Skin Lesion Segmentation: U-Nets versus Clustering

Many automatic skin lesion diagnosis systems use segmentation as a preprocessing step to diagnose skin conditions because skin lesion shape, border irregularity, and size can influence the likelihood of malignancy. This paper presents, examines and compares two different approaches to skin lesion segmentation. The first approach uses U-Nets and introduces a histogram equalization based preprocessing step. The second approach is a C-Means clustering based approach that is much simpler to implement and faster to execute. The Jaccard Index between the algorithm output and hand segmented images by dermatologists is used to evaluate the proposed algorithms. While many recently proposed deep neural networks to segment skin lesions require a significant amount of computational power for training (i.e., computer with GPUs), the main objective of this paper is to present methods that can be used with only a CPU. This severely limits, for example, the number of training instances that can be presented to the U-Net. Comparing the two proposed algorithms, U-Nets achieved a significantly higher Jaccard Index compared to the clustering approach. Moreover, using the histogram equalization for preprocessing step significantly improved the U-Net segmentation results.

Non-contact transmittance photoplethysmographic imaging (PPGI) for long-distance cardiovascular monitoring

Photoplethysmography (PPG) devices are widely used for monitoring cardiovascular function. However, these devices require skin contact, which restrict their use to at-rest short-term monitoring using single-point measurements. Photoplethysmographic imaging (PPGI) has been recently proposed as a non-contact monitoring alternative by measuring blood pulse signals across a spatial region of interest. Existing systems operate in reflectance mode, of which many are limited to short-distance monitoring and are prone to temporal changes in ambient illumination. This paper is the first study to investigate the feasibility of long-distance non-contact cardiovascular monitoring at the supermeter level using transmittance PPGI. For this purpose, a novel PPGI system was designed at the hardware and software level using ambient correction via temporally coded illumination (TCI) and signal processing for PPGI signal extraction. Experimental results show that the processing steps yield a substantially more pulsatile PPGI signal than the raw acquired signal, resulting in statistically significant increases in correlation to ground-truth PPG in both short- ($p \in [<0.0001, 0.040]$) and long-distance ($p \in [<0.0001, 0.056]$) monitoring. The results support the hypothesis that long-distance heart rate monitoring is feasible using transmittance PPGI, allowing for new possibilities of monitoring cardiovascular function in a non-contact manner.