Analysis of transient thermal images
to distinguish melanoma from dysplastic nevi
Muge Pirtini Çetingül ; Hasan E. Çetingül ; Cila Herman
Abstract
We have recently developed a dynamic
infrared (IR) imaging system that provides accurate measurements of transient
thermal response of the skin surface for characterizing lesions. Our hypothesis
was that malignant pigmented lesions with increased proliferative potential
generate quantifiable amounts of heat and possess an ability to reheat more
quickly than the surrounding normal skin, thereby creating a marker of melanoma
lesions vs. non-proliferative nevi. In our previous studies, we demonstrated
that the visualization and measurement of the transient thermal response of the
skin to a cooling excitation can aid the identification of skin lesions of
different origin. This capability of distinguishing benign from malignant
pigmented lesions is expected to improve the specificity and sensitivity for
melanoma as well as other skin cancers, while decreasing the number of unnecessary
biopsies. In this work, in order to quantify the transient thermal response
with high accuracy, we present a processing framework on multimodal images,
which includes a feature point (landmark) detection module, an IR image
registration module that uses the resulting landmarks to correct involuntary
body/limb motion and an interactive white-light image segmentation module to
delineate the contours of the lesions. The proposed method is tested in a pilot
patient study in which all the patients possess a pigmented lesion with a
clinical indication for biopsy. After scanning, biopsying, and grading the
lesions for malignant potential, we observe that the results of our approach
match well with the biopsy results.
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