Content-based retrieval for lung nodule diagnosis using learned distance metric

Similarity metric of the lung nodules can be useful in differentiating between benign and malignant lung nodule lesions on computed tomography (CT). Unlike previous computerized schemes, which focus on the features extracting, we concentrate on similarity metric of the lung nodules. In this study, we first assemble a lung nodule dataset which is from LIDC-IDRI lung CT images. This dataset includes 746 lung nodules in which 375 domain radiologists identified malignant nodules and 371 domain radiologists-identified benign nodules. Each nodule is represented by a vector of 26 texture features. We then propose a content-based image retrieval (CBIR) scheme to classify between benign and malignant lung nodules with a learned Mahalanobis distance metric. The Mahalanobis distance metric as a similarity metric can preserve semantic relevance and visual similarity of lung nodules. The CBIR approach uses this Mahalanobis distance to search for most similar reference nodules for each queried nodule. The majority of votes are then computed to predict the likelihood of the queried nodule depicting a malignant lesion. For the classification accuracy, the area under the ROC curve (AUC) can achieve as 0.942±0.008. The recall and precision of benign nodules are 0.860 and 0.889, respectively. The recall and precision of malignant nodules are 0.893 and 0.866, respectively.