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Semi-quantitative and qualitative assessment of breast ultrasound elastography in differentiating between malignant and benign lesions

Alhabshi SM, Rahmat K, Abdul Halim N, Aziz S, Radhika S, Gan GC, et al.

Ultrasound Med Biol, 2013 Apr;39(4):568-78.
PMID: 23384468 DOI: 10.1016/j.ultrasmedbio.2012.10.016

The purpose of this study was to evaluate the diagnostic value of qualitative and semi-quantitative assessment of ultrasound elastography in differentiating between benign and malignant breast lesions. This prospective study was conducted in two tertiary medical centers. Consecutive B-mode ultrasound and real-time elastographic images were obtained for 67 malignant and 101 benign breast lesions in 168 women. Four experienced radiologists analyzed B-mode ultrasound alone and B-mode ultrasound combined with elastography independently. Conventional ultrasound findings were classified according to the American College of Radiology Breast Imaging Reporting and Data System classification. The elastographic assessment was based on qualitative and semi-quantitative parameters (i.e., strain pattern, width ratio, strain ratio). The sensitivity and specificity of combined elastography and conventional ultrasound were significantly higher than that of conventional ultrasound alone. The sensitivity, specificity, positive predictive value and negative predictive value was 97%, 61.4%, 62.5% and 96.8%, respectively, for conventional ultrasound and 100%, 93%, 99% and 90%, respectively, for combined technique. The semi-quantitative assessment with strain ratio and width ratio in elastography were the most useful parameters in differentiating between benign and malignant breast lesions. Cut-off point values for width ratio of more than 1.1 and strain ratio of more than 5.6 showed a high predictive value of malignancy with specificities of 84% and 76%, respectively (p

Matched MeSH terms: Image Enhancement/methods
Fulltext Measurements of the stiffness and thickness of the pavement asphalt layer using the enhanced resonance search method

Zakaria NM, Yusoff NI, Hardwiyono S, Nayan KA, El-Shafie A

ScientificWorldJournal, 2014;2014:594797.
PMID: 25276854 DOI: 10.1155/2014/594797

Enhanced resonance search (ERS) is a nondestructive testing method that has been created to evaluate the quality of a pavement by means of a special instrument called the pavement integrity scanner (PiScanner). This technique can be used to assess the thickness of the road pavement structure and the profile of shear wave velocity by using the principle of surface wave and body wave propagation. In this study, the ERS technique was used to determine the actual thickness of the asphaltic pavement surface layer, while the shear wave velocities obtained were used to determine its dynamic elastic modulus. A total of fifteen locations were identified and the results were then compared with the specifications of the Malaysian PWD, MDD UKM, and IKRAM. It was found that the value of the elastic modulus of materials is between 3929 MPa and 17726 MPa. A comparison of the average thickness of the samples with the design thickness of MDD UKM showed a difference of 20 to 60%. Thickness of the asphalt surface layer followed the specifications of Malaysian PWD and MDD UKM, while some of the values of stiffness obtained are higher than the standard.

Matched MeSH terms: Image Enhancement/methods*
Fulltext Medical image visual appearance improvement using bihistogram Bezier curve contrast enhancement: data from the Osteoarthritis Initiative

Gan HS, Swee TT, Abdul Karim AH, Sayuti KA, Abdul Kadir MR, Tham WK, et al.

ScientificWorldJournal, 2014;2014:294104.
PMID: 24977191 DOI: 10.1155/2014/294104

Well-defined image can assist user to identify region of interest during segmentation. However, complex medical image is usually characterized by poor tissue contrast and low background luminance. The contrast improvement can lift image visual quality, but the fundamental contrast enhancement methods often overlook the sudden jump problem. In this work, the proposed bihistogram Bezier curve contrast enhancement introduces the concept of "adequate contrast enhancement" to overcome sudden jump problem in knee magnetic resonance image. Since every image produces its own intensity distribution, the adequate contrast enhancement checks on the image's maximum intensity distortion and uses intensity discrepancy reduction to generate Bezier transform curve. The proposed method improves tissue contrast and preserves pertinent knee features without compromising natural image appearance. Besides, statistical results from Fisher's Least Significant Difference test and the Duncan test have consistently indicated that the proposed method outperforms fundamental contrast enhancement methods to exalt image visual quality. As the study is limited to relatively small image database, future works will include a larger dataset with osteoarthritic images to assess the clinical effectiveness of the proposed method to facilitate the image inspection.

