Automatic skin lesions segmentation based on a new morphological approach via geodesic active contour

Automatic disease classification has been one of the most intensively searched in recent years due to the possibility of quickly providing a diagnosis to the patient. In this process, the segmentation of regions of interest of these diseases has a fundamental role in their subsequent classification. With skin lesions segmentation it is no different and in recent years many studies have achieved interesting results, becoming an important tool in aiding the medical diagnosis of skin diseases. In this work, a morphological geodesic active contour segmentation (MGAC) method is proposed with automatic initialization, using mathematical morphology which is a great partial differential equation approximation, with lower computational cost, no stability problems and fully automatic. The proposed method was tested in a stable and well-known dermoscopic images database provided by Pedro Hispano Hospital (PH2) and was compared with both methods that make use of machine learning or deep learning techniques such as fully convolutional networks (FCN), full resolution convolutional networks (FrCN), deep class-specific learning with probability based step-wise integration (DCL-PSI), and others, and also traditional methods like JSEG, statistical region merging (SRM), Level Set, ASLM and others. The MGAC showed good results in all similarity metrics compared in this work like Jaccard Index (86.16%), Dice coefficient (92.09%) and Matthew correlation coefficient (87.52%), and also achieves good results in sensitivity (91.72%), specificity (97.99%), accuracy (94.59%) and F-measure (93.82%). Thus, the proposed method presented better results in relation to all these metrics when compared to the traditional methods and still presented better results in relation to the methods that use machine learning or deep learning techniques in Jaccard Index, Dice coefficient and specificity. This confirm that the MGAC can efficiently segment skin lesions, presenting great potential to be applied in the aid of the medical diagnosis.