Making an accurate diagnosis of nasopharyngeal carcinoma (NPC) disease is a challenging task that involves many parties such as radiology specialists often times need to delineate NPC boundaries on various tumor-bearing endoscopic images. It is a tedious and time-consuming operation exceedingly based on doctors and experience of radiologist. NPC has complex and irregular structures which makes it difficult to diagnose even by an expert physician. However, the diagnosis accuracy results of such methods are still insignificant and need improvement in order to manifest robust solution. The study aim is to develop and propose a new automatic classification of NPC tumor using machine learning techniques and feature-based decision-level fusion scheme from endoscopic images. We have implemented the fusion of the three image texture-based schemes (local binary patterns, the first-order statistics histogram properties, and histogram of gray scale) at the decision level and tested the performance of this scheme using the same experimental setup in the previous section for simple score-level fusion, but for comparison, We used the classifiers methods which are support vector machines (SVM), k-nearest neighbors’ algorithm, and artificial neural network (ANN). The results demonstrate that the majority rule for decision-based fusion is outperformed considerably by the single best performing feature scheme (FFGF) for the SVM classifier, but for the ANN and KNN classifier it is significantly outperformed by each of the components features. The classifiers approaches were listed a high accuracy of 94.07%, the sensitivity of 92.05%, and specificity of 93.07%.
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