Matched MeSH terms: Image Enhancement/methods*
Fulltext Completed local ternary pattern for rotation invariant texture classification

Rassem TH, Khoo BE

ScientificWorldJournal, 2014;2014:373254.
PMID: 24977193 DOI: 10.1155/2014/373254

Despite the fact that the two texture descriptors, the completed modeling of Local Binary Pattern (CLBP) and the Completed Local Binary Count (CLBC), have achieved a remarkable accuracy for invariant rotation texture classification, they inherit some Local Binary Pattern (LBP) drawbacks. The LBP is sensitive to noise, and different patterns of LBP may be classified into the same class that reduces its discriminating property. Although, the Local Ternary Pattern (LTP) is proposed to be more robust to noise than LBP, however, the latter's weakness may appear with the LTP as well as with LBP. In this paper, a novel completed modeling of the Local Ternary Pattern (LTP) operator is proposed to overcome both LBP drawbacks, and an associated completed Local Ternary Pattern (CLTP) scheme is developed for rotation invariant texture classification. The experimental results using four different texture databases show that the proposed CLTP achieved an impressive classification accuracy as compared to the CLBP and CLBC descriptors.

Matched MeSH terms: Image Enhancement/methods*
Fulltext Local convexity-preserving C2 rational cubic spline for convex data

Abbas M, Abd Majid A, Ali JM

ScientificWorldJournal, 2014;2014:391568.
PMID: 24757421 DOI: 10.1155/2014/391568

We present the smooth and visually pleasant display of 2D data when it is convex, which is contribution towards the improvements over existing methods. This improvement can be used to get the more accurate results. An attempt has been made in order to develop the local convexity-preserving interpolant for convex data using C(2) rational cubic spline. It involves three families of shape parameters in its representation. Data dependent sufficient constraints are imposed on single shape parameter to conserve the inherited shape feature of data. Remaining two of these shape parameters are used for the modification of convex curve to get a visually pleasing curve according to industrial demand. The scheme is tested through several numerical examples, showing that the scheme is local, computationally economical, and visually pleasing.

Matched MeSH terms: Image Enhancement/methods
Time-domain reconstruction using sensitivity coefficients for limited view ultrawide band tomography

Abdullah MZ, Yin W, Bilal M, Armitage DW, Mackin R, Peyton AJ

Rev Sci Instrum, 2007 Aug;78(8):084703.
PMID: 17764343

This article addresses time-domain ultrawide band (UWB) electromagnetic tomography for reconstructing the unknown spatial characteristic of an object from observations of the arrivals of short electromagnetic (EM) pulses. Here, the determination of the first peak arrival of the EM traces constitutes the forward problem, and the inverse problem aims to reconstruct the EM property distribution of the media. In this article, the finite-difference time-domain method implementing a perfectly matched layer is used to solve the forward problem from which the system sensitivity maps are determined. Image reconstruction is based on the combination of a linearized update and regularized Landweber minimization algorithm. Experimental data from a laboratory UWB system using targets of different contrasts, sizes, and shapes in an aqueous media are presented. The results show that this technique can accurately detect and locate unknown targets in spite of the presence of significant levels of noise in the data.

