Using human perceptual categories for content-based retrieval from a medical image database

It is often difficult to come up with a well-principled approach to the selection of low-level features for characterizing images for content-based retrieval. This is particularly true for medical imagery, where gross characterizations on the basis of color and other global properties do not work. An alternative for medical imagery consists of the "scattershot" approach that first extracts a large number of features from an image and then reduces the dimensionality of the feature space by applying a feature selection algorithm such as the Sequential Forward Selection method. This contribution presents a better alternative to initial feature extraction for medical imagery. The proposed new approach consists of (i) eliciting from the domain experts (physicians, in our case) the perceptual categories they use to recognize diseases in images; (ii) applying a suite of operators to the images to detect the presence or the absence of these perceptual categories; (iii) ascertaining the discriminatory power of the perceptual categories through statistical testing; and, finally, (iv) devising a retrieval algorithm using the perceptual categories. In this paper we will present our proposed approach for the domain of high-resolution computed tomography (HRCT) images of the lung. Our empirical evaluation shows that feature extraction based on physicians' perceptual categories achieves significantly higher retrieval precision than the traditional scattershot approach. Moreover, the use of perceptually based features gives the system the ability to provide an explanation for its retrieval decisions, thereby instilling more confidence in its users. (C) 2002 Elsevier Science (USA).