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Journal of Electronic Imaging

How much image noise can be added in cardiac x-ray imaging without loss in perceived image quality?
Author(s): Amber J. Gislason-Lee; Asli Kumcu; Stephen M. Kengyelics; David S. Brettle; Laura A. Treadgold; Mohan Sivananthan; Andrew G. Davies
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Paper Abstract

Cardiologists use x-ray image sequences of the moving heart acquired in real-time to diagnose and treat cardiac patients. The amount of radiation used is proportional to image quality; however, exposure to radiation is damaging to patients and personnel. The amount by which radiation dose can be reduced without compromising patient care was determined. For five patient image sequences, increments of computer-generated quantum noise (white + colored) were added to the images, frame by frame using pixel-to-pixel addition, to simulate corresponding increments of dose reduction. The noise adding software was calibrated for settings used in cardiac procedures, and validated using standard objective and subjective image quality measurements. The degraded images were viewed next to corresponding original (not degraded) images in a two-alternative-forced-choice staircase psychophysics experiment. Seven cardiologists and five radiographers selected their preferred image based on visualization of the coronary arteries. The point of subjective equality, i.e., level of degradation where the observer could not perceive a difference between the original and degraded images, was calculated; for all patients the median was 33%±15% dose reduction. This demonstrates that a 33%±15% increase in image noise is feasible without being perceived, indicating potential for 33%±15% dose reduction without compromising patient care.

Paper Details

Date Published: 27 October 2015
PDF: 14 pages
J. Electron. Imag. 24(5) 051006 doi: 10.1117/1.JEI.24.5.051006
Published in: Journal of Electronic Imaging Volume 24, Issue 5
Show Author Affiliations
Amber J. Gislason-Lee, Univ. of Leeds (United Kingdom)
Asli Kumcu, Univ. Gent (Belgium)
Stephen M. Kengyelics, Univ. of Leeds (United Kingdom)
David S. Brettle, Old Medical School (United Kingdom)
Laura A. Treadgold, Univ. of Leeds (United Kingdom)
Mohan Sivananthan, Yorkshire Heart Ctr. (United Kingdom)
Andrew G. Davies, Univ. of Leeds (United Kingdom)

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