Matched MeSH terms: Image Enhancement/methods*
Comparison study of the MRI shoulder PROPELLER technique with differential image quality by variation of shoulder coils

Khairi M, Zakaria F, Supar R, Mohd Z

Med J Malaysia, 2024 Mar;79(Suppl 1):74-81.
PMID: 38555889

INTRODUCTION: Motion and pulsation artifacts are the most prominent types of artifacts in Magnetic Resonance Imaging (MRI) of the shoulder. Therefore, this study examined the Periodically Rotating Overlapping Parallel Lines with Enhanced Reconstruction (PROPELLER) technique with small flex coil (SFC) and dedicated shoulder coil (DSC) for the reduction of motion and pulsation artifacts. The signalto- noise ratio (SNR) and contrast-to-noise ratio (CNR) of the standard proton density fat saturation (PDFS) pulse sequence and the PROPELLER proton density fat saturation (PROPELLER PDFS) pulse sequence were also evaluated.
MATERIALS AND METHODS: Eighteen (18) participants who met the inclusion and exclusion criteria were scanned using a standard non-contrast MRI shoulder protocol including the PDFS pulse sequence and the PROPELLER PDFS pulse sequence using a small flex coil and a dedicated shoulder coil. Two experienced musculoskeletal (MSK) radiologists evaluated and graded the presence of artifacts on the MR images and the SNR and CNR were measured quantitatively.
RESULTS: The non-parametric Wilcoxon Signed Rank test revealed a significant reduction in motion and pulsation artifacts between the PROPELLER PDFS pulse sequence and the standard PDFS pulse sequence. In addition, the nonparametric Mann-Whitney U test revealed that the mean rank of SNR for the standard sequence was statistically significant when compared to the PROPELLER sequence for both coil types. The CNR of the PROPELLER sequence was statistically significant between fat-fluid, bone-fluid, bonetendon, bone-muscle, and muscle-fluid when using SFC and DSC.
CONCLUSION: This study proved that the PROPELLER-PDFS pulse sequence effectively eliminates motion and pulsation artifacts, regardless of the coils utilised. The PROPELLERPDFS pulse sequence can therefore be implemented into the standard MRI shoulder procedure.

Matched MeSH terms: Image Enhancement/methods
Fulltext Diagnostic accuracy of digital breast tomosynthesis in combination with 2D mammography for the characterisation of mammographic abnormalities

Sanmugasiva VV, Ramli Hamid MT, Fadzli F, Rozalli FI, Yeong CH, Ab Mumin N, et al.

Sci Rep, 2020 11 26;10(1):20628.
PMID: 33244075 DOI: 10.1038/s41598-020-77456-6

This study aims to assess the diagnostic accuracy of digital breast tomosynthesis in combination with full field digital mammography (DBT + FFDM) in the charaterisation of Breast Imaging-reporting and Data System (BI-RADS) category 3, 4 and 5 lesions. Retrospective cross-sectional study of 390 patients with BI-RADS 3, 4 and 5 mammography with available histopathology examination results were recruited from in a single center of a multi-ethnic Asian population. 2 readers independently reported the FFDM and DBT images and classified lesions detected (mass, calcifications, asymmetric density and architectural distortion) based on American College of Radiology-BI-RADS lexicon. Of the 390 patients recruited, 182 malignancies were reported. Positive predictive value (PPV) of cancer was 46.7%. The PPV in BI-RADS 4a, 4b, 4c and 5 were 6.0%, 38.3%, 68.9%, and 93.1%, respectively. Among all the cancers, 76% presented as masses, 4% as calcifications and 20% as asymmetry. An additional of 4% of cancers were detected on ultrasound. The sensitivity, specificity, PPV and NPV of mass lesions detected on DBT + FFDM were 93.8%, 85.1%, 88.8% and 91.5%, respectively. The PPV for calcification is 61.6% and asymmetry is 60.7%. 81.6% of cancer detected were invasive and 13.3% were in-situ type. Our study showed that DBT is proven to be an effective tool in the diagnosis and characterization of breast lesions and supports the current body of literature that states that integrating DBT to FFDM allows good characterization of breast lesions and accurate diagnosis of cancer.

