11 V May 2023

https://doi.org/10.22214/ijraset.2023.53197
 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

Early Stage Liver Disease Prediction using Image

Processing
Dr. K Saravana Kumar1, Dr. K Kranthi Kumar2, Praveen Kumar Reddy Uppeti3, Karthik Maddineni4, Kranthi Kumar
Reddy Mukkera5
Sreenidhi institute of science and technology, India

Abstract: Liver diseases have become increasingly common due to sedentary lifestyles and lack of physical activity, particularly
in urban areas and metropolitan cities. This has resulted in millions of deaths every year, with liver cancer being a major
contributor. However, inaccurate detection of liver tumors has led to many fatalities. Medical image segmentation is a
challenging task when it comes to detecting liver tumors in CT images. Therefore, this project aims to improve the accuracy of
tumor detection and segmentation using various image processing techniques, such as pre-processing, enhancement, and
clustering algorithms. Early detection is critical in preventing liver cancer fatalities, and this project focuses on improving
classification performance to aid in early detection. In this paper, we will describe the steps taken to select the best model and
develop a necessary system for predicting liver disease.
Keywords: CNN, ANN, PIL, DIL.

I. INTRODUCTION
Liver cancer, also known as Hepatocellular Carcinoma (HCC) or Hepatoma, is an abnormal growth of tissue that affects the liver,
the largest organ in the abdomen. There are two types of liver cancer: primary, which originates in the liver, and secondary, which
occurs when cancer cells from other organs spread to the liver. To diagnose liver cancer, the first step is to obtain an image of the
liver for further analysis. Magnetic Resonance Imaging (MRI) is an effective imaging technique that produces high-quality images
of the liver and is useful in both diagnosing diseases and conducting biological research. Accurate classification of MRI images
greatly enhances the results. After obtaining an image of the liver, the next step in diagnosing liver cancer is to apply different
enhancement techniques to improve the image quality by eliminating unwanted noise. Once the image is enhanced, the third stage
involves using segmentation techniques to identify and isolate cancer cells in the liver. Liver cancer is a life-threatening condition
and is the sixth most common cancer worldwide. CT (Computed Tomography) has been recognized as a precise and non-invasive
imaging technique for the diagnosis of liver lesions. However, manual segmentation of CT scans is time-consuming, so there is a
need for an automated system to detect tumors. Image processing is used to examine medical and CT images to detect abnormalities.
By using contrast material to enhance the clarity of liver images, a CT scan can generate a sequence of comprehensive pictures of
the liver, as well as other organs and blood vessels in the abdomen. Analysis of CT scans provides accurate results for diagnosing
liver cancer.

Fig 1: Work Flow

II. LITERATURE REVIEW

Manual identification and detection of liver diseases can be expensive, invasive, and timeconsuming. To address this issue, there has
been significant research in developing automated methods of diagnosis that are reliable, accurate, and cost-effective. Various
diagnostic techniques, including MRI, CT scan, and Ultrasound images, have been utilized to detect different liver diseases. With
the recent improvements in transfer learning, the performance of diagnostic systems has been enhanced. Here, we will examine
some of the latest research studies that have utilized image processing, deep learning, and transfer learning techniques to achieve
state-of-the-art results.

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 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

