A Two-Phase Learning Approach for the Segmentation of Dermatological Wounds

Abstract

Tissue segmentation in photographs of lower limb chronic ulcers is a non-intrusive approach that supports dermatological analyses. This paper presents 2PLA, a method that combines supervised and unsupervised learning strategies for enhancing the segmentation of dermatological wounds. Given an ulcer photo captured according to a fixed protocol, 2PLA first phase performs a pixelwise classification of points of interest, whereas pre-processing filters are employed for the smoothing of image noise. The cleaned image is further sent to the 2PLA divide-and-conquer second phase. It builds upon SLIC superpixel construction algorithm for dividing the lower limb into regions of interest with well-defined borders, and clusters the superpixels by taking advantage of the similarity-based DBSCAN algorithm. et up the phases of our method by using a real annotated set of dermatological wounds, and empirical evaluations on representative samples up to 100,000 points showed a compact Multi-Layer Perceptron with Levenberg-Marquardt training algorithm (Cohen-Kappa = .971, Sensitivity = .98, and Specificity = .98) outperformed other classifiers as 2PLA first phase. Additionally, experimental trials on DBSCAN with five distance functions (L 1 , L 2 , L ∞ , Canberra, and BrayCurtis) indicated L 1 function provided fewer groups in comparison to the competitors, and the number of clusters was an exponential decay to the similarity ratio. Accordingly, we used the elbow criterion for finding the L 1 -based DBSCAN threshold as 2PLA second phase parameterization. We evaluated the fine-tuned setting of our method over a labeled set of ulcer images, and wounded tissues were segmented within a .05 Mean Absolute Error ratio. These results illustrate the impact of learning parameters on 2PLA as well as the method efficacy for wound segmentation.


Published in: 2019 IEEE 32nd International Symposium on Computer-Based Medical Systems

Date of Conference: 5-7 June 2019

Date Added to IEEE Xplore: 05 August 2019

INSPEC Accession Number: 18886298

DOI: 10.1109/CBMS.2019.00076

Publisher: IEEE

Conference Location: Cordoba, Spain, Spain


Github

2PLA: A Two-Phase Learning Approach

WARNING: Before we get started, please notice 2PLA is NOT a clinical software. It is built for reproducibility and demonstration purposes ONLY.

This repository contains the 2PLA (Two-Phase Learning Approach), a method that combines supervised and unsupervised learning strategies for enhancing the segmentation of dermatological wounds.

Given an ulcer photo captured according to a fixed protocol, 2PLA first phase performs a pixelwise classification of points of interest, whereas pre-processing filters are employed for the smoothing of image noise.

The cleaned image is then further sent to the 2PLA divide-and-conquer second phase. It builds upon SLIC superpixel construction algorithm for dividing the lower limp into regions of interest with well-defined borders, and clusters the superpixels by taking advantage of the similarity-based DBSCAN algorithm.

1. Minimum Requirements

2. Folder Description

The content of this repository is organized as follows:

3. Third-party software and data

The code is provided ‘as is’ and any expressed or implied warranties, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose are disclaimed. In no event shall the authors of this software or its contributors be liable for any direct, indirect, incidental, special, exemplary, or consequential damages (including but not limited to, procurement of substitutive goods or services, loss of use, data, or profits; or business interruption) however caused and on any theory of liability wheter in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of this demonstration, even if advised of the possibility of such damage.

Again, 2PLA is NOT a clinical software.

References

[1] S. M. Pereira, M. A. C. Frade, R. M. Rangayyan, and P. M. Azevedo-Marques. Classification of color images of dermatological ulcers. Journal of Biomedicine and Health, 17(1):136–142, 2013.