The effect of compression on confidence during the detection of skull fractures in CT

  • Ines Nikolovski
  • , Mark F. McEntee
  • , Roger Bourne
  • , Mariusz W. Pietrzyk
  • , Evanoff E. Micheal
  • , Brennan B. Patrick
  • , Tay Kevin

Research output: Chapter in Book/Report/Conference proceedingsConference proceedingpeer-review

Abstract

As part of a study to establish whether detection of cranial vault fractures is affected by JPEG 2000 30:1 and 60:1 lossy compression when compared to JPEG 2000 lossless compression we looked at the effects on confidence ratings 55 CT images, with three levels of JPEG 2000 compression (lossless, 30:1 & 60:1) were presented to 14 senior radiologists, 12 from the American Board of Radiology and 2 form Australia, 7 of whom were MSK specialists and 7 were neuroradiologists. 32 Images contained a single skull fracture while 23 were normal. Images were displayed on one calibrated, secondary LCD, in an ambient lighting of 32.2 lux. Observers were asked to identify the presence or absence of a fracture and where a fracture was present to locate and rate their confidence in its presence. A jack-knifed alternate free-response receiver operating characteristic (JAFROC) and a ROC methodology was employed and the DBM MRMC and ANOVA were used to explore differences between the lossless and lossy compressed images. A significant trend of increased confidence in true and false positive scores was seen with JPEG2000 Lossy 60:1 compression. An ANOVA on the mean confidence rating obtained for correct (TP) and incorrect (FP) localization skull fractions demonstrated that this was a significant difference between lossless and 60:1 [FP, p<0.001; TP, p<0.014] and 30:1 and 60:1 [FP, p<0.014; TP, p<0.037].

Original languageEnglish
Title of host publicationMedical Imaging 2012
Subtitle of host publicationImage Perception, Observer Performance, and Technology Assessment
EditorsCraig K. Abbey, Claudia R. Mello-Thoms
PublisherSPIE
ISBN (Electronic)9780819489678
DOIs
Publication statusPublished - 2012
Externally publishedYes
EventMedical Imaging 2012: Image Perception, Observer Performance, and Technology Assessment - San Diego, United States
Duration: 8 Feb 20129 Feb 2012

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume8318
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2012: Image Perception, Observer Performance, and Technology Assessment
Country/TerritoryUnited States
CitySan Diego
Period8/02/129/02/12

Keywords

  • Confidence ratings
  • CT skull fractures
  • JPEG 2000 Lossy compression

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