1) Image classification using traditional machine learning, refers to the application of traditional machine learning algorithms to
analyze and classify digital images. The algorithms utilized in this context employ statistical techniques to extract features from
images, which are then employed to train a model capable of categorizing new images into predetermined classes. This process
encompasses various stages, including image pre-processing, feature extraction, and classification. Image pre-processing is the
first step in image processing using traditional machine learning. It involves the enhancement of the image quality, removal of
noise, and normalization of the image to make it suitable for analysis. The preprocessing step may include operations such as
resizing, cropping, filtering, and color conversion. In traditional machine learning image processing, the subsequent phase is
known as feature extraction. This process involves the identification and extraction of pertinent data from the images, which
can be utilized to differentiate between image classes. Various techniques are used for feature extraction, including edge
detection, texture analysis, and object recognition. The importance of feature extraction lies in its ability to impact the quality of
the input data, which in turn affects the performance of the classification algorithm. Once the features have been extracted from
the images, the next step is classification. This step involves using a machine learning algorithm to classify the input images
into predefined categories. Decision trees, support vector machines (SVM), K nearest neighbor (K-NN), and random forest are
among the most frequently employed machine learning algorithms for image classification Overall, image processing using
traditional machine learning is a useful technique for analyzing and classifying digital images. However, it has several
limitations, including the need for expert feature engineering and a large dataset to train the models. Therefore, deep learning-
based methods have become more popular for image processing as they can automatically learn relevant features from images
and achieve high accuracy without requiring expert feature engineering.
2) Image pre-processing techniques, refer to a series of operations or transformations that are performed on an image before it is
analyzed, to enhance its quality and extract useful information. These techniques are applied to eliminate noise, correct image
distortions, adjust the contrast and brightness of the image, and remove any irrelevant features or details that may hinder the
analysis process. Image pre-processing techniques aim to enhance the precision, velocity, and dependability of image analysis
algorithms.
Some of the most commonly used image preprocessing techniques are:
a) Image Resizing: This technique involves adjusting the size of the image to match the requirements of the analysis algorithm.
For example, if an algorithm requires a specific image size, the image may need to be resized to fit those requirements.
b) Image Normalization: The purpose of this is to modify the brightness and contrast of an image to enhance the visibility of its
pertinent features. This can be achieved by applying statistical methods such as mean subtraction, standard deviation
normalization, and histogram equalization.
c) Image Filtering: Image filtering techniques are used to remove noise or unwanted features from the image. There are several
types of filters, such as Gaussian, Median, and Bilateral filters, which are used depending on the type of noise present in the
image.
d) Image Enhancement: By utilizing various operations, such as sharpening, blurring, and contrast stretching, this technique is
employed to enhance the quality of an image.
e) Image Segmentation: The process of dividing an image into distinct segments or regions, each of which corresponds to a
different object or image section, is known as image segmentation. This technique is employed to recognize and extract the
pertinent features of the image.
f) Image Registration: The process of aligning two or more images of a common scene, captured from distinct viewpoints or at
varying times, is referred to as image registration. This technique is used to combine multiple images into a single, more
informative image.
Overall, image pre-processing techniques are an important step in image analysis, as they can significantly improve the accuracy
and speed of the analysis algorithms. The selection of pre-processing techniques relies on the characteristics of the image and the
necessities of the analysis algorithm.

3) Image classification using Deep Learning, is a subfield of artificial intelligence that involves training neural networks to
identify and classify images based on specific criteria. Deep learning models are structured to analyze data by passing it through
several layers of interconnected nodes, referred to as artificial neurons, which can process information and develop the ability to
recognize patterns in the data. The process of image classification using deep learning can be broken down into several steps:
a) Data Collection: A large dataset of images is collected, labeled with the appropriate classifications. The deep learning model
will be trained using this dataset.

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 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

b) Data Preprocessing: The images are processed to ensure that they are all the same size and format, and any necessary
adjustments are made to improve the quality of the images.
c) Model Creation: A deep learning model is designed using a framework such as TensorFlow, PyTorch, or Keras. The structure
of the model, including the quantity and type of layers and the activation functions, is established.
d) Training: The model is trained on the dataset using a training algorithm such as backpropagation. Throughout this process, the
model's weights are modified to decrease the disparity between the predicted output and the genuine output.
e) Evaluation: The effectiveness of the model is assessed using a distinct dataset known as the validation dataset. This dataset is
not employed during the training phase and enables us to determine the model's ability to generalize.
f) Optimization: The hyperparameters of the model are optimized using a process called hyperparameter tuning. This process
entails tuning the model's hyperparameters, including the learning rate and batch size, among others, to enhance the model's
performance.
g) Deployment: After the training and optimization process, the model is ready to be implemented in a production setting where it
can classify new images.
Deep learning has demonstrated remarkable success in image classification tasks, especially in situations where traditional machine
learning techniques have faced challenges. Nonetheless, the success of deep learning models is significantly influenced by the
quality and quantity of training data, as well as the model architecture and hyperparameters design.

III. METHODOLOGY
This project is divided into three categories for detecting cancer cells.
1) Image Enhancement Stage: It is stage where the images is noisy free and removed all unwanted things. Here we use otsus
method to enhancing the image.
2) Image Segmentation Stage: Image is divided into multiple segments and here marker-controlled watershed method for
segmentation.

