Amr R. Abdel-Dayem and Mahmoud R. El-Sakka, "Coarse 
                  Segmentation of Suspicious Tissues in Digital Mammogram Images
                  using Bayesian-Based Threshold Estimation", International 
                  Journal for Computational Vision and Biomechanics, Vol. 3, 
                  No. 1, pp. 41-59, 2010.
               
               
               
               Abstract
               
               
               
                  In this paper, we propose a coarse segmentation scheme for 
                  highlighting suspicious lesions in digital mammogram images. 
                  The proposed scheme is intended to be used in a multi-stage 
                  segmentation paradigm for accurate localization of suspicious 
                  masses. The major objective of the proposed scheme is to 
                  reduce the search space when further stages search for 
                  abnormalities. The proposed scheme uses the image histogram to
                  estimate the Bayes threshold that can segment suspicious 
                  lesions from normal breast tissues with minimum probability 
                  of classification error. We also present a block-based measure
                  that can objectively assess the computer-segmented images, 
                  compared with the clinician-segmented ones. Experimental 
                  results over a set of sample images (consists of 50 normal and
                  50 abnormal cases) showed that the proposed scheme produces 
                  accurate highlighting results, compared with the manual 
                  results produced by clinicians. It achieves a true positive 
                  fraction, a precision and an overlap ratio of 1.0 for the 
                  entire fifty abnormal cases (when used in the screening mode).
                  Meanwhile, the 95% and the 99% confidence intervals for the 
                  false positive fraction, calculated over the fifty normal 
                  cases, are [0.017, 0.183] and [0, 0.209], respectively (when 
                  used in the screening mode).
                  
                  
                  When the proposed scheme is used in diagnosis or follow up 
                  mode, we used our block-based measure with 32×32 block size to
                  report the performance of the system. The results shows that 
                  the 95% and 99% confidence intervals (calculated over the 
                  fifty abnormal images) for the true positive fraction are 
                  [0.842, 0.938] and [0.827, 0.953], for the false positive 
                  fraction are [0.101, 0.203] and [0.084, 0.219], for the 
                  precision are [0.538, 0.691] and [0.514, 0.715], and for the 
                  overlap ratio are [0.483, 0.623] and [0.461, 0.645], 
                  respectively. Meanwhile, the 95% and 99% confidence intervals 
                  for the false positive fraction (calculated over the fifty 
                  normal images) are [0.002, 0.078] and [0, 0.09], respectively.
                  However, if we consider all hundred images together, the 95% 
                  and 99% confidence intervals for the false positive fraction 
                  are [0.062, 0.130] and [0.052, 0.140], respectively.
                  
                  
                  It is worth mentioning that, the output produced by the 
                  proposed scheme represents preliminary estimates that will be 
                  fine-tuned using more advanced stages that employ both pattern
                  classification and artificial intelligence techniques
                  (future work).