data using previously described segmentation
technique.
A low-contrast example is compared to a high-
contrast one shown in Fig. 5. Quality measure for this
image is 2.81, the quality increased to 8.62 after
denoising.
Quality measure values for bilateral filtering and
curvature diffusion are lower than results obtained
with non-local-means filter and total variance
denoising. Sample results obtained on two low-
contrast CT images (with a quality lower than 2) and
on two CT images with normal contrast are shown in
table 1.
Table 1: Image quality measure for denoising.
Image type
Image number/Quality measure (10)
Image
#21
Image
#3
Image
#5
Image
#22
Noisy image 1.45 1.86 2.81 2.27
Bilateral
filtering
2.11 2.13 5.83 3.12
Curvature
diffusion
1.87 2.45 6.17 2.87
Non-local-
means
2.30 2.67 8.89 4.13
TV L2 2.83 2.44 8.62 3.78
TV L1 3.23 2.94 8.17 3.65
These results allow us to make the following
conclusions. First, proposed one-point contrast-to-
noise based CT image quality measure helps to
predict the quality of the segmentation and allows
detection of the low-contrast CT data. It is also a
useful in choosing the best denoising procedure and
its parameters for individual CT scans.
Second, for CT images with good contrast and a
quality measure higher than 2.0, results for total
variance algorithm using
1
and
2
norms and non-
local-means are close. Non-local-means produce a
slightly better denoising results, which is similar to
the findings in (Buades, Coll and Morel, 2006).
Third, TV
1
denoising shows significantly
better results for low-contrast images. While these
low quality images represent only 20% of our data
set, only TV
1
filtering makes whole venous
segmentation technique from section 4 possible.
As shown in section 5, HPC implementation
reduces the time of the TV
1
denoising procedure
while maintains its effectiveness. It makes this
denoising method the best practical choice for
preprocessing low-contrast CT data with quality
measure (10) lower than 2.0.
The results achieved with an HPC-based
implementation of TV L1 algorithm opens new
opportunities in exploring computationally intensive
hepatic segmentation algorithms, as well as other
aspects of image-guided surgery such as non-rigid
registration and real-time tracking. This will be
explored in subsequent research.
Improvement to the segmentation technique for
low contrast images is another interesting area to
explore. The challenge here is that the image requires
different threshold values in various areas of the CT.
Incorporating threshold prediction in the wave
propagation process during the first step of the
segmentation could be a promising direction. An
HPC implementation of the geodesic active contour
segmentation step could further reduce segmentation
processing time.
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