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Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and
                 Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                      Vol. 2, Issue4, July-August 2012, pp.1925-1928
        Texture Analysis Of Mri Using Svm & Ann For Multiple
                          Sclerosis Patients
      Prof.Mrs.K.N.Rode (S.I.T.C.O.E.),Prof.Mr.R.T.Patil (R.I.T.C.O.E.)

ABSTRACT
         Due to the complexity & variance of              Statistics were extracted,& statistical analysis method
automated MRI segmentation of brain MS                    GLCM(Gray-level co-occurance matrix ) was applied
became a complex task. In this paper a structural         between LWM,NAWM & NWM.
texture analysis method on MS segmentation
scheme is presented, that emphasis on structural          II. PRIOR WORK
analysis of MS as well as on normal tissues..             All the previous methods are classified into 4 types.
Methods:- MRI of any number of MS patients &              1)Thresholding method
healthy subjects were selected & that much ROI                      This method is frequently used for image
were chosen from MS patient MRI & healthy                 segmentation, simple & effective method for images
subject MRI(magnetic resonance imaging) for               with different intensities. It has the drawback of
LWM(lesion       white     matter),NAWM(Normal            generating only two classes therefore this method
appearing white matter) & NWM(Normal white                fails to deal with multichannel images. It also ignores
matter) respectively. All of the ROI were analysed        the spatial characteristics due to which an image
by gray-level difference statistics & contrast,           becomes noise sensitive which corrupts the histogram
angular second moment, mean & entropy those 4             of the image.
texture features were extracted .Finally statistic
significance was tested among three groups. An            2) Region growing method
ANN & SVM are used for classification. This                        This technique is not fully automatic. It is
approach is designed to investigate the differences       also noise sensitive therefore extracted regions might
of texture      features among macroscopic                have holes or even some discontinuitites.
LWM,NAWM in & MRI from patients with MS
& NWM.                                                    3) Shape based method
                                                                  This method has limited degree of freedom
                                                          & semi-automatic.
KEYWORDS:-     MS,Gray             level   difference
                                                          4)Supervised & unsupervised segmentation
statistics, T.A.(texture               analysis),MRI
                                                          methods
,LWM,NAWM,NWM.

I. INTRODUCTION                                           III. PROPOSED WORK:-
          Multiple sclerosis is a chronic idiopathic               In this paper texture analysis method using
disease resulted in multiple areas of inflammatory        SVM & ANN is presented & applied to MRI brain
demyelination in the CNS(Central nervous                  MS segmentation. Firstly sample MR images will be
system).MS lesion formation often leads to                selected & then the MR image is divided into small
unpredictable cognitive decline & Physical                elements to extract the different kinds of features
disability.Due to the sensitivity in detecting MS         which quantify the intensity, symmetry & texture
lesions,MRI has become an important tool for              properties of different tissues.
diagnosing MS & monitoring its progression.                        We used gray-level co-occurrence matrix
          Over the past decade,the demand for             approach introduced by Harlick [7] which is well-
accurate detection & quantification of MRI                known statistical method for extracting second-order
abnormalities increase rapidly.Thus it is crucial to      texture information for images. The assumption is
use image analysis techniques to extract                  that local texture of tumor cells is highly different
diagnostically significant image features[3].             from local texture of other biological tissues. From
          Texture analysis refers to a set of processes   GLCM we extracted the textures features like
applied to characterize spatial variations of pixel’s     contrast,angular second moment,mean & entropy.For
gray levels in an image.Texture analysis which is         segmentation & classification we used ANN & SVM
used to quantify pathological changes that may be         to detect various Tissues like white matter gray
undetectable by conventioalMRI techniques,has the         matter & MS.
potential to detect the subtle changes in tissues &
supports early diagnosis of MS.
          In this paper,texture analysis was performed
on brain MRI of MS patients & normal
controls.Texture features from gray-level difference



