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Algorithm mediated early detection of oral cancer from image analysis
Prachi Shah1, Nilanjan Roy1, Pinakin Dhandhukia2
1Ashok and Rita Patel Institute of Integrated Study and Research in Biotechnology and Allied Sciences (ARIBAS), CVM University, Gujarat, India.
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
|September 14, 2021
Summary
An automated algorithm successfully differentiates oral premalignant lesions from normal tissue using image analysis. This early detection method shows promise for reducing oral cancer fatalities, especially in developing nations.
Area of Science:
- Medical Imaging
- Computational Pathology
- Oncology
Background:
- Oral cancer poses a significant global health challenge, particularly in developing countries.
- Early detection of premalignant lesions is crucial for improving patient outcomes and reducing mortality rates.
- Current diagnostic methods can be subjective and may benefit from objective, automated tools.
Purpose of the Study:
- To develop an Automatic Oral Cancer Detection algorithm.
- To identify and differentiate premalignant lesions (erythroplakia, leukoplakia) from normal buccal cavity images.
- To facilitate early oral cancer detection and potentially reduce fatalities.
Main Methods:
- Collected and processed 60 oral cavity images (normal, erythroplakia, leukoplakia) using MATLAB.
- Employed image processing techniques including red value analysis (maximum and mean) and YCbCr color space.
- Utilized Gray-Level Co-occurrence Matrix (GLCM) based features, specifically entropy, for final classification.
- Randomly divided images into training and testing sets for algorithm validation.
Main Results:
- Achieved 100% efficiency in separating normal from abnormal images using R value distribution.
- Successfully differentiated abnormal images using Y plane and Cr plane segmentation based on mean R values.
- The GLCM entropy feature achieved 89% efficiency in differentiating premalignant lesions.
Conclusions:
- The developed algorithm effectively differentiates premalignant lesions from normal oral tissue.
- A user-friendly graphic interface was created to display detection outcomes with notable accuracy.
- This automated approach holds potential for early oral cancer diagnosis and intervention.

