov and Melnyk: Hepatic oncology diagnosisbased on imaging fractal analysis: preliminary results. EPMA Journal 20145(Suppl 1):A43.

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