In this paper, we present the main parts of a complete lung diagnostic system using digital tomosynthesis, and the first results obtained analyzing real tomosynthesis (DTS) images. In a DTS system first coronal image slices are reconstructed from projections using iterative and MITS reconstruction algorithms. Nodule detection is based on 2D image processing on the separated slice images, and a joint further analysis of the 2D results. We propose efficient, domain-specific filters for the enhancement and classification of bright, rounded structures. Also we develop a vessel enhancing algorithm based on strain energy filters. Vessel enhancement is required because most of the false positive findings come from nodule-like vessel shadows in the images. To reduce false positive findings SVM-based classifiers are applied, where features obtained from the vessel enhancement module are used as inputs. The system was evaluated on the first DTS scans, obtained from our experimental DTS system. The database contains ~2000 nodule candidates. 97% of nodules could be detected, while producing on average 31 false positives per scan.
Keywords-Digital tomosynthesis (DTS), CAD, lung nodule detection, lung diagnostic systemThis work was partly sponsored by the project of Ministry of National Development under KMR-12-1-2012-0122.This full text paper was peer-reviewed at the direction of IEEE Instrumentation and Measurement Society prior to the acceptance and publication.978-1-4799-6477-2/15/$31.00 ©2015 IEEE