Ultrasonic multifeature analysis procedures for breast lesion classification

We are developing quantitative descriptors of breast lesions in order to provide reliable, operator-independent means of noninvasive breast cancer identification. These quantitative descriptors include lesion internal features assessed using spectrum analysis of ultrasonic radio-frequency (RF) echo signals and morphometric features related to lesion shape. Internal features include quantitative measures of "echogenicity," "heterogeneity," and "shadowing;" these were computed by generating spectral-parameter images of the lesion and surrounding tissue. Spectral-parameter values were generated at each pixel in the parameter image using a sliding-window Fourier analysis. Lesions were traced on B-mode images and traces were used in conjunction with spectral parameter values to compute echogenicity, heterogeneity, and shadowing. Initial results show that no single parameter may be sufficiently precise in identifying cancerous breast lesions; the results also show that the use of multiple features can substantially improve discrimination. This paper describes the background, research objective, and methodology. Clinical examples are included to illustrate the practical application of our methodology.