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    MEDICAL IMAGING

    BME 229F2014

    (with slides from Drs. H. Keller, A. Clerk, P. Sprawls)

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    Imaging Chain

    Properties of medical images

    Visibility

    PSF and MTF

    Computer Thomography

    Outline

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    Generic Imaging Model

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    Imaging chain

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    blurring and noise sources of error causes

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    Converting Tissue Characteristics into a Visual Image

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    Contrast sensitivity

    Increasing Contrast Sensitivity Increases Image

    Contrast and the Visibility of Objects in the Body

    contrast-->---

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    Effect of Contrast Sensitivity on Object Visibility

    too much constant--- you loose details

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    Effect of Blur on Visibility of Image Detail

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    Effect of Noise on Object Visibility

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    Viewing Condition Factors That Affect Object Visibility

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    Effect of Viewing Conditions on Object Visibility

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    Sensitivity and Specificity

    --for damages

    we have a damage normal tissue

    not

    100%

    sure

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    True and False Decisions

    Relationship of True and False Diagnostic Decisionsto Sensitivity and Specificity

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    Sensitivity and Specificity

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    ROC curve I

    Comparison of ROC Curves for an Ideal Diagnostic Procedurewith One that Produces No Useful Information

    ------>means method

    does not work

    100%speci and sensi

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    ROC curve II

    An ROC Curve for a Specific Imaging Procedure. The Actual

    Operating Point is Determined by Characteristics of the Observer

    -75 % and higher just acceptable-less than that not acceptable as

    less than 50% not at all accpetable-

    with computer tomography

    accuracy ha improved

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    Setting a threshold

    is low when

    specificity is much higher

    ?

    is high whensensitivity much higher

    than specif?

    the tresh hold

    ---faulse positive specifity

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    X-ray Imaging Chain

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    Each step adds sources of

    imperfections that will

    subsequently be propagated

    through the chain. The main

    sources are:

    ! Blur

    !

    Noise

    X-ray imaging chain

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    Imaging Process

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    Parameters that describe image quality:-Object and image contrast

    -Spatial resolution: determined by blur

    -Contrast resolution: determined by noise

    -Field-of-View, Voxel Size: determined byrecording process (detector) and reconstruction.

    -Temporal resolution (for dynamic or 4D

    imaging)

    Descriptors of Medical Images

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    Contrast

    In x-ray images, contrast refers to the

    difference in visible gray scales (imagecontrast) seen as a result of differences in

    attenuation (object contrast).

    Image contrast is determined by: density,

    material, thickness (projection imaging only),

    x-ray tube settings (voltage, mAs), scatter.

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    Object contrast and image contrast

    ligh

    worse contrast

    Bl d i

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    Every imaging system produces a blurred(unsharp) image.

    Sources of blur:

    -Geometry: finite source size, distance

    between source and object, distance between

    object and detector

    -Detector blur-Object/patient motion

    Blurred images

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    (benz)

    Bl i

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    Blur size

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    Bl Sh

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    Blur Shape

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    Bl Di t ib ti P tt

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    Blur Distribution Patterns

    Bl d i

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    Blurred images

    Bl d i d

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    Blurred images: edges

    Blurred images: Point Spread Function

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    Blurred images: Point Spread Function

    Vi ibilit f d t il

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    Visibility of details

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    Effect of Blur on Resolution

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    Effect of Blur on Resolution

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    cycle per mmsometimes

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    MODULATION TRANSFER FUNCTION (MTF)

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    MODULATION TRANSFER FUNCTION (MTF)

    The Relationship

    of an Image

    Spatial Frequency

    Spectrum to theObject Spectrum

    and the MTF of the

    Imaging System

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    1:2:

    3:

    Blur defines spatial resolution

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    Spatial resolution is the ability to sharply andclearly define the extent or shape of features

    within an image.

    Spatial resolution defines how close two

    features (usually high contrast objects) can be

    and still be resolved.

    Blur defines spatial resolution

    Spatial Resolution

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    Spatial Resolution

    how well canwe distinguish

    these two

    objects?

    Spatial Resolution

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    Spatial Resolution

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    Comparison of Blur and Resolution Values for

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    p

    Different Imaging Methods

    Image Noise

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    Image Noise

    Quantum Noise

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    Quantum Noise

    Random Image Noise

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    Random Image Noise

    Low-Contrast Resolution

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    Low Contrast Resolution

    Contrast Resolution

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    Contrast Resolution

    High- and low-contrast resolution

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    High and low contrast resolutiontil here

    High- and low-contrast resolution

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    High and low contrast resolution

    Field of view (FOV)

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    Field of view (FOV)

    Voxel size

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    Voxel size

    Voxel size

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    Voxel size

    Voxel size

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    Voxel size

    Voxel size

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    o e s e

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    Digital Image Processing

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    g g g

    Display: Level and Window

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    p y

    Temporal resolution

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    Images take time to acquire

    ~1 min for CT

    ~ 3 min for MR

    ~ 8 min for PET

    Motion can occur as an artifact withdifferent characteristics in each

    modality

    p

    Computed Tomography

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    p g p y

    Beers Law

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    Tomography image reconstruction

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    g p y g

    The concept of back projection

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    p p j

    Image reconstruction in 2 views

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    g

    First Generation CT

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    First Generation CT

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    Contemporary CT

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    y

    Contemporary CT

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    Conventional X-ray versus CT

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    Conventional X ray versus CT

    Conventional X-ray CT

    3D CT

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    3D CT