The impact of the field of view (FOV) on image quality in MDCT angiography of the lower extremities

Objectives To evaluate the impact of the reconstructed field-of-view (FOV) on image quality in computed-tomography angiography (CTA) of the lower extremities. Methods A total of 100 CTA examinations of the lower extremities were acquired on a 2 × 192-slice multidetector CT (MDCT) scanner. Three different datasets were reconstructed covering both legs (standard FOV size) as well as each leg separately (reduced FOV size). The subjective image quality was evaluated for the different vessel segments (femoral, popliteal, crural, pedal) by three readers using a semi-quantitative Likert scale. Additionally, objective image quality was assessed using an automated image quality metric on a per-slice basis. Results The subjective assessment of the image quality showed an almost perfect interrater agreement. The image quality of the small FOV datasets was rated significantly higher as compared to the large datasets for all patients and vessel segments (p < 0.05) with a tendency towards a higher effect in smaller vessels. The difference of the mean scores between the group with the large FOV and small FOV was 0.68 for the femoral level, 0.83 for the popliteal level, 1.12 for the crural level, and 1.08 for the pedal level. The objective image quality metric also demonstrated a significant improvement of image quality in the small FOV datasets. Conclusions Side-separated reconstruction of each leg in CTA of the lower extremities using a small reconstruction FOV significantly improves image quality as compared to a standard reconstruction with a large FOV covering both legs. Key Points • In CT angiography of the lower legs, the side-separated reconstruction of each leg using a small field-of-views improves image quality as compared to a standard reconstruction covering both legs. • The side-separated reconstruction can be readily implemented at every commercially available CT scanner. • There is no need for additional hardware or software and no additional burden to the patient.

Impact of the COVID Pandemic on Quality Measures in a Pediatric Echocardiography Lab

Background: The risks for exposure to suspected and confirmed COVID patients during transthoracic echocardiograms (TTE) led us to endorse an abbreviated scanning protocol. We sought to determine whether this impacted the TTE quality measures that were being followed in our lab prior to the pandemic. Methods: Data were collected retrospectively for four quality measures reported quarterly in our lab: Diagnostic error rate, Appropriateness of initial outpatient TTE orders and American College of Cardiology Initial TTE Image Quality Metric (IQM) and Comprehensive Exam Metric (CEM). These measures were compared between two similar quarters in pre-COVID (2019) and COVID era (2020) for non-COVID patients. Additionally, IQM and CEM of 40 TTEs in COVID patients were compared with those of non-COVID patients. Results: The IQM and CEM scored significantly less in COVID patients compared to non-COVID patients (p<0.001 for both). Systemic and pulmonary veins, pulmonary arteries and arch were not adequately evaluated in COVID patients. In non-COVID patients, there were no significant differences in the IQM and diagnostic error rate but improvement in CEM and appropriateness of TTE orders from 2019 to 2020. There was no significant change in TTEs ordered for Rarely Appropriate indications, but the proportion of those ordered for syncope, palpitations and arrhythmias increased in 2020 compared to 2019. Conclusion: Though the diagnostic error rate did not change during the pandemic and the proportion of TTEs ordered for appropriate indications increased, the imaging quality in COVID patients was significantly compromised, especially for systemic and pulmonary veins, pulmonary arteries, and arch.

Band Selection for Dehazing Algorithms Applied to Hyperspectral Images in the Visible Range

Images captured under bad weather conditions (e.g., fog, haze, mist, dust, etc.), suffer from poor contrast and visibility, and color distortions. The severity of this degradation depends on the distance, the density of the atmospheric particles and the wavelength. We analyzed eight single image dehazing algorithms representative of different strategies and originally developed for RGB images, over a database of hazy spectral images in the visible range. We carried out a brute force search to find the optimum three wavelengths according to a new combined image quality metric. The optimal triplet of monochromatic bands depends on the dehazing algorithm used and, in most cases, the different bands are quite close to each other. According to our proposed combined metric, the best method is the artificial multiple exposure image fusion (AMEF). If all wavelengths within the range 450–720 nm are used to build a sRGB renderization of the imagaes, the two best-performing methods are AMEF and the contrast limited adaptive histogram equalization (CLAHE), with very similar quality of the dehazed images. Our results show that the performance of the algorithms critically depends on the signal balance and the information present in the three channels of the input image. The capture time can be considerably shortened, and the capture device simplified by using a triplet of bands instead of the full wavelength range for dehazing purposes, although the selection of the bands must be performed specifically for a given algorithm.

