US 20050136549A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2005/0136549 A1 Gholap et al. (43) Pub. Date: Jun. 23, 2005 Related US. Application Data (54) METHOD AND SYSTEM FOR AUTOMATICALLY DETERMINING DIAGNOSTIC SALIENCY OF DIGITAL IMAGES (60) Provisional application No. 60/515,582, ?led on Oct. 30, 2003. Provisional application No. 60/530,174, ?led on Dec. 15, 2003. (75) Inventors: Abhijeet S. Gholap, San Jose, CA (US); Gauri A. Gholap, San Jose, CA (US); C. V. K. Rao, San Jose, CA (US); Sanford H. Barsky, Los Angeles, CA (US); Prithviraj J adhav, San Jose, CA (US); J ayant Abhyankar, San Jose, CA (US); Madhura Vipra, Prune (IN) Correspondence Address: Publication Classi?cation 51 (52) (57) . Im. C17 ........................ .. C12Q 1/00 ; G01N 33/ 5 66 U.S. c1. ............................................................ ..436/501 ABSTRACT A method and system for automatically determining diag nostic saliency of digital images for medical and/or patho LESAVICH HIGH-TECH LAW GROUP, P.C. logical purposes. Luminance parameters (eg intensity, etc.) SUITE 325 39 S. LASALLE STREET to Which a chemical compound (e.g., a marker dye) has been applied are automatically analyzed and automatically cor rected if necessary. Morphological parameters (e.g., cell membrane, cell nucleus, mitotic cells, etc.) from individual components Within the biological sample are automatically analyzed on the digital image. A medical conclusion (e.g., a medical diagnosis or prognosis) is automatically determined from the analyzed luminance and morphological parameters. CHICAGO, IL 60603 (US) (73) Assignee: Bioimagene, Inc., San Jose, CA (21) Appl, No; 10/966,071 (22) Filed: Oct. 15, 2004 from a digital image of a biological sample (e.g., tissue cells) 20 AUTOMATICALLY ANALYZE LUMINANCE PARAMETERS FROM A DIGITAL IMAGE OF A BIOLOGICAL SAMPLE TO WHICH A CHEMICAL COMPOUND HAS BEEN APPLIED "\ 22 | AUTOMATICALLY ANALYZE MORPHOLOGICAL PARAMETERS FROM INDIVIDUAL BIOLOGICAL COMPONENTS WITHIN THE BIOLOGICAL SAMPLE ON THE ’\ DIGITAL IMAGE 24 AUTOMATICALLY DETERMINE A MEDICAL CONCLUSION FROM THE ANALYZED LUMINANCE AND MORPHOLOGICAL —\ PARAMETERS 26 Patent Application Publication Jun. 23, 2005 Sheet 1 0f 29 US 2005/0136549 A1 FIG. 1 10 / 14 WINDOW 1 WINDOW 2 Patent Application Publication Jun. 23, 2005 Sheet 2 0f 29 US 2005/0136549 A1 FIG. 2 2° @ / AUTOMATICALLY ANALYZE LUMINANCE PARAMETERS FROM A DIGITAL IMAGE OF A BIOLOGICAL SAMPLE TO WHICH A CHEMICAL COMPOUND HAS BEEN APPLIED "\ 22 | AUTOMATICALLY ANALYZE MORPHOLOGICAL PARAMETERS FROM INDIVIDUAL BIOLOGICAL COMPONENTS WITHIN THE BIOLOGICAL SAMPLE ON THE ’\ DIGITAL IMAGE 24 I AUTOMATICALLY DETERMINE A MEDICAL CONCLUSION