Information derived from mammographic parenchymal patterns provides on
e of the strongest indicators of the risk of developing breast cancer.
To address several limitations of subjective classification of mammog
raphic parenchyma into coarse density categories, we have been investi
gating more quantitative, objective methods of analysing the film-scre
en mammogram. These include measures of the skewness of the image brig
htness histogram, and of image texture characterized by the fractal di
mension. Both measures were found to be strongly correlated with radio
logists' subjective classifications of mammographic parenchyma (Spearm
an correlation coefficients, R(s) = -0.88 and -0.76 for skewness and f
ractal dimension measurements, respectively). Further, neither measure
was strongly dependent on simulated changes in mammographic technique
. Correlation with subjective classification of mammographic density w
as better when both the skewness and fractal measures were used in com
bination than when either was used alone. This suggests that each feat
ure provides some independent information.