Segmentation of microcalcifications in X-ray mammograms using entropy thresholding M. Melloul and L. Joskowicz School of Computer Science and Engineering The Hebrew University of Jerusalem Jerusalem 91904, ISRAEL Abstract We describe a new algorithm for microcalcification segmentation in mammographic X-ray images. The algorithm detects microcalcifications in two steps. First, it removes background tissue with a multiscale morphological operation. Then, it applies entropy thresholding based on a 3-dimensional co-occurrence matrix. Unlike existing methods, ours is fully automatic, parameter-free, and independent of local statistics. To test its efficacy, we applied it to images from the Mammographic Image Analysis Society database and analyzed the results with the assistance of a clinician. We obtained detection rates of 93.75% of true positives, 6.25% of false positives, and 2% of false negatives. Keywords: X-ray mammograms, microcalcification segmentation, entropy thresholding. Published in: Proc. of the 16th Int. Congress on Computer-Assisted Radiology and Surgery, CARS 2002, H.U. Lemke et. al. editors, Elsevier 2002, pp. 490-495.