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Photoshop for Radiologists |
1 Department of Radiology, Children's Hospital, 300 Longwood Ave., Boston, MA 02115.
Received September 20, 2002;
accepted after revision October 3, 2002.
Address correspondence to G. A. Taylor.
Introduction
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Begin by accessing the "Unsharp Mask" tool from the
"Filter" menu of the Photoshop marquee (Filter
Sharpen
Unsharp Mask) (Figs. 1A
and 1B). The "Unsharp
Mask" dialogue box consists of three slider bars that control
"Amount," "Radius," and "Threshold"
settings. If these sliders are set in different positions, move each slider
all the way to the left end of the bar. Begin to sharpen the image by moving
the "Amount" slider to the right to a value of between 50% and
130%. This value determines the amount of "sharpening" to be
applied to the image. Next move the "Radius" slider toward the
right to a value of between 0.1 and 2 pixels. This value controls the width of
the edge contrast effect. Pushing the "Radius" slider too far to
the left will result in noticeable dark and light halos along the edges of the
image. The "Threshold" scale tells the program to ignore adjacent
tones that are similar. For example, a setting of 5 tells Photoshop to ignore
all tones within 5 level values of each other
[1]. The
"Threshold" slider should generally be set at a value of 12
for medical images. Sharpening should be applied only in minimal amounts to be
effective. Oversharpening results in a coarse, noisy image
(Fig. 1C).
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The "High-Pass" filter works by turning all nonedge areas to
neutral gray and leaving the edges intact
[1]. To use this filter, open
the "Layers" window (Window
Show Layers), and duplicate the
background layer by dragging the background layer to the "Bent
Page" icon at the bottom of the "Layers" window
(Fig. 2A). Select "High
Pass" from the "Filter" menu (Filter
Other
High Pass), and use the "Radius" slider to bring out the image
edges. For medical images, a setting of between 1.5 and 2.5 generally works
well. Click "OK" to activate the filter. Change the blending mode
of the filtered layer from "Normal" to "Overlay" or
"Soft Light" (Fig.
2B) to make the neutral gray disappear, while preserving the edge
enhancement [1]. If the image
is too sharp, decrease the opacity of the filtered layer until you see the
desired effect. Once you finish fine-tuning this filter, merge the layers by
selecting "Flatten Image" (Fig.
2C). Save the final image as a JPEG (Joint Photographic Experts
Group) file, and import the file into PowerPoint (Microsoft, Redmond, WA) as
described previously
[24].
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During the preparation of this series of articles, I came across an excellent primer on basic scanning and image editing techniques by Corl et al. [5]. It is an excellent review for anyone wishing to understand the basis for scanning, increasing image resolution, resizing images, adding labels, and so on. Corl et al. address what is and is not acceptable in manipulating images for scientific presentation. I want to emphasize that the techniques discussed in this and previous "Photoshop for Radiologists" articles should only be used to return the digital image to its original appearance and not to intentionally alter or distort the conspicuity of findings shown by a medical image.
In the next article, I will discuss techniques for color correction of an image before saving the final version for use in an electronic presentation.
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