AUTHOR=Amador-Legon Noel Victor , Perez-Diaz Marlen TITLE=Use of fractals in determining the malignancy degree of lung nodules JOURNAL=Frontiers in Medical Technology VOLUME=6 YEAR=2024 URL=https://www.frontiersin.org/journals/medical-technology/articles/10.3389/fmedt.2024.1362688 DOI=10.3389/fmedt.2024.1362688 ISSN=2673-3129 ABSTRACT=Introduction

A Computer-Assisted Detection (CAD) System for classification into malignant-benign classes using CT images is proposed.

Methods

Two methods that use the fractal dimension (FD) as a measure of the lung nodule contour irregularities (Box counting and Power spectrum) were implemented. The LIDC-IDRI database was used for this study. Of these, 100 slices belonging to 100 patients were analyzed with both methods.

Results

The performance between both methods was similar with an accuracy higher than 90%. Little overlap was obtained between FD ranges for the different malignancy grades with both methods, being slightly better in Power spectrum. Box counting had one more false positive than Power spectrum.

Discussion

Both methods are able to establish a boundary between the high and low malignancy degree. To further validate these results and enhance the performance of the CAD system, additional studies will be necessary.