                                                                                                1925 | P a g e
Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and
                 Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                      Vol. 2, Issue4, July-August 2012, pp.1925-1928
                                                              gΔ(x,y)=g(x,y)-g(x+Δx,y+Δy) (1)
                                                                        g Δ(x,y) in (1) is defined as gray difference.
                                                              gΔ(x,y) of each pixel is caculated by moving (x,y)
                                                              throught the image.Suppose gray difference level is
                                                              m , the number of each gΔ(x,y) is counted up,and
                                                              histogram of gΔ(x,y) is drawn.Finally occurred
                                                              probability P Δ (i) of each gΔ(x,y) is caculated based
                                                              on histogram Texture characteristic is closely related
                                                              to PΔ(i). If PΔ(i) changes rapidly along with variation
                                                              of i, texture of image is coarse, whereas it is fine if
                                                              PΔ(i) distributes smoothly. In this study , texture
                                                              features including contrast,angular secondmoment,
Fig. 1. ROI selection from MRI of MS patients and             mean and entropy were extracted from the graylevel
normal controls.                                              difference statistics. Their mathematical expressions
Left: MRI from a MS patient; Right: MRI from a                are as below
healthy subject.                                               1.Contrast:-     CON=Σ i² PΔ(i)
A: ROI of LWM ; B: ROI of NAWM; C: ROI of                                                 i
NWM                                                            2. Angular second moment:-
                                                                                ASM= Σ (PΔ (i) )²
 Input Image                          Feature                                         i
                                   Extraction                  3.Mean:- Mean=1/m Σ iPΔ(i)
                                                                                          i
                                                               4. Entropy:- Ent= - Σ PΔ (i) log PΔ (i)
                                Pre-processing
                                                                                        i
                                                              These 4 texture features describe the texture
                                                              characteristics of image from 4 different texture
               Classification                Classification   analysis aspects.
                Using ANN                     Using SVM
                                                              B. ARTIFICIAL NEURAL NETWORK
                                                                       The Neural networks [3] developed from the
                                                              theories of how the human brain works. Many
                                    Result                    modern scientists believe the human brain is a large
                                                              collection of interconnected neurons. These neurons
 Fig.2 Block diagram of proposed work                         are connected to both sensory and motor nerves.
Methods:-                                                     Scientists believe, that neurons in the brain fire by
A. Need for Texture Analysis:-                                emitting an electrical impulse across the synapse to
         In the early Multiple sclerosis (MS) stages          other neurons, which then fire or don't depending on
when only subtle pathological changes occur, it is            certain conditions. Structure of a neuron is given in
very hard to detect MS damage in MRI by visual                fig.2
examination or conventional measures such as lesion
volume & number[5].Thus tissue discrimination
between Lesion white matter(LWM) & Normal
White Matter(NWM) is of critical importance to the
early detection of MS. Texture analysis on MRI in
essence is the analysis of Gray-level variations
between image pixels in ROIs which capture the
spatial & intensity information from the possible
microscopic MS lesions. Texture features that are
extracted by texture analysis techniques quantify both
macroscopic lesions & microscopic abnormalities
that may be undetectable to conventional measures.
                                                              Fig-2 Structure and functioning of a single neuron
Terms Used in Ttexture Analysis:
                                                                       The Artificial neural network [3] is basically
          Gray-level difference statistics is commonly
                                                              having three layers namely input layer, hidden layer
used in texture analysis. Suppose g(x,y) is a pixel
                                                              and output layer. There will be one or more hidden
point of image, the gray difference between this pixel
                                                              layers depending upon the number of dimensions of
and its neighborhood pixel g(x+Δx,y+Δy) is as                 the training samples. Neural network structure used
below:                                                        in our experiment is consist of only two hidden layers



                                                                                                     1926 | P a g e
Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and
                 Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                      Vol. 2, Issue4, July-August 2012, pp.1925-1928
having 14 neurons in the input layer and 1 neuron in
the output layer as shown in Figure 3.




                                                                Block division                 Block division



                                                                 Feature                     Feature extraction
                                                                 extraction