Matched MeSH terms: Radiographic Image Enhancement/methods*
A robust background correction algorithm for forensic bloodstain imaging using mean-based contrast adjustment

Lee WC, Khoo BE, Abdullah AFL

Sci Justice, 2016 May;56(3):201-209.
PMID: 27162018 DOI: 10.1016/j.scijus.2016.01.001

Background correction algorithm (BCA) is useful in enhancing the visibility of images captured in crime scenes especially those of untreated bloodstains. Successful implementation of BCA requires all the images to have similar brightness which often proves a problem when using automatic exposure setting in a camera. This paper presents an improved background correction algorithm (BCA) that applies mean-based contrast adjustment as a pre-correction step to adjust the mean brightness of images to be similar before implementing BCA. The proposed modification, namely mean-based adaptive BCA (mABCA) was tested on various image samples captured under different illuminations such as 385 nm, 415 nm and 458 nm. We also evaluated mABCA of two wavelengths (415 nm and 458 nm) and three wavelengths (415 nm, 380 nm and 458 nm) in enhancing untreated bloodstains on different surfaces. The proposed mABCA is found to be more robust in processing images captured in different brightness and thus overcomes the main issue faced in the original BCA.

Matched MeSH terms: Image Enhancement/methods*
Reducing charging effects in scanning electron microscope images by Rayleigh contrast stretching method (RCS)

Wan Ismail WZ, Sim KS, Tso CP, Ting HY

Scanning, 2011 Jul-Aug;33(4):233-51.
PMID: 21611953 DOI: 10.1002/sca.20237

To reduce undesirable charging effects in scanning electron microscope images, Rayleigh contrast stretching is developed and employed. First, re-scaling is performed on the input image histograms with Rayleigh algorithm. Then, contrast stretching or contrast adjustment is implemented to improve the images while reducing the contrast charging artifacts. This technique has been compared to some existing histogram equalization (HE) extension techniques: recursive sub-image HE, contrast stretching dynamic HE, multipeak HE and recursive mean separate HE. Other post processing methods, such as wavelet approach, spatial filtering, and exponential contrast stretching, are compared as well. Overall, the proposed method produces better image compensation in reducing charging artifacts.

Matched MeSH terms: Image Enhancement/methods*
Fulltext Realistic real-time outdoor rendering in augmented reality

Kolivand H, Sunar MS

PLoS One, 2014;9(9):e108334.
PMID: 25268480 DOI: 10.1371/journal.pone.0108334

Realistic rendering techniques of outdoor Augmented Reality (AR) has been an attractive topic since the last two decades considering the sizeable amount of publications in computer graphics. Realistic virtual objects in outdoor rendering AR systems require sophisticated effects such as: shadows, daylight and interactions between sky colours and virtual as well as real objects. A few realistic rendering techniques have been designed to overcome this obstacle, most of which are related to non real-time rendering. However, the problem still remains, especially in outdoor rendering. This paper proposed a much newer, unique technique to achieve realistic real-time outdoor rendering, while taking into account the interaction between sky colours and objects in AR systems with respect to shadows in any specific location, date and time. This approach involves three main phases, which cover different outdoor AR rendering requirements. Firstly, sky colour was generated with respect to the position of the sun. Second step involves the shadow generation algorithm, Z-Partitioning: Gaussian and Fog Shadow Maps (Z-GaF Shadow Maps). Lastly, a technique to integrate sky colours and shadows through its effects on virtual objects in the AR system, is introduced. The experimental results reveal that the proposed technique has significantly improved the realism of real-time outdoor AR rendering, thus solving the problem of realistic AR systems.

Matched MeSH terms: Image Enhancement/methods*
Fulltext Geometric feature descriptor and dissimilarity-based registration of remotely sensed imagery