Fig 2: Flow Chart

©IJRASET: All Rights are Reserved | SJ Impact Factor 7.538 | ISRA Journal Impact Factor 7.894 | 6590
 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

A. Proposed System Algorithm

In the following, discusses about proposed system algorithm in detail.
Algorithm: EARLY STAGE LIVER DISEASE PREDECTION USING IMAGE PROCESSING
Input : CT scan Image
Output : Effected part of liver is extracted
Begin
1) Upload images as input
2) Imag Preprocessing
2.1 Load medical image
2.2 Noise removal
2.3
3) Image Segmentation Using Otsu’s method
3.1 convert image to grayscale
3.2 Extract Binary image using Otsus method
sigma^2_w(T) = w1(T) * w2(T) * [mu1(T) - mu2(T)]^2

4) Marker-Controlled Watershed method

4.1 morphological operations to binary mask
4.2 Identify potential markers for liver regions.
4.3 Generate a marker image withliver regions labeled.
4.4 Apply watershed algorithm using marker image to segment liver regions
5) Segmented Image
6) Feature extraction
7) if tumer is detected
return liver is effected
else
return liver is not effected
End

B. Image Enhancement
Image enhancement is a pre-processing step in image processing that strives to enhance the visual appearance of an image. It
involves techniques that can be used to sharpen, brighten, or clarify digital images. Image enhancement aims to produce an image
that is better suited for a specific purpose or to enhance its visual appearance.
Here in this project we used Otsus method.
Otsu's method is a widely used automatic thresholding technique in image processing, which involves separating the foreground and
background pixels of a grayscale image based on their intensity values to produce a binary image.

1) Otsu’s Method
Otsu's method is a widely used automatic thresholding technique in image processing, which involves separating the foreground and
background pixels of a grayscale image based on their intensity values to produce a binary image. The Otsu's method calculates the
ideal threshold value by maximizing the variance between the two categories of pixels - foreground and background. This method
assumes that the image has two classes of pixels, namely the object and background, and that the gray level histogram of the image
is bi modal.
To find the optimal threshold value for converting a grayscale image into a binary image, the Otsu's method computes the weight,
mean, and variance of the two classes of pixels, i.e., foreground and background, for each possible threshold value. Initially, the
histogram of the input grayscale image is calculated. The weight of a class is the fraction of pixels in that class, while the mean
represents the average gray level value of the pixels in that class.
On the other hand, the variance measures the spread of the pixel values in a class. After computing the weight, mean, and variance
of the two classes of pixels (foreground and background) for each possible threshold value, the Otsu's method proceeds to calculate
the between class variance.

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 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
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This is accomplished by computing the weighted sum of the variances of the two classes, where the weights are the fractions of
pixels in each class. The between-class variance is a measure of the degree of separation between the two classes of pixels.
After calculating the between-class variance for each possible threshold value, Otsu's method selects the threshold value that
maximizes the between-class variance. This threshold value is then applied to the grayscale image to generate a binary image, where
pixels with intensities above the threshold are classified as foreground, and pixels with intensities below the threshold are classified
as background. The mathematical formula used in Otsu's method calculates the optimal threshold value, T, by minimizing the intra-
class variance of the two regions created by the threshold. The formula for the intra-class variance is:
sigma^2_w(T) = w1(T) * w2(T) * [mu1(T) - mu2(T)]^2
where w1(T) and w2(T) are the probabilities of the foreground and background regions, respectively, and mu1(T) and mu2(T) are
the mean intensities of the foreground and background regions, respectively.

Fig. 3. Original image

Fig. 4. Otsu’s Transformation

C. Image Segmentation
Image segmentation involves partitioning an image into several distinct and meaningful regions or segments, with each segment
representing an object or a background. The main objective of this process is to simplify and/or transform the image's representation
into a more comprehensible format that can be easily analyzed. The marker-controlled watershed segmentation method is utilized in
this project to segment objects from the background in an image. This method is based on identifying watershed lines using gradient
images, which enables the segmentation of objects. To begin, markers or seeds are identified for the regions of interest and used to
define the watershed lines. The technique then segments the image into distinct regions, allowing for further processing and analysis
of each region as necessary. Marker-controlled watershed segmentation is commonly used in fields such as medical imaging, where
it is used to identify and segment objects such as tumors or blood vessels from surrounding tissue. We can see the gradient
magnitude image in fig 5.

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 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

Fig. 5. Gradient magnitude

1) Marker-Controlled Watershed Segmentation Approach

Marker-controlled watershed segmentation is a widely used technique for segmenting images into different regions or segments
based on the intensity or color of the pixels. The first step of this method involves identifying markers in the image, which can
represent objects or features of interest. This can be accomplished using various techniques such as thresholding, edge detection, or
gradient-based methods, either manually or automatically. Once the markers have been identified, a gradient image is generated
based on the intensity or color variations in the image. This gradient image is then used to generate a watershed transform, which
divides the image into different regions basins based on the intensity or color gradients. The markers are used as seed points to
guide the watershed transform and ensure that the regions are correctly segmented.
One of the advantages of using marker controlled watershed segmentation is that it can accurately segment objects or regions with
complex shapes and overlapping boundaries. It can also be used for the segmentation of images with varying contrast or
illumination.
Marker-controlled watershed segmentation is a versatile image processing technique that has numerous applications, including
image segmentation, object detection, and feature extraction. One area where it is particularly valuable is medical image analysis,
where it is commonly used to segment images of organs or tissues for medical diagnosis and treatment planning.

