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Artificial Intelligence in Health                           Rotational thermography for breast cancer screening



            breast tumors and elevated temperatures, prompting   However, one of the primary challenges lies in establishing
            consideration of IR imaging as a valuable tool for breast   precise  temperature  thresholds  to  differentiate  malignant
            cancer detection.                                  tumors amidst variations in individual heat sources due to
                                                               diverse medical and physical conditions. Addressing this
              In recent years, the global rise in breast cancer incidence
            has spurred extensive research into IR imaging for breast   challenge is crucial in developing effective breast cancer
                                                               screening systems. This study presents a novel, non-contact,
            cancer  diagnosis.  Prior  research  has explored thermal   non-invasive breast imaging method capable of capturing
            imaging  for  various  medical  applications,  including   comprehensive abnormalities. Several obstacles confront
            diabetic foot disease, ocular surface temperature analysis,
            and tumor detection  Click or tap here to enter text.   researchers in the development of IR imaging-based breast
                             1-6
                                                               cancer screening systems, including the surge in breast
            Click or tap here to enter text. Click or tap here to enter   cancer cases, the cost and invasiveness of current screening
            text. Click or tap here to enter text. Click or tap here to   modalities, challenges in tracking malignancy progression,
            enter text. Studies investigating breast cancer detection   poor visibility of affected anatomical areas, patient
            through thermal imaging have examined bi-spectral   discomfort during examinations, and shortages of skilled
            invariant features, color segmentation techniques, and   medical professionals. Table 1 summarizes the earlier works
            deep learning-based segmentation methods 7-14  Click or tap   and comparison with the approach used in this study. This
            here to enter text. Click or tap here to enter text. Click or   research endeavors to overcome these challenges through
            tap here to enter text. Click or tap here to enter text. Click   an efficient data collection process and systematic stages of
            or tap here to enter text. Click or tap here to enter text.   system development for IR image processing techniques.
            Click or tap here to enter text. A novel method combining   Conducted at a prominent hospital in northeast India, the
            rotational  thermography  and  dynamic temperature   study comprises four research phases: Three pilot studies
            analysis has been developed to address challenges in   (Phase 1 [PS1], Phase 2 [PS2], and Phase 3 [PS3]) and a final
            breast cancer screening 15-17  Click or tap here to enter text.   study (FS). The study evolves to optimize imaging quality
            Click or tap here to enter text. This non-contact, non-  by transitioning from low-resolution forward-looking IR
            invasive approach enhances the visibility of abnormalities   (FLIR) SC-325 cameras in the initial phases to Infratec HD
            in breast tissue, improving detection accuracy. Machine   600 and FLIR T-650 cameras in subsequent phases. The
            learning algorithms trained on extracted features aid in   study aimed to develop an efficient and accurate thermal
            distinguishing normal from abnormal patterns. Earlier,   imaging system for breast cancer screening. It progressed
            EtehadTavakol et al.  achieved high detection rates using   through four phases, refining data collection methods and
                            7,10
            bi-spectral invariant features and K-means clustering for   improving imaging results.
            segmentation.  Garduño-Ramón  et al.  introduced
                       7,10
                                               11
            a non-invasive tool utilizing temperature and texture   In PS1 and PS2, conventional imaging approaches were
            features, yielding promising results  Various segmentation   employed, but challenges such as varied focal lengths and
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            techniques, including K-means, fuzzy c-means (FCM), and   patient movement resulted in unsatisfactory images. PS3
            expectation-maximization (EM) algorithms,  have  been   introduced a semi-circular arc for camera movement,
            explored, with the EM algorithm demonstrating superior   allowing for precise focus on one breast at a time, though
            accuracy 11,12  Click or tap here to enter text. Venkataramani   manual adjustments and open environments presented
            et al. 10,13,18-22  proposed a semi-automated method using   difficulties. Findings from PS3 and FS underscore the
            morphological filtering and thresholding, achieving high   necessity of mounting the IR camera on a motorized
            sensitivity and specificity. 10,13,18-22  Deep learning-based   mechanical arm capable of rotational thermography,
            approaches,  such  as  the  level-set  method,  have  shown   enabling comprehensive imaging coverage. In the final
            high accuracy in segmenting suspicious regions in breast   phase (FS), a temperature-controlled chamber and
            thermograms. 9,23,24  Thermal imaging has also been utilized   automated hardware and software provided a standardized,
                                                               touchless, and painless imaging process with an accuracy
            for brain tumor detection, highlighting its versatility in   rate of 93.18% for detecting abnormalities. Data analysis
            medical diagnostics. 13,20,25-27
                                                               evolved from conventional methods to advanced
              While IR imaging shows promise for breast cancer   techniques in PS3 and FS, employing clustering methods
            screening, challenges remain,  including standardization   and references from ultrasonography (USG) and biopsy
            of temperature values and the need for trained personnel.   reports. Mean temperature and standard deviation analyses
            IR Imaging researches also focus on optimizing machine   further enhance detection precision. The study included
            learning algorithms, integrating advanced imaging   diverse breast cancer subtypes and stages, demonstrating
            techniques, and exploring novel optimization algorithms   the system’s applicability across various scenarios. Control
            for enhanced diagnosis and classification. 28-34   groups provided benchmarks for assessing accuracy and


            Volume 1 Issue 3 (2024)                         65                               doi: 10.36922/aih.3312
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