Kahaki SMM, Arshad H, Nordin MJ, Ismail W

PLoS One, 2018;13(7):e0200676.
PMID: 30024921 DOI: 10.1371/journal.pone.0200676

Image registration of remotely sensed imagery is challenging, as complex deformations are common. Different deformations, such as affine and homogenous transformation, combined with multimodal data capturing can emerge in the data acquisition process. These effects, when combined, tend to compromise the performance of the currently available registration methods. A new image transform, known as geometric mean projection transform, is introduced in this work. As it is deformation invariant, it can be employed as a feature descriptor, whereby it analyzes the functions of all vertical and horizontal signals in local areas of the image. Moreover, an invariant feature correspondence method is proposed as a point matching algorithm, which incorporates new descriptor's dissimilarity metric. Considering the image as a signal, the proposed approach utilizes a square Eigenvector correlation (SEC) based on the Eigenvector properties. In our experiments on standard test images sourced from "Featurespace" and "IKONOS" datasets, the proposed method achieved higher average accuracy relative to that obtained from other state of the art image registration techniques. The accuracy of the proposed method was assessed using six standard evaluation metrics. Furthermore, statistical analyses, including t-test and Friedman test, demonstrate that the method developed as a part of this study is superior to the existing methods.

Matched MeSH terms: Image Enhancement/methods
Fulltext An efficient post-processing adaptive filtering technique to rectifying the flickering effects

Gandam A, Sidhu JS, Verma S, Jhanjhi NZ, Nayyar A, Abouhawwash M, et al.

PLoS One, 2021;16(5):e0250959.
PMID: 33970949 DOI: 10.1371/journal.pone.0250959

Compression at a very low bit rate(≤0.5bpp) causes degradation in video frames with standard decoding algorithms like H.261, H.262, H.264, and MPEG-1 and MPEG-4, which itself produces lots of artifacts. This paper focuses on an efficient pre-and post-processing technique (PP-AFT) to address and rectify the problems of quantization error, ringing, blocking artifact, and flickering effect, which significantly degrade the visual quality of video frames. The PP-AFT method differentiates the blocked images or frames using activity function into different regions and developed adaptive filters as per the classified region. The designed process also introduces an adaptive flicker extraction and removal method and a 2-D filter to remove ringing effects in edge regions. The PP-AFT technique is implemented on various videos, and results are compared with different existing techniques using performance metrics like PSNR-B, MSSIM, and GBIM. Simulation results show significant improvement in the subjective quality of different video frames. The proposed method outperforms state-of-the-art de-blocking methods in terms of PSNR-B with average value lying between (0.7-1.9db) while (35.83-47.7%) reduced average GBIM keeping MSSIM values very close to the original sequence statistically 0.978.

Matched MeSH terms: Image Enhancement/methods*
Quantitative assessment of breast density from digitized mammograms into Tabar's patterns

Jamal N, Ng KH, Looi LM, McLean D, Zulfiqar A, Tan SP, et al.

Phys Med Biol, 2006 Nov 21;51(22):5843-57.
PMID: 17068368

We describe a semi-automated technique for the quantitative assessment of breast density from digitized mammograms in comparison with patterns suggested by Tabar. It was developed using the MATLAB-based graphical user interface applications. It is based on an interactive thresholding method, after a short automated method that shows the fibroglandular tissue area, breast area and breast density each time new thresholds are placed on the image. The breast density is taken as a percentage of the fibroglandular tissue to the breast tissue areas. It was tested in four different ways, namely by examining: (i) correlation of the quantitative assessment results with subjective classification, (ii) classification performance using the quantitative assessment technique, (iii) interobserver agreement and (iv) intraobserver agreement. The results of the quantitative assessment correlated well (r2 = 0.92) with the subjective Tabar patterns classified by the radiologist (correctly classified 83% of digitized mammograms). The average kappa coefficient for the agreement between the readers was 0.63. This indicated moderate agreement between the three observers in classifying breast density using the quantitative assessment technique. The kappa coefficient of 0.75 for intraobserver agreement reflected good agreement between two sets of readings. The technique may be useful as a supplement to the radiologist's assessment in classifying mammograms into Tabar's pattern associated with breast cancer risk.

Matched MeSH terms: Radiographic Image Enhancement/methods*
Regional assessment of LV wall in infarcted heart using tagged MRI and cardiac modelling

Jahanzad Z, Liew YM, Bilgen M, McLaughlin RA, Leong CO, Chee KH, et al.

