Summary: | deepest part of the brain. This appears to cause significant degradation in CT image quality due to the effect of beam hardening
and bone thickness. Whilst these issues may not fundamentally limit the scanning procedure, it does appear to be the contributory
factors in reducing the performance of the ischemic diagnosis procedure. Thus, it is seen that image filtering is playing an important
role in improving the CT image quality and effectively eliminates the influence of Poisson noise in the PF region. Therefore, this
paper attempts to assess the feasibility of four different filtering methods; Anisotropic diffusion, Bilateral, Median and Wiener to
eliminate noise in the CT image of PF containing ischemic. To the best of our knowledge, this is the first study to report the
performance of filtering in ischemic PF. The efficacy of these four filters is evaluated in details using qualitative and quantitative
metrics such as Peak Signal to Noise Ratio (PSNR), Root Mean Square Error (RMSE), Structural Similarity Index (SSIM) and
processing time. The experimental works demonstrate that Bilateral filtering offers promising results in which this method can
eliminate Poisson noise in CT images for ischemic PF with average PSNR, RMSE, SSIM values of 32.95, 5.7416 and 0.9749
respectively. This filter has provided the flexibility of being applicable even in cases where ischemic is presented in PF.
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