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Tumor Discovery                                                  An approach for classification of lung nodules



            various levels of emphysema, which merits more     stored in a database will be used in training the system
            investigation . The authors suggested using form features   at the next stages. The training of a new neural network
                      [47]
            to distinguish between obstructive lung infections, and the   multi-level segmentation process is the second stage.
            results showed increased classification sensitivity when   It depends on the two types of input, namely, dynamic
            compared to features based solely on texture. Be that as   feature-based inputs and pixel-based inputs. In dynamic
            it may, their proposed framework is reliant on the region   feature-based inputs, the first and second order dynamic
            size, for example, 16 × 16, 32 × 32, and 64 × 64 pixels.   features are taken into account. In pixel-based inputs, the
            Gathering region pictures from CT picture is not a simple   pixel’s intensity values are used in detecting suspicious
            errand particularly with settled size of area. To expand the   region. A SMF is used in pre-processing to enhance the
            proficiency while safeguarding the high sensitivity, another   quality of the image by enhancing the poor contrast
            component is wanted . In this paper, a novel feature   due to noise and effect due to poor lightning conditions
                              [48]
            known as continuous local histogram (CLH) is presented.   while capturing the image and glare. The generation of
            CLH  coordinates  three  fundamental sorts of  features,   low-frequency image is done by placing the median pixel
            which are brightness, texture feature, and shape feature, to   value in every pixel value location. The median value of
            build the separation.                              the pixel is calculated on the square area of 8 × 8 pixels
                                                               centered at the pixel location. The methods used for
            4. Proposed method                                 enhancing the contrast of the images are sharpening and

            The proposed method is the new dynamic multi-level CAD   histogram equalization as shown in Figure 2.
            framework to automatically identify the defects in the lung   6. Lung region segmentation
            CT image. This work also employed the enhanced selective
            median filter (SMF) to increase the quality of the image   Due to the active shape models’ availability in the
            with clear view and noise reduction. A new neural network   database, lung masks were constructed using them. When
            multi-level classifier segmentation method was used on   segmenting the lung region in CT scans, the user can locate
            the quality-improved CT image to eliminate the suspicious   the scope by choosing the questionable locations.
            region. The last process classification was done on the CT   For the purpose of selecting the suspicious zone, a 49 × 49
            scan images using the new neural network-based multi-  square mask was created using nodules with a resolution of 96
            level classifier with the extracted textural features as shown   pixels per inch and a diameter of 13 mm. The image database
            in Figure 1.                                       contains nodules with sizes ranging from 8.9 mm to 29.1 mm,
              The intention of the extraction is to discover the tumor   with an average of 17.4 mm. The lung nodule is considered to
            area on the lung area. In some tumor area with tissues   be between the size of 5mm and 20 mm, and it is detected at
            and after the binarization, the tumor area would not be   the initial stage. The input patterns for the classification stage
            included in the lung area. The image morphology can be   come from the feature vector from the extraction procedure
            used  to  reduce  image  quality.  This  paper  demonstrated   and  the  selection  stage.  The  dataset  on  lung  CT  images
            an innovative multi-level  boundary  repair  procedure  to   were utilized in training the classifiers and for performance
            enhance the lung CT images using SMF for enhancing   evaluation as shown in Figure 3. Basically, region growing is
            the image quality. The phases of the process are as follows:   the conceptually better and the simplest approach for image
            utilizing the less and more circumstances of erosion and   processing. The segmented region is formed by combining
            expansion operation with respect to the real images. We   the pixel units of same intensity values in this algorithm.
            can just utilize the less circumstances of erosion and   A couple of quantized pixels of the same amplitude will be
            operations to achieve the less time of testing.    paired together to form a group called atomic region in the
                                                               initial phase of the process. The process of combining the
            5. Implementation steps                            weak and combining boundaries between the regions is done

            The initial process will always be the image processing   in the second evaluation as shown in Figure 4.
            routine of separation of lung from the other internal
            organs on the chest CT images and finding the area   Table 1. Geometrical features
            suspected for the presence of nodule. During first stage,   Features                        Value
            the method extracts square areas of 32 × 32 with the   Area                                 2815
            suspicious part at the center. Since it is a multi-level   Perimeter                       226.85
            region-based  and  pixel-based  technique the  inputs  to
            the system are in the square. The pixel’s intensity values   Diameter                      59.686
            falling within the suspicious region that are separated and   Irregularity index            0.69


            Volume 2 Issue 1 (2023)                         5                           https://doi.org/10.36922/td.317
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