consistent presentation of images r. horn, research scientist ([email protected])...

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Consistent Consistent Presentation of Images Presentation of Images R. Horn, Research Scientist R. Horn, Research Scientist ( ( [email protected] [email protected] ) ) G. Claeys, Technology Manager G. Claeys, Technology Manager ( ( [email protected] [email protected] ) ) Agfa Healthcare Agfa Healthcare

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Page 1: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Consistent Presentation of Consistent Presentation of ImagesImages

R. Horn, Research Scientist R. Horn, Research Scientist (([email protected]@agfa.com))

G. Claeys, Technology Manager G. Claeys, Technology Manager (([email protected]@agfa.com))

Agfa HealthcareAgfa Healthcare

Page 2: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

The Grayscale Image Presentation The Grayscale Image Presentation Problem: Problem:

The appearance of grayscale images displayed on different types of softcopy display devices or printed on different types of hardcopy output devices has often been inconsistent.

Page 3: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Optimal image viewing parameters (e.g. window/ level) Optimal image viewing parameters (e.g. window/ level) selected on one device appear different when displayed selected on one device appear different when displayed on a different deviceon a different device

Device capabilities/ characteristics vary - the same Device capabilities/ characteristics vary - the same number of gray levels cannot be rendered or perceived number of gray levels cannot be rendered or perceived on different deviceson different devices

Displayed images look different from printed imagesDisplayed images look different from printed images ……otherother

The Grayscale Consistency Problem: The Grayscale Consistency Problem:

Page 4: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Problems of InconsistencyProblems of Inconsistency

mass visible mass invisible

•VOI chosen on one display device

•Rendered on another with different display

•Mass expected to be seen is no longer seen

Slide Provided by David Clunie, Quintiles Intelligent Imaging

Page 5: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Problems of InconsistencyProblems of Inconsistency

0.5

1.5

1.0

3.0

•Not all display levelsare perceivable on alldevices

Slide Provided by David Clunie, Quintiles Intelligent Imaging

Page 6: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Problems of InconsistencyProblems of Inconsistency

Digital Modality Laser Printer

•Printed images don’t looklike displayed images

Slide Provided by David Clunie, Quintiles Intelligent Imaging

Page 7: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Causes of InconsistencyCauses of Inconsistency

Gamut of deviceGamut of device– Minimum/maximum luminance/densityMinimum/maximum luminance/density

Characteristic curveCharacteristic curve– Mapping digital input to luminance/densityMapping digital input to luminance/density– ShapeShape– LinearityLinearity

Ambient light or illuminationAmbient light or illumination

Page 8: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Solution of the problemSolution of the problem

Device independent reference space Device independent reference space – Same for hardcopy + softcopy devicesSame for hardcopy + softcopy devices

Perceptual linear reference spacePerceptual linear reference space– Equal distances in reference space are Equal distances in reference space are

perceived by human visual system as equal perceived by human visual system as equal distancesdistances

– Unit : JND (Just Noticable Difference)Unit : JND (Just Noticable Difference)

Page 9: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Device calibrationDevice calibration

Compensates the non-linearity of display deviceCompensates the non-linearity of display device– Establish linear relation between Establish linear relation between

» Input Digital Driving Level (DDL) andInput Digital Driving Level (DDL) and

» Output Luminance (softcopy) or OD (hardcopy)Output Luminance (softcopy) or OD (hardcopy)

– Inverse of characteristic curveInverse of characteristic curve

Characteristic curve Characteristic curve – Characteristic curve = inherent device characteristicCharacteristic curve = inherent device characteristic

Page 10: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Monitor Characteristic CurveMonitor Characteristic Curve

Monitor Characteristic Curve

0.01

0.1

10

100

0 50 100 150 200 250 300Digital Driving Level

Ambient Light

Slide Provided by David Clunie, Quintiles Intelligent Imaging

Luminance

Page 11: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Printer Calibration Tools Printer Calibration Tools (Densitometer)(Densitometer)

Page 12: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Display Calibration Tools Display Calibration Tools (Photometer)(Photometer)

Slide Provided by Jerry Gaskill, Image Smiths Inc.

Page 13: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Perceptual Linearization :Perceptual Linearization :

Compensates the contrast sensitivity of Compensates the contrast sensitivity of human visual system human visual system

Grayscale Standard Display Function Grayscale Standard Display Function – Input: Just Noticeable Differences (JNDs)Input: Just Noticeable Differences (JNDs)– Output: absolute luminanceOutput: absolute luminance– Barten’s modelBarten’s model– Described in DICOM Part 14Described in DICOM Part 14

Page 14: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Grayscale Standard Display FunctionGrayscale Standard Display Function

.01

.1

1

10

100

1000

0 200 400 600 800 1000

Grayscale Standard Display Function

JND Index

Same number of Just Noticeable Difference == Same perceived contrast

Despite different changein absolute luminance

Slide Provided by David Clunie, Quintiles Intelligent Imaging

Page 15: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Perceptual linear device Perceptual linear device

Apply Apply – Grayscale Standard Display function : Grayscale Standard Display function :

» JND -> Luminance (or OD)JND -> Luminance (or OD)

