Comparison of lung tumor segmentation methods on PET images

Lung cancer is the most common cause of cancer-related deaths that occur all over the world. Recently, various image processing approaches have been used on PET images in order to characterize the uniformity, density, coarseness, roughness, and regularity (i.e., texture properties) of the intratumoral ¹⁸F-fluorodeoxyglucose (FDG) uptake. The first and important step of this kind of analysis is to differentiate tumor region from other structures and background, which is called segmentation. In this study, k-means, active contour (snake), and Otsu´s tresholding methods were applied on PET images obtained from 36 patients and the performances were compared by the nuclear medicine expert in our team. The results show that Otsu tresholding approach is more selective.