FROM THE ANALYZED LUMINANCE AND MORPHOLOGICAL —\ PARAMETERS 26 Patent Application Publication Jun. 23, 2005 Sheet 3 0f 29 US 2005/0136549 A1 FIG. 3 28 / AUTOMATICALLY ANALYZE LUMINANCE PARAMETERS FROM A DIGITAL IMAGE OF A BIOLOGICAL TISSUE SAMPLE TO WHICH A MARKER DYE HAS BEEN APPLIED TO /'\ DETERMINE ONE OR MORE AREAS OF INTEREST IN THE 30 BIOLOGICAL TISSUE SAMPLE WITHIN THE DIGITAL IMAGE I AUTOMATICALLY ADJUST LUMINANCE PARAMETERS WITHIN THE ONE OR MORE DETERMINED AREAS OF A INTEREST WITHIN THE DIGITAL IMAGE TO CREATE ONE OR 32 MORE ADJUSTED AREAS OF INTEREST I AUTOMATICALLY ANALYZE MORPHOLOGICAL PARAMETERS FROM INDIVIDUAL BIOLOGICAL COMPONENTS WITHIN THE ONE OR MORE ADJUSTED AREAS OF INTEREST WITHIN THE DIGITAL IMAGE \ 34 I AUTOMATICALLY FORMULATE A MEDICAL DIAGNOSIS USING THE ANALYZED MORPHOLOGICAL PARAMETERS WITHIN THE ONE OR MORE ADJUSTED AREAS OF INTEREST WITHIN THE DIGITAL IMAGE \ 36 Patent Application Publication Jun. 23, 2005 Sheet 4 0f 29 US 2005/0136549 A1 38 FIG. 4A 46 ‘:5 a, E q, m a, l i: U’) ': FIG 5A FIG 5B 0 ‘5 . 5 a5 _ Histlgram cf Original image C "5'59?" d "115581 "THE 3, N HID In .§.2 F"EH11 m.‘ 1.1:: m In t m D in Il‘lIl] O N @ 511] E u 1 2! l3 5‘ H51D512714B1B19D21123253 m? '1' "Em ' E’ 1 B ‘5 51 m1111331551111992212t3 ; Gm; male lnhrlllt; c O U Patent Application Publication Jun. 23, 2005 Sheet 5 0f 29 US 2005/0136549 A1 FIG. 6 52 Histogram of Modified image 351101] 301100 Pix 251100 CO 20000 —— Series1 — Series2 “" 15000 10000 5008 v 1 23 45 67 8911113315517? 199 221 243 Gray scale intensity Patent Application Publication Jun. 23, 2005 Sheet 6 0f 29 FIG. 9 US 2005/0136549 A1 68 Patent Application Publication Jun. 23, 2005 Sheet 7 0f 29 FIG. 10 US 2005/0136549 A1 Patent Application Publication Jun. 23, 2005 Sheet 8 0f 29 US 2005/0136549 A1 88 FIG. 12A / FIG. 12B FIG. 12B 90 Patent Application Publication Jun. 23, 2005 Sheet 9 0f 29 US 2005/0136549 A1 94 AUTOMATICALLY SEGMENT MORPHOLOGICAL COMPONENTS FROM A BIOLOGICAL TISSUE SAMPLE WITHIN A DIGITAL IMAGE INTO ONE OR MORE AREAS OF INTEREST /\ 96 AUTOMATIcALLY ADJUST VIEWABLE CHARACTERISTICS OF THE sEGMENTED MORPHOLOGICAL COMPONENTS ’\ USING ONE OR MORE DIGITAL IMAGE PROCESSING 98 TECHNIQUES TO CREATE ONE OR MORE ADJUSTED AREAs OF INTEREST wITHIN THE DIGITAL IMAGE I AUTOMATICALLY COMPUTE A MEDICAL DIAGNOSIS GRADE BASED ON THE sEGMENTED MORPHOLOGICAL COMPONENTS WITHIN THE ONE OR MORE ADJUSTED AREAS OF INTEREST WITHIN THE DIGITAL IMAGE 10° Patent Application Publication Jun. 23, 2005 Sheet 10 0f 29 US 2005/0136549 A1 FIG. 14A 102 AUTOMATICALLY COMPUTE PLURAL AREAS OF INTEREST IN A BIOLOGICAL TISSUE SAMPLE WITHIN A DIGITAL IMAGE d + 104 AUTOMATICALLY COMPUTE IMAGE