Objective evaluation of medical image segmentation is one of the important steps for proving its validity and clinical applicability. Although there are many researches presenting segmentation methods on medical image, while with few studying the evaluation methods on their results, this paper presents a learning evaluation method with combined measures to make it as close as possible to the clinicians’ judgment. This evaluation method is more quantitative and precise for the clinical diagnose. In our experiment, the same data sets include 120 segmentation results of lumen-intima boundary (LIB) and media-adventitia boundary (MAB) of carotid ultrasound images respectively. And the 15 measures of goodness method and discrepancy method are used to evaluate the different segmentation results alone. Furthermore, the experimental results showed that compared with the discrepancy method, the accuracy with the measures of goodness method is poor. Then, by combining with the measures of two methods, the average accuracy and the area under the receiver operating characteristic (ROC) curve of 2 segmentation groups are higher than 93% and 0.9 respectively. And the results of MAB are better than LIB, which proved that this novel method can effectively evaluate the segmentation results. Moreover, it lays the foundation for the non-supervised segmentation evaluation system.
In the past decades, stroke has become the worldwide common cause of death and disability. It is well known that ischemic stroke is mainly caused by carotid atherosclerosis. As an inexpensive, convenient and fast means of detection, ultrasound technology is applied widely in the prevention and treatment of carotid atherosclerosis. Recently, many studies have focused on how to quantitatively evaluate local arterial effects of medicine treatment for carotid diseases. So the evaluation method based on feature combination was proposed to detect potential changes in the carotid arteries after atorvastatin treatment. And the support vector machine (SVM) and 10-fold cross-validation protocol were utilized on a database of 5533 carotid ultrasound images of 38 patients (17 atorvastatin groups and 21 placebo groups) at baseline and after 3 months of the treatment. With combination optimization of many features (including morphological and texture features), the evaluation results of single feature and different combined features were compared. The experimental results showed that the performance of single feature is poor and the best feature combination have good recognition ability, with the accuracy 92.81%, sensitivity 80.95%, specificity 95.52%, positive predictive value 80.47%, negative predictive value 95.65%, Matthew’s correlation coefficient 76.27%, and Youden’s index 76.48%. And the receiver operating characteristic (ROC) curve was also performed well with 0.9663 of the area under the ROC curve (AUC), which is better than all the features with 0.9423 of the AUC. Thus, it is proved that this novel method can reliably and accurately evaluate the effect of atorvastatin treatment.
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