Computerized image analysis for acetic acid induced intraepithelial lesions

Wenjing Li, Daron Gale Ferris, Rich W. Lieberman

Research output: Chapter in Book/Report/Conference proceedingConference contribution

5 Scopus citations


Cervical Intraepithelial Neoplasia (CIN) exhibits certain morphologic features that can be identified during a visual inspection exam. Immature and dysphasic cervical squamous epithelium turns white after application of acetic acid during the exam. The whitening process occurs visually over several minutes and subjectively discriminates between dysphasic and normal tissue. Digital imaging technologies allow us to assist the physician analyzing the acetic acid induced lesions (acetowhite region) in a fully automatic way. This paper reports a study designed to measure multiple parameters of the acetowhitening process from two images captured with a digital colposcope. One image is captured before the acetic acid application, and the other is captured after the acetic acid application. The spatial change of the acetowhitening is extracted using color and texture information in the post acetic acid image; the temporal change is extracted from the intensity and color changes between the post acetic acid and pre acetic acid images with an automatic alignment. The imaging and data analysis system has been evaluated with a total of 99 human subjects and demonstrate its potential to screening underserved women where access to skilled colposcopists is limited.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2008
Subtitle of host publicationImage Processing
StatePublished - May 19 2008
EventMedical Imaging 2008: Image Processing - San Diego, CA, United States
Duration: Feb 17 2008Feb 19 2008

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


OtherMedical Imaging 2008: Image Processing
Country/TerritoryUnited States
CitySan Diego, CA


  • Acetic acid
  • Acetowhite
  • Cervical intraepithelial neoplasia (CIN)
  • Classification
  • Colposcopy
  • Registration
  • Segmentation
  • Shape
  • Texture

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging


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