Fig-3 Simple Neural network Structure

          A learning problem with binary outputs (yes            Feature selection &           Feature selection
/ no or 1 / 0) is referred to as binary classification                                         &       classifier
                                                                 classifier design
problem whose output layer has only one neuron. A                                              design
learning problem with finite number of outputs is
referred to multi-class classification problem whose
output layer has more than one neuron. The examples       Fig-4    (Left) the training process flow(Right)The
of input data set (or sets) are referred to as the        tumor segmentation process flow
training data. The algorithm which takes the training
data as input and gives the output by selecting best
                                                          C.SUPPORT VECTOR MACHINE:-
one among hypothetical planes from hypothetical
                                                                    MS slices based on visual examination by
space is referred to as the learning algorithm. The
                                                          radiologist/physician may lead to missing diagnosis
approach of using examples to synthesize programs is
                                                          when a large number of MRIs are analyzed. To avoid
known as the learning methodology. When the input
                                                          the human error, an automated intelligent
data set is represented by its class membership, it is    classification system is proposed which caters the
called supervised learning and when the data is not       need for classification of image slices after
represented by class membership, the learning is          identifying abnormal MRI volume, for MS
known as unsupervised learning. There are two
                                                          identification. In this research work, advanced
different styles of training i.e., Incremental Training
                                                          classification techniques based on MATLAB
and Batch training. In incremental training the
                                                          Support Vector Machines(SVM) are proposed and
weights and biases of the network are updated each
                                                          app lied to brain image slices classification using
time an input is presented to the network. In batch
                                                          features derived from slices. Support vector machines
training the weights and biases are only updated after
                                                          are a set of related supervised learning methods
all of the inputs are presented. In this experimental
                                                          which analyze data and recognize patterns. In this
work; back propagation algorithm is applied for           paper we are using it only to train the algorithm to
learning the samples, Tan-sigmoid and log-sigmoid         recognize the lesions as well as the clean white cells.
functions are applied in hidden layer and output layer    We use only the in built MATLAB svm functions to
respectively, Gradient descent is used for adjusting      train and classify.
the weights as training methodology.
          In this paper, each pixel together with a
small square neighborhood is defined as a structure       COMPARISION OF PERFORMANCE OF
element, which is called „block‟. Further steps are all   CLASSIFIERS:-
based on the blocks. For training process, firstly                  In this paper we performed the classification
different features are extracted block by block in one    using two techniques SVM& ANN. Experiments
image. When a new image comes, only those selected        were performed on MR images. In this work, we
features are extracted and the trained classifier is      have considered two different training and test sets as
used to categorize the tumor in the image. The            explained in the earlier section. The experiments
training and detection process flow of the proposed       were carried out on PC. The performance of
method is shown in figure 4. It should be noticed that    classifier using Support Vector Machine ( SVM) &
the input images are preprocessed beforehand,             Artificial neural network (ANN) was evaluated. For
including skull stripping which eliminates the skull      comparative analysis SVM and ANN classifiers we
from the brain image and scale normalization to           have considered two different training and test sets
adjust the intensity scale of the input images.           as explained in the earlier section. The results
                                                          obtained from the SVM & ANN classifier .But SVM
                                                          has a higher accuracy of classification over ANN
                                                          classifier.


                                                                                                1927 | P a g e
Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and
                Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                     Vol. 2, Issue4, July-August 2012, pp.1925-1928
CONCLUSION
         In this study, texture analysis using SVM &
ANN based on Gray-level difference statistics was
performed on brain MRI of MS patients and normal
controls. The results suggested that texture features
of NAWM with MS patients were significant
difference from LWM and nomal controls, which is
valuable in supporting early diagnosis of MS.

REFERENCES
  [1]   M. Filippi, C. Tortorella, and M. Rovaris,
        “Magnetic resonance imaging of multiple
        sclerosis,” J Neuroimaging. vol.12, pp.289–
        301, 2002
  [2]   D.H. Miller, R.I. Grossman, S.C. Reingold
        and F. McFarlan, “The role of magnetic
        resonance techniques in understanding and
        managing multiple sclerosis” Brain.
        Vol.121, pp.3–24, 1998.
  [3]   Armspach,JP,Gounot,D,Rumbach L, “In
        vivo determination of multiexponential T2
        relaxation in the brain of patients with
        multiple sclerosis”,Magn Reson Imaging,
        vol. 9, pp107-113, 1991.
  [4]   Kurtzke JF. Rating neurological impairment
        in multiple sclerosis: an expanded disability
        status scale (EDSS). Neurology, 33,
        pp1444–52 ,1983
  [5]   Mathias JM, Tofts PS and Losseff NA,
        “Texture analysis of spinal cord pathology
        in multiple sclerosis”. Magn Reson Med,
        42:pp929–935, 1999
  [6]   Jing Zhang, Longzheng Tong, Lei Wang and
        Ning Li, “Texture analysis of multiple
        sclerosis: a comparative study”,Magnetic
        Resonance Imaging, 26, pp1160–1166, 2008
  [7]   YU Chunshui, LIN Fuchun and LI
        Kuncheng,”Study of relapsing remitting
        multiple sclerosis by using magnetization
        transfer imaging”,Chin J Med Imaging
        Technol ,Vol 21 ,No 8,pp1202-1204, 2005
  [8]   YU Chunshui, LI Kuncheng and QIN Wen,
        “Study of multiple sclerosis using diffusion
        weighted imaging”,Chin J Med Imaging
        Technol ,Vol 21 ,No 5,pp687-689 ,2005
        77846