STATISTICS FOR THE DIGITAL IMAGE 706 I AUTOMATICALLY ENHANCE A CONTRAST 0F COLOR PLANES OF THE DIGITAI. IMAGE usING THE COMPUTED IMAGE sTATIsTICs A V 108 I AUTOMATICALLY COMPUTE A HISTOGRAM OF GRAYSCALE VALUES FROM THE CONTRAST ENHANCED DIGITAL IMAGE A 110 I AUTOMATICALLY DETERMINE PLURAL GRAYSCALE INTENSITY VALUES AT A FIRST PEAK IN THE HISTOGRAM A I AUTOMATICALLY SEGMENT THE ENHANCED DIGITAL IMAGE BY THRESHOLDING THE DETERMINED GRAY SCALE /\ INTENSITY VALUES WITH GRAYSCALE VALUES FROM THE 114 HISTOGRAM I AUTOMATICALLY COMPUTE COLOR CORRECTION VALUES FROM THE BACKGROUND OF THE CONTRAST ENHANCED Q16 DIGITAL IMAGE OA FIG. 14B Patent Application Publication Jun. 23, 2005 Sheet 11 0f 29 US 2005/0136549 A1 FIG. 14B AUTOMATICALLY COMPUTE A PERCENTAGE OF PIXELS INCLUDING ONE OR MORE PRE-DETERMINED CELLs 0F /1\18 INTEREST IN THE coNTRAsT ENHANCED DIGITAL IMAGE 120 PIXEL PERCENTAGE < FIRST VALUE? YES v f 122 AUTOMATICALLY CLASSIFY BIOLOGICAL TISSUE SAMPLE AS FIRST GRADE 124 PIXEL PERCENTAGE < SECOND VALUE? YES I f 126 AUTOMATICALLY CLASSIFY BIOLOGICAL TISSUE SAMPLE AS SECOND GRADE @ OB FIG. 14C Patent Application Publication Jun. 23, 2005 Sheet 12 0f 29 US 2005/0136549 A1 FIG. 14C AUTOMATICALLY DETERMINE EDGES OF OBJECTS OF INTERESTS IN THE CONTRAST ENHANCED DIGITAL IMAGE I AUTOMATICALLY DETERMINE EDGES OF COMPLETE OBJECTS OF INTERESTS IN THE coNTRAsT ENHANCED ' A DIGITAL IMAGE 13° i AUTOMATICALLY coMPuTE A RATIO OF AREA OF COMPLETE OBJECTS OF INTEREST To BACKGROUND AREA /\ 132 134 COMPUTED RATIO < PREDETERMINED RATIO? YES v / 136 AUTOMATICALLY CLASSIFY BIOLOGICAL TISSUE SAMPLE AS A THIRD GRADE r138 AUTOMATICALLY CLASSIFY BIOLOGICAL TISSUE SAMPLE _ @3 AS A FOURTH GRADE . ' Patent Application Publication Jun. 23, 2005 Sheet 13 0f 29 FIG. 15 US 2005/0136549 A1 140 / AUTOMATICALLY ANALYZE LUMINANCE PARAMETERS FROM A DIGITAL IMAGE OF A BIOLOGICAL TISSUE SAMPLE TO WHICH A MARKER DYE HAS BEEN APPLIED TO /\ DETERMINE ONE OR MORE AREAS OF INTEREST IN THE 142 BIOLOGICAL TISSUE SAMPLE WITHIN THE DIGITAL IMAGE. I AUTOMATICALLY ADJUST LUMINANCE PARAMETERS WITHIN THE ONE OR MORE DETERMINED AREAS OF INTEREST WITHIN THE DIGITAL IMAGE TO CREATE ONE OR MORE ADJUSTED AREAS OF INTEREST .144 I AUTOMATICALLY IDENTIFY PLURAL EPITHELIAL AREAS IN THE ONE OR MORE ADJUSTED AREAS OF INTEREST WITHIN THE DIGITAL IMAGE FOR CELL CLASSIFICATION USING CELL MEMBRANE ANALYSIS 146 I AUTOMATICALLY IDENTIFY PLURAL CELL NUCLEI WITH THE PLURAL EPITHELIAL AREAS IN THE ONE OR MORE ADJUSTED AREAS OF INTEREST WITHIN THE DIGITAL IMAGE A 148 I AUTOMATICALLY IDENTIFY PLURAL CELL MEMBRANES IN THE ONE OR MORE ADJUSTED AREAS OF INTEREST /'\ WITHIN THE DIGITAL IMAGE "50 AUTOMATICALLY CLASSIFY