Phys Med Biol, 2015 May 21;60(10):4015-31.
PMID: 25919317 DOI: 10.1088/0031-9155/60/10/4015

A segmental two-parameter empirical deformable model is proposed for evaluating regional motion abnormality of the left ventricle. Short-axis tagged MRI scans were acquired from 10 healthy subjects and 10 postinfarct patients. Two motion parameters, contraction and rotation, were quantified for each cardiac segment by fitting the proposed model using a non-rigid registration algorithm. The accuracy in motion estimation was compared to a global model approach. Motion parameters extracted from patients were correlated to infarct transmurality assessed with delayed-contrast-enhanced MRI. The proposed segmental model allows markedly improved accuracy in regional motion analysis as compared to the global model for both subject groups (1.22-1.40 mm versus 2.31-2.55 mm error). By end-systole, all healthy segments experienced radial displacement by ~25-35% of the epicardial radius, whereas the 3 short-axis planes rotated differently (basal: 3.3°; mid: -1° and apical: -4.6°) to create a twisting motion. While systolic contraction showed clear correspondence to infarct transmurality, rotation was nonspecific to either infarct location or transmurality but could indicate the presence of functional abnormality. Regional contraction and rotation derived using this model could potentially aid in the assessment of severity of regional dysfunction of infarcted myocardium.

Matched MeSH terms: Image Enhancement/methods*
Fulltext Determination of an optimally sensitive and specific chemical exchange saturation transfer MRI quantification metric in relevant biological phantoms

Ray KJ, Larkin JR, Tee YK, Khrapitchev AA, Karunanithy G, Barber M, et al.

NMR Biomed, 2016 11;29(11):1624-1633.
PMID: 27686882 DOI: 10.1002/nbm.3614

The purpose of this study was to develop realistic phantom models of the intracellular environment of metastatic breast tumour and naïve brain, and using these models determine an analysis metric for quantification of CEST MRI data that is sensitive to only labile proton exchange rate and concentration. The ability of the optimal metric to quantify pH differences in the phantoms was also evaluated. Novel phantom models were produced, by adding perchloric acid extracts of either metastatic mouse breast carcinoma cells or healthy mouse brain to bovine serum albumin. The phantom model was validated using 1 H NMR spectroscopy, then utilized to determine the sensitivity of CEST MRI to changes in pH, labile proton concentration, T1 time and T2 time; six different CEST MRI analysis metrics (MTRasym , APT*, MTRRex , AREX and CESTR* with and without T1 /T2 compensation) were compared. The new phantom models were highly representative of the in vivo intracellular environment of both tumour and brain tissue. Of the analysis methods compared, CESTR* with T1 and T2 time compensation was optimally specific to changes in the CEST effect (i.e. minimal contamination from T1 or T2 variation). In phantoms with identical protein concentrations, pH differences between phantoms could be quantified with a mean accuracy of 0.6 pH units. We propose that CESTR* with T1 and T2 time compensation is the optimal analysis method for these phantoms. Analysis of CEST MRI data with T1 /T2 time compensated CESTR* is reproducible between phantoms, and its application in vivo may resolve the intracellular alkalosis associated with breast cancer brain metastases without the need for exogenous contrast agents.

Matched MeSH terms: Image Enhancement/methods*
Neural networks aided stone detection in thick slab MRCP images

Logeswaran R

Med Biol Eng Comput, 2006 Aug;44(8):711-9.
PMID: 16937213

This paper proposes a detection scheme for identifying stones in the biliary tract of the body, which is examined using magnetic resonance cholangiopancreatography (MRCP), a sequence of magnetic resonance imaging targeted at the pancreatobiliary region of the abdomen. The scheme enhances the raw 2D thick slab MRCP images and extracts the biliary structure in the images using a segment-based region-growing approach. Detection of stones is scoped within this extracted structure, by highlighting possible stones. A trained feedforward artificial neural network uses selected features of size and average segment intensity as its input to detect possible stones in MRCP images and eliminate false stone-like objects. The proposed scheme achieved satisfactory results in tests of clinical MRCP thick slab images, indicating potential for implementation in computer-aided diagnosis systems for the liver.

