X-Ray Enhancement Based on Component Attenuation, Contrast Adjustment, and Image Fusion

Computer-based quantitative image texture analysis using multi-collinearity diagnosis in chest X-ray images

Despite tremendous efforts devoted to the area, image texture analysis is still an open research field. This paper presents an algorithm and experimental results demonstrating the feasibility of developing automated tools to detect abnormal X-ray images based on tissue attenuation. Specifically, this work proposes using the variability characterised by singular values and conditional indices extracted from the singular value decomposition (SVD) as image texture features. In addition, the paper introduces a "tuning weight" parameter to consider the variability of the X-ray attenuation in tissues affected by pathologies. This weight is estimated using the coefficient of variation of the minimum covariance determinant from the bandwidth yielded by the non-parametric distribution of variance-decomposition proportions of the SVD. When multiplied by the two features (singular values and conditional indices), this single parameter acts as a tuning weight, reducing misclassification and improving the classic performance metrics, such as true positive rate, false negative rate, positive predictive values, false discovery rate, area-under-curve, accuracy rate, and total cost. The proposed method implements an ensemble bagged trees classification model to classify X-ray chest images as COVID-19, viral pneumonia, lung opacity, or normal. It was tested using a challenging, imbalanced chest X-ray public dataset. The results show an accuracy of 88% without applying the tuning weight and 99% with its application. The proposed method outperforms state-of-the-art methods, as attested by all performance metrics.

Adaptive enhancement of shoulder x-ray images using tissue attenuation and type-II fuzzy sets

Shoulder X-ray images typically have low contrast and high noise levels, making it challenging to distinguish and identify subtle anatomical structures. While existing image enhancement techniques are effective in improving contrast, they often overlook the enhancement of sharpness, especially when amplifying blurring and noise. These techniques may improve detail contrast but fail to maintain overall image clarity and the distinction between the target and the background. To address these issues, we propose a novel image enhancement method aimed at simultaneously improving both the contrast and sharpness of shoulder X-ray images. The method integrates automatic tissue attenuation techniques, which enhance the image contrast by removing non-essential tissue components while preserving important tissues and bones. Additionally, we apply an improved Type-II fuzzy set algorithm to further optimize image sharpness. By simultaneously enhancing contrast and sharpness, the method significantly improves image quality and detail distinguishability. When tested on certain images from the MURA dataset, the proposed method achieved the best or second-best results, outperforming five no-reference image quality assessment metrics. In comparative studies, the method demonstrated significant performance advantages over 10 contemporary X-ray image enhancement algorithms and was validated through ablation experiments to confirm the effectiveness of each module.

Pipeline for Advanced Contrast Enhancement (PACE) of Chest X-ray in Evaluating COVID-19 Patients by Combining Bidimensional Empirical Mode Decomposition and Contrast Limited Adaptive Histogram Equalization (CLAHE)

COVID-19 is a new pulmonary disease which is driving stress to the hospitals due to the large number of cases worldwide. Imaging of lungs can play a key role in the monitoring of health status. Non-contrast chest computed tomography (CT) has been used for this purpose, mainly in China, with significant success. However, this approach cannot be massively used, mainly for both high risk and cost, also in some countries, this tool is not extensively available. Alternatively, chest X-ray, although less sensitive than CT-scan, can provide important information about the evolution of pulmonary involvement during the disease; this aspect is very important to verify the response of a patient to treatments. Here, we show how to improve the sensitivity of chest X-ray via a nonlinear post-processing tool, named PACE (Pipeline for Advanced Contrast Enhancement), combining properly Fast and Adaptive Bidimensional Empirical Mode Decomposition (FABEMD) and Contrast Limited Adaptive Histogram Equalization (CLAHE). The results show an enhancement of the image contrast as confirmed by three widely used metrics: (i) contrast improvement index, (ii) entropy, and (iii) measure of enhancement. This improvement gives rise to a detectability of more lung lesions as identified by two radiologists, who evaluated the images separately, and confirmed by CT-scans. The results show this method is a flexible and an effective approach for medical image enhancement and can be used as a post-processing tool for medical image understanding and analysis.

StoolNet for Color Classification of Stool Medical Images

The color classification of stool medical images is commonly used to diagnose digestive system diseases, so it is important in clinical examination. In order to reduce laboratorians’ heavy burden, advanced digital image processing technologies and deep learning methods are employed for the automatic color classification of stool images in this paper. The region of interest (ROI) is segmented automatically and then classified with a shallow convolutional neural network (CNN) dubbed StoolNet. Thanks to its shallow structure and accurate segmentation, StoolNet can converge quickly. The sufficient experiments confirm the good performance of StoolNet and the impact of the different training sample numbers on StoolNet. The proposed method has several advantages, such as low cost, accurate automatic segmentation, and color classification. Therefore, it can be widely used in artificial intelligence (AI) healthcare.