PLURAL IDENTIFIED CELL NUCLEI WITH A PRE-DETERMINED CLASSIFICATION SCHEME /\ 152 AUTOMATICALLY COMPLETE A MEDICAL DIAGNOSIS GRADE BASED ON THE CLASSIFIED CELL NUCLEI _ 154 Patent Application Publication Jun. 23, 2005 Sheet 14 0f 29 FIG. 16A US 2005/0136549 A1 156 FIG. 16B 158 160 162 FIG. 1 6 C 164 Patent Application Publication Jun. 23, 2005 Sheet 15 0f 29 US 2005/0136549 A1 FIG. 16E 176 Patent Application Publication Jun. 23, 2005 Sheet 16 0f 29 US 2005/0136549 A1 FIG. 17 180 AUTOMATICALLY IDENTIFY PLURAL CELL NUCLEI IN ONE OR MORE ADJUSTED AREAS OF INTEREST WITHIN A DIGITAL IMAGE /\ 182 AUTOMATICALLY IDENTIFY PLURAL CELL CHROMATIN PATTERNS IN THE oNE OR MORE ADJUSTED AREAS OF INTEREST /\ 184 T AUTOMATICALLY IDENTIFY PLURAL CELL NUCLEOLUS PATTERNS IN THE ONE OR MORE ADJUSTED AREAS OF /1\86 INTEREST T AUTOMATICALLY IDENTIFY PLURAL MITOTIC CELL PATTERNS IN THE ONE OR MORE ADJUSTED AREAS OF /1\88 INTEREST T AUTOMATICALLY IDENTIFY PLURAL EPITHELIAL AREAS IN THE oNE OR MORE ADJUSTED AREAS OF INTEREST /1‘90 AUTOMATICALLY PLURAL STROMAL AREAS IN THE ONE OR MORE ADJUSTED+AREAS OF INTEREST 192 AUTOMATICALLY IDENTIFY PLURAL TUBULE AREAS IN THE ONE OR MORE ADJUSTED AREAS OF INTEREST j 194 Patent Application Publication Jun. 23, 2005 Sheet 17 0f 29 US 2005/0136549 A1 FIG. 18 196 AUTOMATICALLY COMPUTE IMAGE STATISTICS IN ONE OR MORE ADJUSTED AREAS OF INTEREST F\ t 198 AUTOMATICALLY SEGMENT INDIVIDUAL PIXELS BELONGING TO PLURAL CELL NUCLEI BY THRESHOLDING IN THE ONE OR MORE ADJUSTED AREAS OF INTEREST 200 I AUTOMATICALLY IDENTIFY PLURAL SEGMENTED PIXELS BASED ON CONNECTIVITY I 202 I AUTOMATICALLY DETECT PLURAL CELL NUCLEI BASED ON PRE-DETERMINED LIMITS ON A SIZE OF A NUCLEUS ’_\ 204 AUTOMATICALLY IDENTIFY BOUNDARY PIXELS OF INDIVIDUAL NUCLEI I \ 206 AUTOMATICALLY CLASSIFY PLURAL CELL NUCLEI USING A PRE-DEFINED CLASSIFICATION SCHEME \ 208 Patent Application Publication Jun. 23, 2005 Sheet 18 0f 29 US 2005/0136549 A1 FIG. 19A 210 / NUCLEUS NO SIZE < FIRST LIMIT? YES V AUTOMATICALLY DELETE NUCLEUS AS IT /~ REPRESENTS A SMALL NON-SPECIFIC BIOLOGICAL 214 CQMPMM 216 NUCLEUS TO A FIG. 198 SIZE > FIRST LIMIT AND < SECOND N LIMIT? / 218 YES v AUTOMATICALLY CLASSIFY NUCLEUS AS A NUCLEUS OF A FIRST TYPE @ Patent Application Publication Jun. 23, 2005 Sheet 19 0f 29 US 2005/0136549 A1 FIG. 19B SIZE > SECOND IMIT AND < THIRD YES V AUTOMATICALLY CLASSIFY NUCLEUS AS A NUCLEUS OF A SECOND TYPE 224 NUCLEUS SIZE > THIRD LIMIT AND < FOURTH NO LIMIT? YES /' 226 ' AUTOMATICALLY CLASSIFY NUCLEUS AS A NUCLEUS OF A THIRD TYPE / 228 AUTOMATICALLY DELETE NUCLEUS AS IT REPRESENTS A LARGE NON-SPECIFIC BIOLOGICAL COMPONENT /\ 222
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