                                                                             1928 | P a g e

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Texture Analysis Of MRI Using SVM & ANN

  • 1. Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue4, July-August 2012, pp.1925-1928 Texture Analysis Of Mri Using Svm & Ann For Multiple Sclerosis Patients Prof.Mrs.K.N.Rode (S.I.T.C.O.E.),Prof.Mr.R.T.Patil (R.I.T.C.O.E.) ABSTRACT Due to the complexity & variance of Statistics were extracted,& statistical analysis method automated MRI segmentation of brain MS GLCM(Gray-level co-occurance matrix ) was applied became a complex task. In this paper a structural between LWM,NAWM & NWM. texture analysis method on MS segmentation scheme is presented, that emphasis on structural II. PRIOR WORK analysis of MS as well as on normal tissues.. All the previous methods are classified into 4 types. Methods:- MRI of any number of MS patients & 1)Thresholding method healthy subjects were selected & that much ROI This method is frequently used for image were chosen from MS patient MRI & healthy segmentation, simple & effective method for images subject MRI(magnetic resonance imaging) for with different intensities. It has the drawback of LWM(lesion white matter),NAWM(Normal generating only two classes therefore this method appearing white matter) & NWM(Normal white fails to deal with multichannel images. It also ignores matter) respectively. All of the ROI were analysed the spatial characteristics due to which an image by gray-level difference statistics & contrast, becomes noise sensitive which corrupts the histogram angular second moment, mean & entropy those 4 of the image. texture features were extracted .Finally statistic significance was tested among three groups. An 2) Region growing method ANN & SVM are used for classification. This This technique is not fully automatic. It is approach is designed to investigate the differences also noise sensitive therefore extracted regions might of texture features among macroscopic have holes or even some discontinuitites. LWM,NAWM in & MRI from patients with MS & NWM. 3) Shape based method This method has limited degree of freedom & semi-automatic. KEYWORDS:- MS,Gray level difference 4)Supervised & unsupervised segmentation statistics, T.A.(texture analysis),MRI methods ,LWM,NAWM,NWM. I. INTRODUCTION III. PROPOSED WORK:- Multiple sclerosis is a chronic idiopathic In this paper texture analysis method using disease resulted in multiple areas of inflammatory SVM & ANN is presented & applied to MRI brain demyelination in the CNS(Central nervous MS segmentation. Firstly sample MR images will be system).MS lesion formation often leads to selected & then the MR image is divided into small unpredictable cognitive decline & Physical elements to extract the different kinds of features disability.Due to the sensitivity in detecting MS which quantify the intensity, symmetry & texture lesions,MRI has become an important tool for properties of different tissues. diagnosing MS & monitoring its progression. We used gray-level co-occurrence matrix Over the past decade,the demand for approach introduced by Harlick [7] which is well- accurate detection & quantification of MRI known statistical method for extracting second-order abnormalities increase rapidly.Thus it is crucial to texture information for images. The assumption is use image analysis techniques to extract that local texture of tumor cells is highly different diagnostically significant image features[3]. from local texture of other biological tissues. From Texture analysis refers to a set of processes GLCM we extracted the textures features like applied to characterize spatial variations of pixel’s contrast,angular second moment,mean & entropy.For gray levels in an image.Texture analysis which is segmentation & classification we used ANN & SVM used to quantify pathological changes that may be to detect various Tissues like white matter gray undetectable by conventioalMRI techniques,has the matter & MS. potential to detect the subtle changes in tissues & supports early diagnosis of MS. In this paper,texture analysis was performed on brain MRI of MS patients & normal controls.Texture features from gray-level difference 1925 | P a g e
