A cooperative semi-supervised fuzzy clustering framework for dental X-ray image segmentation

• We concentrated on the dental X-ray image segmentation problem.
• A new framework combining Otsu, FCM and semi-supervised fuzzy clustering was shown.
• It was tested on real datasets from Hanoi Medical University in terms of accuracy.
• The new framework has better performance than the relevant methods.
• Suggestions on means and variances of the criteria of the new framework were made.

Dental X-ray image segmentation (DXIS) is an indispensable process in practical dentistry for diagnosis of periodontitis diseases from an X-ray image. It has been said that DXIS is one of the most important and necessary steps to analyze dental images in order to get valuable information for medical diagnosis support systems and other recognition tools. Specialized data mining methods for DXIS have been investigated to achieve high accuracy of segmentation. However, traditional image processing and clustering algorithms often meet challenges in determining parameters or common boundaries of teeth samples. It was shown that performance of a clustering algorithm is enhanced when additional information provided by users is attached to inputs of the algorithm. In this paper, we propose a new cooperative scheme that applies semi-supervised fuzzy clustering algorithms to DXIS. Specifically, the Otsu method is used to remove the Background area from an X-ray dental image. Then, the FCM algorithm is chosen to remove the Dental Structure area from the results of the previous steps. Finally, Semi-supervised Entropy regularized Fuzzy Clustering algorithm (eSFCM) is opted to clarify and improve the results based on the optimal result from the previous clustering method. The proposed framework is evaluated on a real collection of dental X-ray image datasets from Hanoi Medical University, Vietnam. Experimental results have revealed that clustering quality of the cooperative framework is better than those of the relevant ones. The findings of this paper have great impact and significance to researches in the fields of medical science and expert systems. It has been the fact that medical diagnosis is often an experienced and case-based process which requests long time practicing in real patients. In many situations, young clinicians do not have chance for such the practice so that it is necessary to utilize a computerized medical diagnosis system which could simulate medical processes from previous real evidences. By learning from those cases, clinicians would improve their experience and responses for later ones. In the view of expert systems, this paper made uses of knowledge-based algorithms for a practical application. This shows the advantages of such the algorithm in the conjunction domain between expert systems and medical informatics. The findings also suggested the most appropriate configuration of the algorithm and parameters for this problem that could be reused by other researchers in similar applications. The usefulness and significance of this research are clearly demonstrated within the extent of real-life applications.