Pandey AK, Sharma PD, Dheer P, Parida GK, Goyal H, Patel C, Bal C, Kumar R. Investigating the Role of Global Histogram Equalization Technique for
99mTechnetium-Methylene diphosphonate Bone Scan Image Enhancement.
Indian J Nucl Med 2017;
32:283-288. [PMID:
29142344 PMCID:
PMC5672748 DOI:
10.4103/ijnm.ijnm_61_17]
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Abstract
Purpose of the Study:
99mTechnetium-methylene diphosphonate (99mTc-MDP) bone scan images have limited number of counts per pixel, and hence, they have inferior image quality compared to X-rays. Theoretically, global histogram equalization (GHE) technique can improve the contrast of a given image though practical benefits of doing so have only limited acceptance. In this study, we have investigated the effect of GHE technique for 99mTc-MDP-bone scan images.
Materials and Methods:
A set of 89 low contrast 99mTc-MDP whole-body bone scan images were included in this study. These images were acquired with parallel hole collimation on Symbia E gamma camera. The images were then processed with histogram equalization technique. The image quality of input and processed images were reviewed by two nuclear medicine physicians on a 5-point scale where score of 1 is for very poor and 5 is for the best image quality. A statistical test was applied to find the significance of difference between the mean scores assigned to input and processed images.
Results:
This technique improves the contrast of the images; however, oversaturation was noticed in the processed images. Student's t-test was applied, and a statistically significant difference in the input and processed image quality was found at P < 0.001 (with α = 0.05). However, further improvement in image quality is needed as per requirements of nuclear medicine physicians.
Conclusion:
GHE techniques can be used on low contrast bone scan images. In some of the cases, a histogram equalization technique in combination with some other postprocessing technique is useful.
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