Comparison of Three Segmentation Methods for Breast Ultrasound Images based on Level Set and Morphological Operations

Dewi Putrie Lestari, Sarifuddin Madenda, Ernastuti Ernastuti, Eri Prasetyo Wibowo


Breast cancer is one of the major causes of death among women all over the world. The most frequently used diagnosis tool to detect breast cancer is ultrasound. However, to segment the breast ultrasound images is a difficult thing. Some studies show that the active contour models have been proved to be the most successful methods for medical image segmentation. The level set method is a class of curve evolution methods based on the geometric active contour model. Morphological operation describes a range of image processing technique that deal with the shape of features in an image. Morphological operations are applied to remove imperfections that introduced during segmentation. In this paper, we have evaluated three level set methods that combined with morphological operations to segment the breast lesions. The level set methods that used in our research are the Chan Vese (C-V) model, the Selective Binary and Gaussian Filtering Regularized Level Set (SBGFRLS) model and the Distance Regularized Level Set Evolution (DRLSE) model. Furthermore, to evaluate the method, we compared the segmented breast lesion that obtained by each method with the lesion that obtained manually by radiologists. The evaluation is done by four metrics: Dice Similarity Coefficient (DSC), True-Positive Ratio (TPR), True-Negative Ratio (TNR), and Accuracy (ACC). Our experimental results with 30 breast ultrasound images showed that the C-V model that combined with morphological operations have better performance than the other two methods according to mean value of DSC metrics.


breast lesion; level set; morphological operations; segmentation; ultrasound

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