  • 2. Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue4, July-August 2012, pp.1925-1928 gΔ(x,y)=g(x,y)-g(x+Δx,y+Δy) (1) g Δ(x,y) in (1) is defined as gray difference. gΔ(x,y) of each pixel is caculated by moving (x,y) throught the image.Suppose gray difference level is m , the number of each gΔ(x,y) is counted up,and histogram of gΔ(x,y) is drawn.Finally occurred probability P Δ (i) of each gΔ(x,y) is caculated based on histogram Texture characteristic is closely related to PΔ(i). If PΔ(i) changes rapidly along with variation of i, texture of image is coarse, whereas it is fine if PΔ(i) distributes smoothly. In this study , texture features including contrast,angular secondmoment, Fig. 1. ROI selection from MRI of MS patients and mean and entropy were extracted from the graylevel normal controls. difference statistics. Their mathematical expressions Left: MRI from a MS patient; Right: MRI from a are as below healthy subject. 1.Contrast:- CON=Σ i² PΔ(i) A: ROI of LWM ; B: ROI of NAWM; C: ROI of i NWM 2. Angular second moment:- ASM= Σ (PΔ (i) )² Input Image Feature i Extraction 3.Mean:- Mean=1/m Σ iPΔ(i) i 4. Entropy:- Ent= - Σ PΔ (i) log PΔ (i) Pre-processing i These 4 texture features describe the texture characteristics of image from 4 different texture Classification Classification analysis aspects. Using ANN Using SVM B. ARTIFICIAL NEURAL NETWORK The Neural networks [3] developed from the theories of how the human brain works. Many Result modern scientists believe the human brain is a large collection of interconnected neurons. These neurons Fig.2 Block diagram of proposed work are connected to both sensory and motor nerves. Methods:- Scientists believe, that neurons in the brain fire by A. Need for Texture Analysis:- emitting an electrical impulse across the synapse to In the early Multiple sclerosis (MS) stages other neurons, which then fire or don't depending on when only subtle pathological changes occur, it is certain conditions. Structure of a neuron is given in very hard to detect MS damage in MRI by visual fig.2 examination or conventional measures such as lesion volume & number[5].Thus tissue discrimination between Lesion white matter(LWM) & Normal White Matter(NWM) is of critical importance to the early detection of MS. Texture analysis on MRI in essence is the analysis of Gray-level variations between image pixels in ROIs which capture the spatial & intensity information from the possible microscopic MS lesions. Texture features that are extracted by texture analysis techniques quantify both macroscopic lesions & microscopic abnormalities that may be undetectable to conventional measures. Fig-2 Structure and functioning of a single neuron Terms Used in Ttexture Analysis: The Artificial neural network [3] is basically Gray-level difference statistics is commonly having three layers namely input layer, hidden layer used in texture analysis. Suppose g(x,y) is a pixel and output layer. There will be one or more hidden point of image, the gray difference between this pixel layers depending upon the number of dimensions of and its neighborhood pixel g(x+Δx,y+Δy) is as the training samples. Neural network structure used below: in our experiment is consist of only two hidden layers 1926 | P a g e
  • 3. Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue4, July-August 2012, pp.1925-1928 having 14 neurons in the input layer and 1 neuron in the output layer as shown in Figure 3. Block division Block division Feature Feature extraction extraction Fig-3 Simple Neural network Structure A learning problem with binary outputs (yes Feature selection & Feature selection / no or 1 / 0) is referred to as binary classification & classifier classifier design problem whose output layer has only one neuron. A design learning problem with finite number of outputs is referred to multi-class classification problem whose output layer has more than one neuron. The examples Fig-4 (Left) the training process flow(Right)The of input data set (or sets) are referred to as the tumor segmentation process flow training data. The algorithm which takes the training data as input and gives the output by selecting best C.SUPPORT VECTOR MACHINE:- one among hypothetical planes from hypothetical MS slices based on visual examination by space is referred to as the learning algorithm. The radiologist/physician may lead to missing diagnosis approach of using examples to synthesize programs is when a large number of MRIs are analyzed. To avoid known as the learning methodology. When the input the human error, an automated intelligent data set is represented by its class membership, it is classification system is proposed which caters the called supervised learning and when