Nur Diyana Kamarudin, Chia Yee Ooi, Tadaaki Kawanabe, Xiaoyu Mi, Hiroshi Odaguchi, Toshihiko Hanawa, Fuminori Kobayashi


In computerized tongue diagnostic system, tongue body color has been one of the essential features that contain rich information for diagnosing disease. However, tongue body color measurement can be influenced by the tongue coating color and other ineffective features such as significant coatings, shadows, teeth mark and crackles. This paper presents a fast processing segmentation algorithm using Hue, Saturation and Value (HSV) color space transformation to segment and remove these ineffective features aiming to have an accurate color measurement for online diagnosis. The newly devised Brightness Conformable Multiplier (BCM) has been proposed to automatically adjust the threshold brightness based on three conditions of lower perioral area’s brightness, ; when  is smaller than its standard deviation,  is greater than its standard deviation and otherwise. Besides, the Modified Sequential Algorithm (MSA) has been proposed to offer fast processing algorithm of 1.445 seconds and better segmentation. The successful segmentation rate was recorded as 90%. Furthermore, color measurement is carried out on the segmented samples and the analysis showed that the dispersion range of tongue body color measurement is small. This indicates a convincing result as the color boundary among light red, red and deep red tongue has been determined precisely. 


Kampo medicine, tongue diagnosis, segmentation algorithm, threshold brightness analysis, tongue color analysis

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DOI: https://doi.org/10.11113/jt.v78.7129


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