Matched MeSH terms: Radiographic Image Enhancement/methods
Brain white and gray matter anatomy of MRI segmentation based on tissue evaluation

Salih QA, Ramli AR, Mahmud R, Wirza R

MedGenMed, 2005;7(2):1.
PMID: 16369380

Different approaches to gray and white matter measurements in magnetic resonance imaging (MRI) have been studied. For clinical use, the estimated values must be reliable and accurate when, unfortunately, many techniques fail on these criteria in an unrestricted clinical environment. A recent method for tissue clusterization in MRI analysis has the advantage of great simplicity, and it takes the account of partial volume effects. In this study, we will evaluate the intensity of MR sequences known as T1-weighted images in an axial sliced section. Intensity group clustering algorithms are proposed to achieve further diagnosis for brain MRI, which has been hardly studied. Subjective study has been suggested to evaluate the clustering group intensity in order to obtain the best diagnosis as well as better detection for the suspected cases. This technique makes use of image tissue biases of intensity value pixels to provide 2 regions of interest as techniques. Moreover, the original mathematic solution could still be used with a specific set of modern sequences. There are many advantages to generalize the solution, which give far more scope for application and greater accuracy.

Matched MeSH terms: Image Enhancement/methods*
Magnetic resonance angiographic demonstration of carotid-cavernous fistula using elliptical centric time resolved imaging of contrast kinetics (EC-TRICKS)

Vattoth S, Cherian J, Pandey T

Magn Reson Imaging, 2007 Oct;25(8):1227-31.
PMID: 17442526

Magnetic resonance angiographic evaluation of the intracranial vasculature has been predominantly carried out using conventional angiographic techniques such as time of flight and phase contrast sequences. These techniques have good spatial resolution but lack temporal resolution. Newer faster angiographic techniques have been developed to circumvent this limitation. Elliptical centric time-resolved imaging of contrast kinetics (EC-TRICKS) is one such technique which has combined the use of elliptical centric ordering of the k-space with multiphase 3D digital subtraction MR angiogram (MRA) to achieve excellent temporal resolution of the arterial and venous circulations. Its applications have been mainly in the peripheral vasculature. We report the use of this technique in a case of a high-flow, direct carotid-cavernous fistula to demonstrate its potential in intracranial MR angiography.

Matched MeSH terms: Image Enhancement/methods*
Extraction and reconstruction of retinal vasculature

Ahmad Fadzil MH, Izhar LI, Venkatachalam PA, Karunakar TV

J Med Eng Technol, 2007 Nov-Dec;31(6):435-42.
PMID: 17994417 DOI: 10.1080/03091900601111201

Information about retinal vasculature morphology is used in grading the severity and progression of diabetic retinopathy. An image analysis system can help ophthalmologists make accurate and efficient diagnoses. This paper presents the development of an image processing algorithm for detecting and reconstructing retinal vasculature. The detection of the vascular structure is achieved by image enhancement using contrast limited adaptive histogram equalization followed by the extraction of the vessels using bottom-hat morphological transformation. For reconstruction of the complete retinal vasculature, a region growing technique based on first-order Gaussian derivative is developed. The technique incorporates both gradient magnitude change and average intensity as the homogeneity criteria that enable the process to adapt to intensity changes and intensity spread over the vasculature region. The reconstruction technique reduces the required number of seeds to near optimal for the region growing process. It also overcomes poor performance of current seed-based methods, especially with low and inconsistent contrast images as normally seen in vasculature regions of fundus images. Simulations of the algorithm on 20 test images from the DRIVE database show that it outperforms many other published methods and achieved an accuracy range (ability to detect both vessel and non-vessel pixels) of 0.91 - 0.95, a sensitivity range (ability to detect vessel pixels) of 0.91 - 0.95 and a specificity range (ability to detect non-vessel pixels) of 0.88 - 0.94.

Matched MeSH terms: Image Enhancement/methods*

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