the data is not need for classification of image slices after represented by class membership, the learning is identifying abnormal MRI volume, for MS known as unsupervised learning. There are two identification. In this research work, advanced different styles of training i.e., Incremental Training classification techniques based on MATLAB and Batch training. In incremental training the Support Vector Machines(SVM) are proposed and weights and biases of the network are updated each app lied to brain image slices classification using time an input is presented to the network. In batch features derived from slices. Support vector machines training the weights and biases are only updated after are a set of related supervised learning methods all of the inputs are presented. In this experimental which analyze data and recognize patterns. In this work; back propagation algorithm is applied for paper we are using it only to train the algorithm to learning the samples, Tan-sigmoid and log-sigmoid recognize the lesions as well as the clean white cells. functions are applied in hidden layer and output layer We use only the in built MATLAB svm functions to respectively, Gradient descent is used for adjusting train and classify. the weights as training methodology. In this paper, each pixel together with a small square neighborhood is defined as a structure COMPARISION OF PERFORMANCE OF element, which is called „block‟. Further steps are all CLASSIFIERS:- based on the blocks. For training process, firstly In this paper we performed the classification different features are extracted block by block in one using two techniques SVM& ANN. Experiments image. When a new image comes, only those selected were performed on MR images. In this work, we features are extracted and the trained classifier is have considered two different training and test sets as used to categorize the tumor in the image. The explained in the earlier section. The experiments training and detection process flow of the proposed were carried out on PC. The performance of method is shown in figure 4. It should be noticed that classifier using Support Vector Machine ( SVM) & the input images are preprocessed beforehand, Artificial neural network (ANN) was evaluated. For including skull stripping which eliminates the skull comparative analysis SVM and ANN classifiers we from the brain image and scale normalization to have considered two different training and test sets adjust the intensity scale of the input images. as explained in the earlier section. The results obtained from the SVM & ANN classifier .But SVM has a higher accuracy of classification over ANN classifier. 1927 | P a g e
  • 4. Prof.Mrs.K.N.Rode, Prof.Mr.R.T.Patil/ International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue4, July-August 2012, pp.1925-1928 CONCLUSION In this study, texture analysis using SVM & ANN based on Gray-level difference statistics was performed on brain MRI of MS patients and normal controls. The results suggested that texture features of NAWM with MS patients were significant difference from LWM and nomal controls, which is valuable in supporting early diagnosis of MS. REFERENCES [1] M. Filippi, C. Tortorella, and M. Rovaris, “Magnetic resonance imaging of multiple sclerosis,” J Neuroimaging. vol.12, pp.289– 301, 2002 [2] D.H. Miller, R.I. Grossman, S.C. Reingold and F. McFarlan, “The role of magnetic resonance techniques in understanding and managing multiple sclerosis” Brain. Vol.121, pp.3–24, 1998. [3] Armspach,JP,Gounot,D,Rumbach L, “In vivo determination of multiexponential T2 relaxation in the brain of patients with multiple sclerosis”,Magn Reson Imaging, vol. 9, pp107-113, 1991. [4] Kurtzke JF. Rating neurological impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology, 33, pp1444–52 ,1983 [5] Mathias JM, Tofts PS and Losseff NA, “Texture analysis of spinal cord pathology in multiple sclerosis”. Magn Reson Med, 42:pp929–935, 1999 [6] Jing Zhang, Longzheng Tong, Lei Wang and Ning Li, “Texture analysis of multiple sclerosis: a comparative study”,Magnetic Resonance Imaging, 26, pp1160–1166, 2008 [7] YU Chunshui, LIN Fuchun and LI Kuncheng,”Study of relapsing remitting multiple sclerosis by using magnetization transfer imaging”,Chin J Med Imaging Technol ,Vol 21 ,No 8,pp1202-1204, 2005 [8] YU Chunshui, LI Kuncheng and QIN Wen, “Study of multiple sclerosis using diffusion weighted imaging”,Chin J Med Imaging Technol ,Vol 21 ,No 5,pp687-689 ,2005 77846 1928 | P a g e