Rationale and Objectives. We investigated a computer-aided detection (
CAD) scheme for clustered microcalcifications in digitized mammograms.
Methods. A multistage CAD scheme was developed and tested. To increas
e sensitivity, the scheme uses a Gaussian band-pass filter and nonline
ar threshold. A multistage local minimum searching routine and a multi
layer topographic feature analysis are used to reduce the false-positi
ve detection rate. One hundred ten digitized mammograms were used in t
his preliminary test, with 55 images containing one or two verified mi
crocalcification clusters. Results. The CAD scheme achieved 100% sensi
tivity and had an average false-positive detection rate of 0.18 per im
age. Conclusion. The CAD scheme performs as well as many published sch
emes and has some unique advantages to further improve detection sensi
tivity and specificity of future CAD schemes.