Contrast-distorted image quality assessment based on curvelet domain features

Contrast is one of the most popular forms of distortion. Recently, the existing image quality assessment algorithms (IQAs) works focusing on distorted images by compression, noise and blurring. Reduced-reference image quality metric for contrast-changed images (RIQMC) and no reference-image quality assessment (NR-IQA) for contrast-distorted images (NR-IQA-CDI) have been created for CDI. NR-IQA-CDI showed poor performance in two out of three image databases, where the pearson correlation coefficient (PLCC) were only 0.5739 and 0.7623 in TID2013 and CSIQ database, respectively. Spatial domain features are the basis of NR-IQA-CDI architecture. Therefore, in this paper, the spatial domain features are complementary with curvelet domain features, in order to take advantage of the potent properties of the curvelet in extracting information from images such as multiscale and multidirectional. The experimental outcome rely on K-fold cross validation (K ranged 2-10) and statistical test showed that the performance of NR-IQA-CDI rely on curvelet domain features (NR-IQA-CDI-CvT) significantly surpasses those which are rely on five spatial domain features.

Image Quality Assessment without Reference by Combining Deep Learning-Based Features and Viewing Distance

An abundance of objective image quality metrics have been introduced in the literature. One important essential aspect that perceived image quality is dependent on is the viewing distance from the observer to the image. We introduce in this study a novel image quality metric able to estimate the quality of a given image without reference for different viewing distances between the image and the observer. We first select relevant patches from the image using saliency information. For each patch, a feature vector is extracted from a convolutional neural network model and concatenated at the viewing distance, for which the quality is predicted. The resulting vector is fed to fully connected layers to predict subjective scores for the considered viewing distance. The proposed method was evaluated using the Colourlab Image Database: Image Quality and Viewing Distance-changed Image Database. Both databases provide subjective scores at two different viewing distances. In the Colourlab Image Database: Image Quality we obtain a Pearson correlation of 0.87 at both 50 cm and 100 cm viewing distances, while in the Viewing Distance-changed Image Database we obtained a Pearson correlation of 0.93 and 0.94 at viewing distance of four and six times the image height. The results show the efficiency of our method and its generalization ability.

Quality Assessment of 3D Synthesized Images Based on Textural and Structural Distortion Estimation

Emerging 3D-related technologies such as augmented reality, virtual reality, mixed reality, and stereoscopy have gained remarkable growth due to their numerous applications in the entertainment, gaming, and electromedical industries. In particular, the 3D television (3DTV) and free-viewpoint television (FTV) enhance viewers’ television experience by providing immersion. They need an infinite number of views to provide a full parallax to the viewer, which is not practical due to various financial and technological constraints. Therefore, novel 3D views are generated from a set of available views and their depth maps using depth-image-based rendering (DIBR) techniques. The quality of a DIBR-synthesized image may be compromised for several reasons, e.g., inaccurate depth estimation. Since depth is important in this application, inaccuracies in depth maps lead to different textural and structural distortions that degrade the quality of the generated image and result in a poor quality of experience (QoE). Therefore, quality assessment DIBR-generated images are essential to guarantee an appreciative QoE. This paper aims at estimating the quality of DIBR-synthesized images and proposes a novel 3D objective image quality metric. The proposed algorithm aims to measure both textural and structural distortions in the DIBR image by exploiting the contrast sensitivity and the Hausdorff distance, respectively. The two measures are combined to estimate an overall quality score. The experimental evaluations performed on the benchmark MCL-3D dataset show that the proposed metric is reliable and accurate, and performs better than existing 2D and 3D quality assessment metrics.