Pathologists examine histology sections to make diagnostic and prognostic assessments regarding cancer based on
deviations in cellular and/or glandular structures. However, these assessments are subjective and exhibit some degree of
observer variability. Recent studies have shown that fractal dimension (a quantitative measure of structural complexity)
has proven useful for characterizing structural deviations and exhibits great potential for automated cancer diagnosis and
prognosis. Computing fractal dimension relies on accurate image segmentation to capture the architectural complexity
of the histology specimen. For this purpose, previous studies have used techniques such as intensity histogram analysis
and edge detection algorithms. However, care must be taken when segmenting pathologically relevant structures since
improper edge detection can result in an inaccurate estimation of fractal dimension. In this study, we established a
reliable method for segmenting edges from grayscale images. We used a Koch snowflake, an object of known fractal
dimension, to investigate the accuracy of various edge detection algorithms and selected the most appropriate algorithm
to extract the outline structures. Next, we created validation objects ranging in fractal dimension from 1.3 to 1.9
imitating the size, structural complexity, and spatial pixel intensity distribution of stained histology section images. We
applied increasing intensity thresholds to the validation objects to extract the outline structures and observe the effects on
the corresponding segmentation and fractal dimension. The intensity threshold yielding the maximum fractal dimension
provided the most accurate fractal dimension and segmentation, indicating that this quantitative method could be used in
an automated classification system for histology specimens.
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