Channelized hotelling observers for signal detection in stack-mode reading of volumetric images on medical displays with slow response time

Volumetric medical images are commonly read in stack-browsing mode. However, previous studies suggest that slow temporal response of medical liquid crystal displays may degrade the diagnostic accuracy (lesion detectability) at browsing rates as low as 10 frames per second (fps). Recently, a multi-slice channelized Hotelling observer (msCHO) model was proposed to estimate the detection performance in 3D images. This implementation of the msCHO restricted the analysis to the luminance of a display pixel at the end of the frame time (end-of-frame luminance) while ignoring the luminance transition within the frame time (intra-frame luminance). Such an approach fails to differentiate between, for example, the commonly found case of two displays with different temporal profiles of luminance as long as their end-of-frame luminance levels are the same. In order to overcome this limitation of the msCHO, we propose a new upsampled msCHO (umsCHO) which acts on images obtained using both the intra-frame and the end-of-frame luminance information. The two models are compared on a set of synthesized 3D images for a range of browsing rates (16.67, 25 and 50 fps). Our results demonstrate that, depending on the details of the luminance transition profiles, neglecting the intra-frame luminance information may lead to over- or underestimation of lesion detectability. Therefore, we argue that using the umsCHO rather than msCHO model is more appropriate for estimating the detection performance in the stack-browsing mode

Impact of chromophores on colour appearance in a computational skin model

Early diagnosis of skin cancer offers the patient more favorable treatment options. Color fidelity of skin images is a major concern for dermatologists as adoption of digital dermatoscopes is increasing rapidly. Accurate color depiction of the lesion and surrounding skin are vital in diagnostic evaluation of a lesion. We previously introduced VCT-Derma, a pipeline for dermatological Virtual Clinical Trials (VCTs) including detailed and flexible models of human skin and lesions, which represent the patient in the entire dermatoscopy-based diagnostic process. However, those initial models of skin and lesions did not properly account for tissue colors. Our new skin model accounts for tissue color appearance by incorporating chromophores (e.g., melanin, blood) into the tissue model, and simulating the optical properties of the various skin layers. The physical properties of the skin and lesion were selected from clinically plausible values. The model and simulated dermatoscope images were created in open modelling software, assuming a linear camera model. We have assumed ambient white lighting, with a 6mm distance to the camera. Our model of color appearance was characterised by comparing the brightness of the lesion to its depth. The brightness of the lesion is compared through the variability of the mean gray values of a cropped region around the lesion. We compare two skin models, one without extensive chromophore content and one with. Our preliminary evaluation of increasing chromophore content shows promise based on the results presented here. Further refinement and validation of the model is ongoing

Aging display's effect on interpretation of digital pathology slides

It is our conjecture that the variability of colors in a pathology image effects the interpretation of pathology cases, whether it is diagnostic accuracy, diagnostic confidence, or workflow efficiency. In this paper, digital pathology images are analyzed to quantify the perceived difference in color that occurs due to display aging, in particular a change in the maximum luminance, white point, and color gamut. The digital pathology images studied include diagnostically important features, such as the conspicuity of nuclei. Three different display aging models are applied to images: aging of luminance & chrominance, aging of chrominance only, and a stabilized luminance & chrominance (i.e., no aging). These display models and images are then used to compare conspicuity of nuclei using CIE deltaE2000, a perceptual color difference metric. The effect of display aging using these display models and images is further analyzed through a human reader study designed to quantify the effects from a clinical perspective. Results from our reader study indicate significant impact of aged displays on workflow as well as diagnosis as follow. As compared to the originals (no-aging), slides with the effect of aging simulated were significantly more difficult to read (p-value of 0.0005) and took longer to score (p-value of 0.02). Moreover, luminance+chrominance aging significantly reduced inter-session percent agreement of diagnostic scores (p-value of 0.0418)