KEYWORDS: Signal detection, Image quality, Breast, Image processing, Image analysis, Medical imaging, Digital mammography, Digital image processing, Gold, Radiology
The channelized-Hotelling observer (CHO) was investigated as a surrogate of human observers in task-based image quality assessment. The CHO with difference-of-Gaussian (DoG) channels has shown potential for the prediction of human detection performance in digital mammography (DM) images. However, the DoG channels employ parameters that describe the shape of each channel. The selection of these parameters influences the performance of the DoG CHO and needs further investigation. The detection performance of the DoG CHO was calculated and correlated with the detection performance of three humans who evaluated DM images in 2-alternative forced-choice experiments. A set of DM images of an anthropomorphic breast phantom with and without calcification-like signals was acquired at four different dose levels. For each dose level, 200 square regions-of-interest (ROIs) with and without signal were extracted. Signal detectability was assessed on ROI basis using the CHO with various DoG channel parameters and it was compared to that of the human observers. It was found that varying these DoG parameter values affects the correlation (r2) of the CHO with human observers for the detection task investigated. In conclusion, it appears that the the optimal DoG channel sets that maximize the prediction ability of the CHO might be dependent on the type of background and signal of ROIs investigated.
The channelized-Hotelling observer (CHO) was investigated on the ability to predict the human detection performance in order to assess clinical image quality objectively. CHO applied three user-selectable difference of Gaussian (DoG) channels on the images. The choice of the parameter values that comprise the DoG channel-sets of the CHO was investigated. In order to select the optimal channels, the CHO performance was compared to that of humans who scored digital mammography (DM) images in 2-alternative forced choice experiments. Square regions-of-interest (ROI)s from DM images of an anthropomorphic breast phantom with and without calcification-like signals were extracted. Images at four dose levels were acquired and the resulting signal detectability was assessed using the CHO with various DoG channel parameters. It was found that varying these parameter values affects the correlation (r2) of the CHO with human observers for the detection task investigated. It appears that the DoG channel-sets need to be adapted to the frequency content of the signals and backgrounds present in the DM images.
Mammography images undergo vendor-specific processing, which may be nonlinear, before radiologist interpretation. Therefore, to test the entire imaging chain, the effect of image processing should be included in the assessment of image quality, which is not current practice. For this purpose, model observers (MOs), in combination with anthropomorphic breast phantoms, are proposed to evaluate image quality in mammography. In this study, the nonprewhitening MO with eye filter and the channelized Hotelling observer were investigated. The goal of this study was to optimize the efficiency of the procedure to obtain the expected signal template from acquired images for the detection of a 0.25-mm diameter disk. Two approaches were followed: using acquired images with homogeneous backgrounds (approach 1) and images from an anthropomorphic breast phantom (approach 2). For quality control purposes, a straightforward procedure using a single exposure of a single disk was found adequate for both approaches. However, only approach 2 can yield templates from processed images since, due to its nonlinearity, image postprocessing cannot be evaluated using images of homogeneous phantoms. Based on the results of the current study, a phantom should be designed, which can be used for the objective assessment of image quality.
KEYWORDS: Digital breast tomosynthesis, Breast, Visualization, Digital mammography, Neodymium, Mammography, Reconstruction algorithms, Breast cancer, Breast imaging, Sensors
Digital breast tomosynthesis (DBT) provides superior breast cancer detection performance compared to digital mammography (DM), but it is unclear whether DBT alone is sufficient to accurately visualize lesions with calcifications, or supplemental DM is needed. In this work, we performed a retrospective observer study to assess and compare the depiction of calcifications on DM, DBT, and synthetic mammography (SM). Eighty views from 40 lesions with calcifications in 39 patients acquired with a wide-angle DBT system were included (two views per case - cranio-caudal and medio-lateral oblique). Four experienced researchers (3, 10, 11, 21 years) in breast imaging scored the images. For each case, the regions-of-interest containing calcifications in DM, DBT and SM were shown simultaneously. The readers ranked (ties allowed) the three modalities for the depiction of calcifications and assessed if more blurring was present in DM or DBT. DM was ranked as the best modality to depict calcification lesions in 84% of the cases, DBT in 22%, and SM in 7% (P<0.001). Similarly, for 86% of the views, DBT had more blurring of the calcifications than DM. In some cases, DBT showed higher contrast of calcifications providing better visualization, but worse characterization due to signal blurring. For cases with subtle calcifications, the higher noise of DBT images deteriorated their visualization. SM was preferred over DBT for large clusters, while it failed in some cases to display any calcifications. In conclusion, our results show the current limitations of DBT and its derived SM to depict calcifications in comparison to DM.
