Abstract: Breast cancer is becoming the last decade a serious health problem in different countries. It is the most frequent cancer affecting women. In 2012, the American cancer Society estimates that one in nine women in the USA can face breast cancer disease. In the European community, such a cancer covers 24 % of cancer cases. Mortality reduction by this disease is one of the main goals of scientists. It is becoming more and more significant owing to a wide spread of early investigations by screening tools for detection of abnormalities in their first stages of occurrence. Over the past two decades, many attempts have been made by scientists to assist the specialists in diagnosis of breast cancer, by developing computer-aided tools. Many screening modalities can be used, such as mammogram screening, echography, magnetic resonance imaging (MRI), positron emission tomography (PET), angio-mammogram screening, etc..Each image modality focuses on mapping on a 2D or 3D space a particular information related to the breast tissue, such as breast density, vascular information, dynamic characteristics of some cellules ( with use of a contrast agent), etc. Image processing of such modalities, in 2D as well as 3D representation, in that context, can have many vocations: First, it can be a processing aiming at highlighting abnormalities, sometimes slightly flooded, especially in dense breast. Accordingly, we should take the precaution of improving the contrast without distortion of the texture information, revealing in the diagnosis. Second, image processing can have a vocation of foreground segmentation of the Region Of Interest (abnormalities). Such segmentation should be of great accuracy, in order to preserve finest details of contours which are very pertinent for characterizing the benign/malign aspect of abnormalities. Microcalcification segmentation is a highly delicate step, since their tiny aspects. Once abnormality is delineated, another important step in image processing is characterization of shape and texture of the extracted abnormalities. We can also focus on volume reconstruction/characterization in a static representation as well as a dynamic representation from 3D MRI images. Feature extraction process can be appearance based, such as contour descriptors, since contour is a pertinent element interacting well in the nature (benign /malign) of the abnormality. Feature extraction can also exploit texture properties of malign abnormalities over benign ones. Global such as Zernike moments, LBP rotation invariant histograms of the image, Co-occurrence matrixes, as well as local features such as shape descriptors, can be adopted for feature extraction. Since most of the modalities carry complementary information such as tissue density (from mammography), vascularization of the abnormality (from MRI images), an important issue in medical processing is data fusion between a set of modalities of the same breast. Such fusion can be on a pixel level, for mapping information from different modalities on a same support, but fusion can be also done on feature level by choosing the most pertinent features for each modality. Some computer aided diagnosis systems complement the output processed by images, with some details related to the patient such as biopsy confirmation, hereditary factor, patient age, etc.. for making an overall classification of the studied case into the four Breast Imaging-Reporting and Data System (BI-RADS) categories. The BI-RADS classification system is rather an accurate precision of the type of the anomaly , accompanied by indicating the different future actions to be undertaken by the patient for a better prevention, such as a recommendation of biopsy or of a screening in coming few months, etc.. Biography:
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