Artifacts in Slab Average-Intensity-Projection Images Reformatted from JPEG 2000 Compressed Thin-Section Abdominal CT Data Sets
Bohyoung Kim1,
Kyoung Ho Lee1,
Kil Joong Kim1,
Rafal Mantiuk2,
Hye-ri Kim1 and
Young Hoon Kim1
1 Seoul National University College of Medicine, Institute of Radiation
Medicine, Seoul National University Medical Research Center, Seoul, Korea; and
Department of Radiology, Seoul National University Bundang Hospital, 300
Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggido, 463-707, Korea.
2 Max-Planck-Institut für Informatik, Department 4, Computer Graphics Bldg.
46.1, Rm. 227, Stuhlsatzenhausweg 85, 66123 Saarbrücken, Germany.

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Fig. 1 —Acquisition of matching thin-section, thick-section, and
average-intensity-projection (AIP) images and their compressed versions.
Horizontal lines represent transverse images, forming a stack of contiguous
sections. Thick and thin lines represent 5- and 0.67-mm-thick images,
respectively. Black lines represent selected images that were included in
final study sample.
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Fig. 3 —Joint Photographic Experts Group (JPEG) 2000 compression
artifacts in transverse average-intensity-projection (AIP) (left
column), thin-section (middle column), and thick-section
(right column) abdominal CT images in 45-year-old man with acute
appendicitis (arrow). (See also Figs. S3A-S3F in supplemental data
online.) Compared with original images (top row), artifacts increase
in order of AIP, thick-section, and thin-section images in 15:1 compressed
versions (second row), especially in periappendiceal fat stranding
(arrowheads) and abdominal wall (circle). Subtraction images
(third row) and High Dynamic Range Visual Difference Predictor
(HDR-VDP) maps (bottom row) represent compression artifacts measured
mathematically and simulated-perceptually, respectively. Note that original
thin-section image is too noisy to be used in primary interpretation.
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Fig. 4 —Joint Photographic Experts Group (JPEG) 2000 compression
artifacts in transverse average-intensity-projection (AIP) (left
column), thin-section (middle column), and thick-section
(right column) abdominal CT images in 70-year-old man with liver
cirrhosis. (See also Figs. S4A-S4F in supplemental data online.) Compared with
original images (top row), artifacts increase in order of AIP,
thick-section, and thin-section images in 15:1 compressed versions (second
row), altering texture of liver (L) and ascites (A). Subtraction images
(third row) and High Dynamic Range Visual Difference Predictor
(HDR-VDP) maps (bottom row) represent compression artifacts measured
mathematically and simulated-perceptually, respectively. Note that original
thin-section image is too noisy to be used in primary interpretation.
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Fig. 5A —Grading responses of three readers. Grading responses of
reader 1 (A), reader 2 (B), and reader 3 (C). Three bars
at each compression level represent average-intensity-projection (AIP)
(left), thin-section (middle), and thick-section
(right) images. Each gray shade indicates different grade for
artifacts: white = grade 0, light gray = grade 1, dark gray = grade 2, and
black = grade 3.
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Fig. 5B —Grading responses of three readers. Grading responses of
reader 1 (A), reader 2 (B), and reader 3 (C). Three bars
at each compression level represent average-intensity-projection (AIP)
(left), thin-section (middle), and thick-section
(right) images. Each gray shade indicates different grade for
artifacts: white = grade 0, light gray = grade 1, dark gray = grade 2, and
black = grade 3.
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Fig. 5C —Grading responses of three readers. Grading responses of
reader 1 (A), reader 2 (B), and reader 3 (C). Three bars
at each compression level represent average-intensity-projection (AIP)
(left), thin-section (middle), and thick-section
(right) images. Each gray shade indicates different grade for
artifacts: white = grade 0, light gray = grade 1, dark gray = grade 2, and
black = grade 3.
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