CT diagnosis of early stroke : the initial approach to the new CAD tool based on multiscale estimation of ischemia

Background: Computer aided diagnosis (CAD) becomes one of the most important diagnostic tools for urgent states in cerebral stroke and other life-threatening conditions where time plays a crucial role. Routine CT is still diagnostically insufficient in hyperacute stage of stroke that is in the therapeutic window for thrombolytic therapy. Authors present computer assistant of early ischemic stroke diagnosis that supports the radiologic interpretations. A new semantic-visualization system of ischemic symptoms applied to noncontrast, routine CT examination was based on multiscale image processing and diagnostic content estimation. Material/Methods: Evaluation of 95 sets of examinations in patients admitted to a hospital with symptoms suggesting stroke was undertaken by four radiologists from two medical centers unaware of the final clinical findings. All of the consecutive cases were considered as having no CT direct signs of hyperacute ischemia. At the first test stage only the CTs performed at the admission were evaluated independently by radiologists. Next, the same early scans were evaluated again with additional use of multiscale computer-assistant of stroke (MulCAS). Computerized suggestion with increased sensitivity to the subtle image manifestations of cerebral ischemia was constructed as additional view representing estimated diagnostic content with enhanced stroke symptoms synchronized to routine CT data preview. Follow-up CT examinations and clinical features confirmed or excluded the diagnosis of stroke constituting 'gold standard' to verify stroke detection performance. Results: Higher AUC (area under curve) values were found for MulCAS -aided radiological diagnosis for all readers and the differences were statistically significant for random readers-random cases parametric and non-parametric DBM MRMC analysis. Sensitivity and specificity of acute stroke detection for the readers was increased by 30% and 4%, respectively. Conclusions: Routine CT completed with proposed method of computer assisted diagnosis provided noticeable better diagnosis efficiency of acute stroke according to the rates and opinions of all test readers. Further research includes fully automatic detection of hypodense regions to complete assisted indications and formulate the suggestions of stroke cases more objectively. Planned prospective studies will let evaluate more accurately the impact of this CAD tool on diagnosis and further treatment in patients suffered from stroke. It is necessary to determine whether this method is possible to be applied widely

Ocena efektywności kompresji mammogramów

Background: Lossy image coding significantly improves performance over lossless methods, but a reliable control of diagnostic accuracy regarding compressed images is necessary. The acceptable range of compression ratios must be safe with respect to as many objective criteria as possible. This study evaluates the compression efficiency of digital mammograms in both numerically lossless (reversible) and lossy (irreversible) manner. Effective compression methods and concepts were examined to increase archiving and telediagnosis performance. Materials/Methods Lossless compression as a primary applicable tool for medical applications was verified on a set 131 mammograms. Moreover, nine radiologists participated in the evaluation of lossy compression of mammograms. Subjective rating of diagnostically important features brought a set of mean rates given for each test image. The lesion detection test resulted in binary decision data analyzed statistically. The radiologists rated and interpreted malignant and benign lesions, representative pathology symptoms, and other structures susceptible to compression distortions contained in 22 original and 62 reconstructed mammograms. Test mammograms were collected in two radiology centers for three years and then selected according to diagnostic content suitable for an evaluation of compression effects. Results: Lossless compression efficiency of the tested coders varied, but CALIC, JPEG-LS, and SPIHT performed the best. The evaluation of lossy compression effects affecting detection ability was based on ROC-like analysis. Assuming a two-sided significance level of p=0.05, the null hypothesis that lower bit rate reconstructions are as useful for diagnosis as the originals was false in sensitivity tests with 0.04 bpp mammograms. However, verification of the same hypothesis with 0.1 bpp reconstructions suggested their acceptance. Moreover, the 1 bpp reconstructions were rated very similarly to the original mammograms in the diagnostic quality evaluation test, but the quality of 0.6 bpp and 0.1 bpp reconstructions was decreased. Conclusions: The compression performance of the most effective reversible coders is rather unsatisfactory. The subjective rating with the diagnostic criteria of image quality was more sensitive to distortions caused by lossy compression compared with the pathology detection test. The observers constituted 14:1 as the accepted ratio of lossy wavelet compression for test mammograms. This is significantly higher than the mean ratio of 2:1 achieved with lossless methods

Automatic Shuttlecock Fall Detection System in or out of a Court in Badminton Games—Challenges, Problems, and Solutions from a Practical Point of View

We built an Instant Review System (IRS) for badminton, also named a Challenge System. It allows players to verify linesmen in/out decisions and makes the game fairer. Elements such as lighting, the influence of air-conditioning on the flight trajectory, or the moving mats can significantly impact the final in/out decision. Due to the construction of the shuttlecock, it behaves differently during the flight than, for example, a tennis ball. This publication discusses the problems we encountered during our work with the proposed solution. We present the evolution of the system’s architecture: the first version with the cameras mounted above the court and placed around the court close to the lines, tracking the shuttlecock in 3D; and the second, improved version with cameras placed only around the court, without 3D reconstruction. We used our system during the BWF World Senior Badminton Championships in Katowice. We present the system’s results from this tournament and compare them with linesmen’s decisions. We describe the system’s verification process by the Badminton World Federation and Polish Badminton Federation and discuss evaluation methods for such systems. Our solution is comparable to the commercial product used in the biggest badminton tournaments in regard to processing time and accuracy. Still, our architecture and algorithms make installing it much easier and faster, making the system more adaptive, reliable, flexible, and universal in relation to the practical requirements of sports halls

Method for Determining Diagnostic Accuracy of Lossy Compressed Medical Images

Summary: Some image quality measures are proposed in this paper. The most desired feature of these method is high correlation with diagnostic accuracy of compressed medical images. The chi-square measure (global and local) as a measure of statistical similarity of original and compressed image data, REOBD as a measure of blocking effect and diagnostic quality coefficient give vector measure of diagnostic accuracy of compressed images. Two ways of estimating the diagnostic quality coefficient are presented: objective method of diagnostic accuracy evaluation based on analysis of changes of the diagnostic parameters and proposed subjective (by physician) evaluation of diagnostic quality. Lossy compression is connected with necessity of determining acceptable compression ratios by taking into account suitable level of distortion. Ordinarily used rate-distortion theory could not be directly applied in medical image compression because the most important is diagnostic accuracy which could not be determined by computed cybernetics methods. Compression ratios achieved in lossy process are much more higher than the ones in lossless compression even though strict acceptance criterion (without discarding diagnostically valuable information) is used