KEYWORDS: Image quality, Breast, Signal detection, Signal to noise ratio, Mammography, Image processing, Image analysis, Signal attenuation, Image segmentation
The use of model observers for image quality assessment in digital mammography is currently being considered. Model observers assign decision variables to signal present and signal absent images which, if they are independent, can be used as a measure of performance. In this study, the impact of different dependencies at pixel level between the signal present and signal absent images were studied for the detection of 0.25 mm and 2.5 mm diameter disk-shaped objects. Clinical images were acquired on an Amulet Innovality (FujiFilm, Tokio, Japan) mammography unit and modified multiple times to appear as acquired at 75% of the original dose level and to simulate different noise realizations. From these modified images, regions of interest (ROIs), with and without an embedded signal were obtained. Subsequently, detection experiments were created for which the images with and without embedded signals had: 1) exactly the same background structures, 2) the same background structures but different quantum noise realizations, and 3) completely different background structures. The ROIs were evaluated using a channelized Hotelling observer (CHO) with a dense difference of Gaussian channel set. It was found that if the background structures within the ROIs with and without signal are dependent, the CHO decision variables also show strong dependencies. However, the performance measurement of the CHO yielded values that were not affected by the dependency in pixel values. This finding is important for future developments of phantom-based image quality analysis in mammography using model observers when using a single or a limited number of anthropomorphic phantoms.
Model observers (MOs) are being investigated for image quality assessment in full-field digital mammography (FFDM). Signal templates for the non-prewhitening MO with eye filter (NPWE) were formed using acquired FFDM images. A signal template was generated from acquired images by averaging multiple exposures resulting in a low noise signal template. Noise elimination while preserving the signal was investigated and a methodology which results in a noise-free template is proposed. In order to deal with signal location uncertainty, template shifting was implemented. The procedure to generate the template was evaluated on images of an anthropomorphic breast phantom containing microcalcification-related signals. Optimal reduction of the background noise was achieved without changing the signal. Based on a validation study in simulated images, the difference (bias) in MO performance from the ground truth signal was calculated and found to be <1%. As template generation is a building stone of the entire image quality assessment framework, the proposed method to construct templates from acquired images facilitates the use of the NPWE MO in acquired images.
Standard methods to quantify image quality (IQ) may not be adequate for clinical images since they depend on uniform backgrounds and linearity. Statistical model observers are not restricted to these limitations and might be suitable for IQ evaluation of clinical images. One of these statistical model observers is the channelized Hotelling observer (CHO), where the images are filtered by a set of channels. The aim of this study was to evaluate six different channel sets, with an additional filter to simulate the human contrast sensitivity function (CSF), in their ability to predict human observer performance. For this evaluation a two alternative forced choice experiment was performed with two types of background structures (white noise (WN) and clustered lumpy background (CLB)), 5 disk-shaped objects with different diameters and 3 different signal energies. The results show that the correlation between human and model observers have a diameter dependency for some channel sets in combination with CLBs. The addition of the CSF reduces this diameter dependency and in some cases improves the correlation coefficient between human- and model observer. For the CLB the Partial Least Squares channel set shows the highest correlation with the human observer (r2=0.71) and for WN backgrounds it was the Gabor-channel set with CSF (r2=0.72). This study showed that for some channels there is a high correlation between human and model observer, which suggests that the CHO has potential as a tool for IQ analysis of digital mammography systems.
Breast tomosynthesis is an imaging modality that recently became available for breast examination. For conventional
projection mammography quality control procedures are well described. For breast tomosynthesis, on the other hand,
such procedures have not yet been established. In this paper we propose a simple method and phantom for daily quality
control (DQC). With DQC image quality problems arising after acceptance of the system should be detected. Therefore,
the DQC procedure needs to monitor the stability of the most critical components of the system over time. For breast
tomosynthesis we assume that the most critical items are the image receptor, X-ray tube and the tomosynthesis motion.
In the proposed procedure the image receptor homogeneity and system stability are evaluated using an image of a
homogeneous block of PMMA. The z-resolution is assumed to be dependent on the tomosynthesis motion. To monitor
this motion the nominal z-resolution using the slice sensitive profile is measured. Shading artefacts that arise due to
objects with high attenuation are also typical for tomosynthesis systems. Analysing those artefacts may provide
additional information about the tomosynthesis motion. The proposed DQC procedure has been evaluated on two
different breast tomosynthesis systems: A multi slit scanning system and a system using a stationary a-Se detector.
Preliminary results indicate that the proposed method is useful for DQC, although some minor changes to the phantoms
are advised. To verify that this method detects image quality problems sufficiently, more experience with different DBT
systems, over longer periods of time are needed.
In digital mammography noise characteristics are measured in quality control procedures. In the European Guidelines a
method of measurement to investigate noise in digital mammography systems was proposed to evaluate the presence of
additional noise beside quantum noise. However this method of noise analysis does not discriminate sufficiently between
systems with and without additional noise. Therefore a different noise analysis is proposed. In this analysis the noise of a
digital system is subdivided into three components: electronic, quantum and structured noise and the noise dose
dependency of these components is studied. The usefulness of this analysis in both the frequency and spatial domain is
investigated on a number of DR and CR systems.
The results show that large differences between digital mammography systems exists. Some systems do have a large
range in detector dose for which quantum noise is the largest noise component. For one system however, electronic and
structured noise are more dominant. In addition to the differences between systems smaller differences in noise
characteristics exist between different target-filter combinations on a particular system. These differences might be
attributed to the limited flatfield calibration, the heel effect and difference in sensitivity. The noise analysis in both the
frequency and spatial domain give useful information about the noise characteristics of systems. The analysis in the
spatial domain is relatively easy to perform and to interpret. This analysis might be suitable for QC purposes. The
analysis in the frequency domain does give additional information and might be used for thorough investigations.
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