ROC assessment of compressed wrist radiographs

The effect of JPEG2000 compression on detection of skull fractures

RATIONAL AND OBJECTIVES

To investigate the effect of the Joint Photographic Experts Group (JPEG2000) 30:1 and 60:1 lossy compression on the detection of cranial vault fractures when compared to JPEG2000 lossless compression.

MATERIALS AND METHODS

Fifty cranial computed tomography (CT) images were processed with three different level of JPEG2000 compression (lossless, 30:1 lossy, and 60:1 lossy) creating three sets of images. These were presented to five musculoskeletal specialists and five neuroradiologists. Each reader read at two of the three compression levels. Twenty-two cases contained a single fracture; the remaining 28 cases contained no fractures. Observers were asked to identify the presence or absence of a fracture, to locate its site, and rate their degree of confidence. Receiver operating characteristic (ROC), jackknife free-response receiver operating characteristic (JAFROC) and the Dorfman-Berbaum-Metz multiple reader multiple case (DBM-MRMC) analyses were used to explore differences between the lossless and lossy compressed images.

RESULTS

JPEG2000 lossless and 30:1 lossy compression demonstrated no significant difference in their performance with JAFROC and DBM-MRMC analysis (P < .416); however, JPEG2000 30:1 lossy compression demonstrated significantly better performance than 60:1 lossy compression (P < .016). A significant increase in misplaced confidence ratings was also seen with 60:1 (P < .037) over 30:1 lossy and lossless compression.

CONCLUSION

JPEG2000 60:1 compression degrades the detection of skull fractures significantly while increasing the confidence with which readers rate fractures compared with 30:1 lossy and lossless compression. JPEG2000 30:1 lossy compression does not significantly change performance when compared to JPEG2000 lossless for the detection of skull fractures on CT.

Medical image compression by sampling DCT coefficients

Advanced medical imaging requires storage of large quantities of digitized clinical data. Due to the constrained bandwidth and storage capacity, however, a medical image must be compressed before transmission and storage. Among the existing compression schemes, transform coding is one of the most effective strategies. Image data in spatial domain will be transformed into spectral domain after the transformation to attain more compression gains. Based on the quantization strategy, coefficients of low amplitude in the transformed domain are discarded and significant coefficients are preserved to increase the compression ratio without inducing salient distortion. In this paper, we use an adaptive sampling algorithm by calculating the difference area between correct points and predicted points to decide the significant coefficients. Recording or transmitting the significant coefficients instead of the whole coefficients achieves the goal of compression. On the decoder side, a linear equation is employed to reconstruct the coefficients between two sequent significant coefficients. Simulations are carried out to different medical images, which include sonogram, angiogram, computed tomography, and X-ray images. Consequent images demonstrate the performance at compression ratios of 20-45 without perceptible alterations. In addition, two doctors are invited to verify that the decoded quality is acceptable for practical diagnosis. Therefore, our proposed method is found to preserve information fidelity while reducing the amount of data.