2) Mathematical Explanation
Let I(x,y) be the input image defined over a 2D coordinate system (x,y). The marker-controlled watershed method can be
mathematically expressed as follows:
a) First, the image is preprocessed to enhance the contrast or smooth the noise. Let J(x,y) be the preprocessed image.
b) The next step in marker-controlled watershed segmentation involves defining markers based on prior knowledge or user input.
One common way to define markers is by manually placing them on the object of interest. Let the marker image be denoted as
M(x,y), where M(x,y) equals 0 for background pixels and 1, 2, ..., n for foreground pixels, where n represents the number of
objects of interest.
c) The distance transform is then applied to the marker image, which assigns a distance value to each pixel based on its distance to
the nearest marker. Let D(x,y) be the distance image, which is defined as: D(x,y) = min{dist((x,y),(x',y')) | M(x',y') ≠ 0}, where
the distance is calculated using the Euclidean distance formula, dist((x,y),(x',y')).
d) The watershed transform is applied to the distance transform image, creating a segmentation where each catchment area
corresponds to an object of interest. Let S(x,y) be the segmentation image, which is:

S(x,y) = argmin{D(x',y') | (x',y') is in the catchment area of (x,y)} where the catchment area of a pixel (x,y) is a region in the image
that consists of all the pixels that are connected to (x,y) and have a height value in D(x,y) that is lower or equal to the height value at
(x,y).

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 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

Fig 6: Watershed Transformof gradient magnitude image

Fig 7: Regional maxima superimposed on original image.

Fig 8: Threshold reconstruction

D. Feature Extraction
Watershed ridge and boundary images are essential components of image feature extraction, which is a fundamental technique in
image processing. These images are used to identify and extract significant features of an image, such as edges, corners, and texture,
which can then be used for various applications such as object recognition, image classification, and image retrieval. Contour-based
feature extraction is a widely used technique in image processing to extract important information from images. It involves
identifying and extracting the contours or boundaries of objects in an image and using them to extract relevant features. One such
technique is the contour lane method. The contour lane method involves dividing the contour into equally spaced intervals and
calculating the angles of the tangent lines at each interval. These angles are then used to construct a feature vector, which represents
the contour. The length of the feature vector depends on how many intervals the contour is divided into.
The contour lane method has several advantages, including its ability to extract both global and local features of an object's contour.
Additionally, it is robust to noise and can handle both closed and open contours. However, it may not perform well in cases where
there are multiple contours or where the contours are too complex.

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 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

IV. EXPERIMENTAL RESULTS

This report section focuses on the models and their fine-tuned parameters that were used in a novel study of liver CT scan images.
Four models were utilized, and their performance was evaluated by calculating training and validation accuracies and losses for each
epoch, which were plotted to illustrate their progression. Test accuracy was also determined through predictions on new data. The
performance of each model was assessed using confusion metrics and classification reports. These metrics provide valuable
information about precision, recall, f1- score, true positives, true negatives, false positives, and false negatives. Each model was
evaluated in a separate experiment.

A. Output
1) Image Enhancement Stage

Fig. 9: Enhanced Image

2) Image Segmentation Stage

Fig. 10: Segmented Image

3) Feature Extraction Stage

Fig. 11: Extracted Image

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 International Journal for Research in Applied Science & Engineering Technology (IJRASET)
ISSN: 2321-9653; IC Value: 45.98; SJ Impact Factor: 7.538
Volume 11 Issue V May 2023- Available at www.ijraset.com

4) Final Stage

Fig. 12: Final Image

V. CONCLUSION
This report presents an analysis of several MRI images, which were pre-processed using the Otsu method and then segmented using
the Marker Controlled Watershed algorithm. The results show that the segmentation was successful for some of the images,
although there is room for improvement. To enhance the accuracy of the process, a possible future direction would be to develop a
more user friendly graphical interface that incorporates a wavelet transform for feature extraction with a one click approach.
Regarding accuracy, the original paper achieved an accuracy of 74.93%. However, in this study, an active contour method was
implemented, as described in another paper, resulting in an accuracy of 85.99%.

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