Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual Information

Anode heel effects are known to cause non-uniform image quality, but no method has been proposed to evaluate the non-uniform image quality caused by the heel effect. Therefore, the purpose of this study was to evaluate non-uniform image quality in digital radiographs using a novel circular step-wedg...

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Main Author: Ming-Chung Chou
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Entropy
Subjects:
Online Access:https://www.mdpi.com/1099-4300/23/5/525
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author Ming-Chung Chou
author_facet Ming-Chung Chou
author_sort Ming-Chung Chou
collection DOAJ
description Anode heel effects are known to cause non-uniform image quality, but no method has been proposed to evaluate the non-uniform image quality caused by the heel effect. Therefore, the purpose of this study was to evaluate non-uniform image quality in digital radiographs using a novel circular step-wedge (CSW) phantom and normalized mutual information (nMI). All X-ray images were acquired from a digital radiography system equipped with a CsI flat panel detector. A new acrylic CSW phantom was imaged ten times at various kVp and mAs to evaluate overall and non-uniform image quality with nMI metrics. For comparisons, a conventional contrast-detail resolution phantom was imaged ten times at identical exposure parameters to evaluate overall image quality with visible ratio (VR) metrics, and the phantom was placed in different orientations to assess non-uniform image quality. In addition, heel effect correction (HEC) was executed to elucidate the impact of its effect on image quality. The results showed that both nMI and VR metrics significantly changed with kVp and mAs, and had a significant positive correlation. The positive correlation is suggestive that the nMI metrics have a similar performance to the VR metrics in assessing the overall image quality of digital radiographs. The nMI metrics significantly changed with orientations and also significantly increased after HEC in the anode direction. However, the VR metrics did not change significantly with orientations or with HEC. The results indicate that the nMI metrics were more sensitive than the VR metrics with regards to non-uniform image quality caused by the anode heel effect. In conclusion, the proposed nMI metrics with a CSW phantom outperformed the conventional VR metrics in detecting non-uniform image quality caused by the heel effect, and thus are suitable for quantitatively evaluating non-uniform image quality in digital radiographs with and without HEC.
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spelling doaj.art-1090b42431644ca0a536a6a47fabd84a2023-11-21T17:04:34ZengMDPI AGEntropy1099-43002021-04-0123552510.3390/e23050525Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual InformationMing-Chung Chou0Department of Medical Imaging and Radiological Sciences, Kaohsiung Medical University, Kaohsiung 80708, TaiwanAnode heel effects are known to cause non-uniform image quality, but no method has been proposed to evaluate the non-uniform image quality caused by the heel effect. Therefore, the purpose of this study was to evaluate non-uniform image quality in digital radiographs using a novel circular step-wedge (CSW) phantom and normalized mutual information (nMI). All X-ray images were acquired from a digital radiography system equipped with a CsI flat panel detector. A new acrylic CSW phantom was imaged ten times at various kVp and mAs to evaluate overall and non-uniform image quality with nMI metrics. For comparisons, a conventional contrast-detail resolution phantom was imaged ten times at identical exposure parameters to evaluate overall image quality with visible ratio (VR) metrics, and the phantom was placed in different orientations to assess non-uniform image quality. In addition, heel effect correction (HEC) was executed to elucidate the impact of its effect on image quality. The results showed that both nMI and VR metrics significantly changed with kVp and mAs, and had a significant positive correlation. The positive correlation is suggestive that the nMI metrics have a similar performance to the VR metrics in assessing the overall image quality of digital radiographs. The nMI metrics significantly changed with orientations and also significantly increased after HEC in the anode direction. However, the VR metrics did not change significantly with orientations or with HEC. The results indicate that the nMI metrics were more sensitive than the VR metrics with regards to non-uniform image quality caused by the anode heel effect. In conclusion, the proposed nMI metrics with a CSW phantom outperformed the conventional VR metrics in detecting non-uniform image quality caused by the heel effect, and thus are suitable for quantitatively evaluating non-uniform image quality in digital radiographs with and without HEC.https://www.mdpi.com/1099-4300/23/5/525circular-step wedgecontrast-detailmutual informationvisible ratioanode heel effect
spellingShingle Ming-Chung Chou
Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual Information
Entropy
circular-step wedge
contrast-detail
mutual information
visible ratio
anode heel effect
title Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual Information
title_full Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual Information
title_fullStr Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual Information
title_full_unstemmed Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual Information
title_short Evaluation of Non-Uniform Image Quality Caused by Anode Heel Effect in Digital Radiography Using Mutual Information
title_sort evaluation of non uniform image quality caused by anode heel effect in digital radiography using mutual information
topic circular-step wedge
contrast-detail
mutual information
visible ratio
anode heel effect
url https://www.mdpi.com/1099-4300/23/5/525
work_keys_str_mv AT mingchungchou evaluationofnonuniformimagequalitycausedbyanodeheeleffectindigitalradiographyusingmutualinformation