The Hough Transform and the Impact of Chronic Leukemia on the Compact Bone Tissue from CT-Images Analysis

Computational analysis of X-ray Computed Tomography (CT) images allows the assessment of alteration of bone structure in adult patients with Advanced Chronic Lymphocytic Leukemia (ACLL), and may even offer a powerful tool to assess the development of the disease (prognostic potential). The crucial requirement for this kind of analysis is the application of a pattern recognition method able to accurately segment the intra-bone space in clinical CT images of the human skeleton. Our purpose is to show how this task can be accomplished by a procedure based on the use of the Hough transform technique for special families of algebraic curves. The dataset used for this study is composed of sixteen subjects including eight control subjects, one ACLL survivor, and seven ACLL victims. We apply the Hough transform approach to the set of CT images of appendicular bones for detecting the compact and trabecular bone contours by using ellipses, and we use the computed semi-axes values to infer information on bone alterations in the population affected by ACLL. The effectiveness of this method is proved against ground truth comparison. We show that features depending on the semi-axes values detect a statistically significant difference between the class of control subjects plus the ACLL survivor and the class of ACLL victims.