Development of image extraction using the centerline method in the identification of appendicitis in ultrasonography

Abstract

Appendicitis is a disease that refers to inflammation of the appendix caused by obstruction, or blockage, in the lumen of the appendix. We investigated that this disease can be detected early through medical imaging such as ultrasonography (USG). However, the role of ultrasound in these cases is still limited due to the low visualization rate of the visible appendix. Based on this, this research aims to develop an image extraction process using the Centerline method in the process of identifying appendicitis in ultrasound images. The development of the extraction process is presented in the performance of the centerline and boundary extraction (CBE) algorithm which can represent image objects as boundaries that limit and separate one area from other areas. The research dataset used was 2097 ultrasound images sourced from 90 patients at the West Sumatra Lung Hospital. Based on the tests that have been carried out, it has been proven that it can reduce the width of the image object iteratively until the object is represented as a center line or the thinnest representation. The performance of the CBE algorithm in the identification process is sufficient to provide accuracy results of 92%. These results can be a new extraction concept that can provide accuracy in the identification process.