Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia Screening

Digital radiography is widely seen to be forgiving of poor exposure technique and to provide consistent high quality diagnostic images. Optimal quality images are however not universal; sub-optimal images are encountered. Evaluators on hip dysplasia schemes encounter images from multiple practices p...

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Main Authors: Lilah Moorman, Helle Precht, Janni Jensen, Eiliv Svalastoga, Dorte H. Nielsen, Helle F. Proschowsky, Fintan J. McEvoy
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-12-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fvets.2019.00428/full
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author Lilah Moorman
Helle Precht
Janni Jensen
Janni Jensen
Eiliv Svalastoga
Dorte H. Nielsen
Helle F. Proschowsky
Fintan J. McEvoy
author_facet Lilah Moorman
Helle Precht
Janni Jensen
Janni Jensen
Eiliv Svalastoga
Dorte H. Nielsen
Helle F. Proschowsky
Fintan J. McEvoy
author_sort Lilah Moorman
collection DOAJ
description Digital radiography is widely seen to be forgiving of poor exposure technique and to provide consistent high quality diagnostic images. Optimal quality images are however not universal; sub-optimal images are encountered. Evaluators on hip dysplasia schemes encounter images from multiple practices produced on equipment from multiple manufacturers. For images submitted to the Danish Kennel Club for hip dysplasia screening, a range of quality is seen and the evaluators are of the impression that variations in image quality area associated with particular equipment. This study was undertaken to test the hypothesis that there is an association between image quality in digital radiography and the manufacturer of the detector equipment, and to demonstrate the applicability of visual grading analysis (VGA) for image quality evaluation in veterinary practice. Data from 16,360 digital images submitted to the Danish Kennel Club were used to generate the hypothesis that there is an association between detector manufacturer and image quality and to create groups for VGA. Image quality in a subset of 90 images randomly chosen from 6 manufacturers to represent high and low quality images, was characterized using VGA and the results used to test for an association between image quality and system manufacturer. The range of possible scores in the VGA was −2 to +2 (higher scores are better). The range of the VGA scores for the images in the low image quality group (n = 45) was −1.73 to +0.67, (median −1.2). Images in the high image quality group (n = 44) ranged from −1.52 to +0.53, (median −0.53). This difference was statistically significant (p < 0.001). The study shows an association between VGA scores of image quality and detector manufacturer. Possible causes may be that imaging hardware and/or software are not equal in terms of quality, that the level of support sought and given differs between systems, or a combination of the two. Clinicians purchasing equipment should be mindful that image quality can differ across systems. VGA is practical for veterinarians to compare image quality between systems or within a system over time.
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spelling doaj.art-6583fcf14824456abb86b70de94301102022-12-22T00:02:47ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692019-12-01610.3389/fvets.2019.00428495401Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia ScreeningLilah Moorman0Helle Precht1Janni Jensen2Janni Jensen3Eiliv Svalastoga4Dorte H. Nielsen5Helle F. Proschowsky6Fintan J. McEvoy7Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkHealth Sciences Research Centre: Diagnosis and Treatment CONRAD, University College Lillebælt, Odense, DenmarkResearch and Innovation Unit of Radiology, University of Southern Denmark, Odense, DenmarkDepartment of Radiology, Odense University Hospital, Odense, DenmarkDepartment of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDanish Kennel Club, Slorød Strand, DenmarkDepartment of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDigital radiography is widely seen to be forgiving of poor exposure technique and to provide consistent high quality diagnostic images. Optimal quality images are however not universal; sub-optimal images are encountered. Evaluators on hip dysplasia schemes encounter images from multiple practices produced on equipment from multiple manufacturers. For images submitted to the Danish Kennel Club for hip dysplasia screening, a range of quality is seen and the evaluators are of the impression that variations in image quality area associated with particular equipment. This study was undertaken to test the hypothesis that there is an association between image quality in digital radiography and the manufacturer of the detector equipment, and to demonstrate the applicability of visual grading analysis (VGA) for image quality evaluation in veterinary practice. Data from 16,360 digital images submitted to the Danish Kennel Club were used to generate the hypothesis that there is an association between detector manufacturer and image quality and to create groups for VGA. Image quality in a subset of 90 images randomly chosen from 6 manufacturers to represent high and low quality images, was characterized using VGA and the results used to test for an association between image quality and system manufacturer. The range of possible scores in the VGA was −2 to +2 (higher scores are better). The range of the VGA scores for the images in the low image quality group (n = 45) was −1.73 to +0.67, (median −1.2). Images in the high image quality group (n = 44) ranged from −1.52 to +0.53, (median −0.53). This difference was statistically significant (p < 0.001). The study shows an association between VGA scores of image quality and detector manufacturer. Possible causes may be that imaging hardware and/or software are not equal in terms of quality, that the level of support sought and given differs between systems, or a combination of the two. Clinicians purchasing equipment should be mindful that image quality can differ across systems. VGA is practical for veterinarians to compare image quality between systems or within a system over time.https://www.frontiersin.org/article/10.3389/fvets.2019.00428/fullvisual grading analysisdigital radiographyPCAimage qualityhip dysplasia scheme
spellingShingle Lilah Moorman
Helle Precht
Janni Jensen
Janni Jensen
Eiliv Svalastoga
Dorte H. Nielsen
Helle F. Proschowsky
Fintan J. McEvoy
Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia Screening
Frontiers in Veterinary Science
visual grading analysis
digital radiography
PCA
image quality
hip dysplasia scheme
title Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia Screening
title_full Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia Screening
title_fullStr Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia Screening
title_full_unstemmed Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia Screening
title_short Assessment of Image Quality in Digital Radiographs Submitted for Hip Dysplasia Screening
title_sort assessment of image quality in digital radiographs submitted for hip dysplasia screening
topic visual grading analysis
digital radiography
PCA
image quality
hip dysplasia scheme
url https://www.frontiersin.org/article/10.3389/fvets.2019.00428/full
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AT jannijensen assessmentofimagequalityindigitalradiographssubmittedforhipdysplasiascreening
AT jannijensen assessmentofimagequalityindigitalradiographssubmittedforhipdysplasiascreening
AT eilivsvalastoga assessmentofimagequalityindigitalradiographssubmittedforhipdysplasiascreening
AT dortehnielsen assessmentofimagequalityindigitalradiographssubmittedforhipdysplasiascreening
AT hellefproschowsky assessmentofimagequalityindigitalradiographssubmittedforhipdysplasiascreening
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