– Inverse characteristic curveInverse characteristic curve» Luminance (or OD) -> DDLLuminance (or OD) -> DDL

Page 16: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Perceptual linear device - LUTPerceptual linear device - LUT

Mapping P-Values to Input of Characteristic Curve (DDL’s)

0

50

100

150

200

250

300

0 50 100 150 200 250 300

P-Values

DD

L

Slide Provided by David Clunie, Quintiles Intelligent Imaging

Page 17: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

DICOM & Consistent Presentation of DICOM & Consistent Presentation of ImagesImages

DICOM Image Transformation Model, DICOM Image Transformation Model, including Presentation Look Up Tableincluding Presentation Look Up Table

Grayscale Softcopy Presentation StateGrayscale Softcopy Presentation State

Page 18: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Trans formation

VOI LUT(Subtrac t ion)

Mas kModality

LUT

Trans formation

Annotat ion

Image

Trans format ion

Shutter Spat ia lTrans format ion

Annotat ion

Disp. Area

Presentation LUT

Presentation LUT

Transformation

Window/Levelor VOI LUT

Rescale Slope/Interceptor Modality LUT

OriginalImage

DisplayP-Values

Grayscale Transformations

Shutter, Annotation and Spatial Transformations

DICOM Grayscale Image DICOM Grayscale Image Transformation ModelTransformation Model

Page 19: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Grayscale Softcopy Presentation StateGrayscale Softcopy Presentation State

Describes the Grayscale Image Transformation Model Describes the Grayscale Image Transformation Model

GSPS links to one or more images (Series, filters); stored GSPS links to one or more images (Series, filters); stored using same Study Instance UID (same Storage SOP using same Study Instance UID (same Storage SOP Class!)Class!)

Uses regular Storage services (C-STORE); uses Uses regular Storage services (C-STORE); uses Query/Retrieve servicesQuery/Retrieve services

GSPS SOP Instances are immutable: changes require a GSPS SOP Instances are immutable: changes require a new SOP Instance UIDnew SOP Instance UID

Page 20: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Example: A Radiologist “Flips” Example: A Radiologist “Flips” Chest XRAY Image on Softcopy DisplayChest XRAY Image on Softcopy Display

Page 21: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Suspected

area

Example Continued: Radiologist Magnifies Example Continued: Radiologist Magnifies Chest XRAY Image, Pans to Upper Right Chest XRAY Image, Pans to Upper Right Hand Quadrant and Adds an AnnotationHand Quadrant and Adds an Annotation

Page 22: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Referring Physician:Radiologist:

Suspected

area

Example Continued: Referring Physician Example Continued: Referring Physician Views the Original Image…Views the Original Image…

Radiologist Should Store the Viewing Parameters Using GSPS!Radiologist Should Store the Viewing Parameters Using GSPS!

Page 23: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

IEIE ModuleModule UsageUsage

PatientPatient PatientPatient MM

StudyStudy General StudyGeneral Study MM

Patient StudyPatient Study UU

SeriesSeries General SeriesGeneral Series MM

Presentation SeriesPresentation Series MM

EquipmentEquipment General EquipmentGeneral Equipment MM

PresentationPresentation Presentation StatePresentation State MM

Modality LUTModality LUT C - Required if to be appliedC - Required if to be applied

MaskMask C - Required if multi-frame and to be appliedC - Required if multi-frame and to be applied

VOI LUTVOI LUT C - Required if to be appliedC - Required if to be applied

Softcopy Presentation LUTSoftcopy Presentation LUT MM

Graphic AnnotationGraphic Annotation C - Required if to be appliedC - Required if to be applied

Spatial TransformationSpatial Transformation C - Required if rotation, flipping or magnification are to be appliedC - Required if rotation, flipping or magnification are to be applied

Displayed AreaDisplayed Area MM

Display ShutterDisplay Shutter C - Required if to be applied and the Bitmap Display Shutter Module is notC - Required if to be applied and the Bitmap Display Shutter Module is notpresentpresent

Bitmap Display ShutterBitmap Display Shutter C - Required if to be applied and the Display Shutter Module is not presentC - Required if to be applied and the Display Shutter Module is not present

Overlay PlaneOverlay Plane C - Required if to be applied or the BM C - Required if to be applied or the BM Displ. Shutter Module is presentDispl. Shutter Module is present

Overlay/Curve ActivationOverlay/Curve Activation C- Required if image contains curve or overlay which is to be displayedC- Required if image contains curve or overlay which is to be displayed

Graphic LayerGraphic Layer C - Required if Graphic Annotation or Overlays or Curves are to be appliedC - Required if Graphic Annotation or Overlays or Curves are to be applied

SOP CommonSOP Common MM

GSPS Module Table:GSPS Module Table:

Page 24: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

What about color ?What about color ?

Consistency is harder to achieveConsistency is harder to achieve– Gamut of devices much more variableGamut of devices much more variable– Greater influence of psychovisual effectsGreater influence of psychovisual effects

Extensive standards efforts e.g. ICCExtensive standards efforts e.g. ICC DICOM recently defined color presentation DICOM recently defined color presentation

in a manner very similar to grayscale.in a manner very similar to grayscale.– Many display and print devices already have Many display and print devices already have

ICC profiles, but few medical imaging devices ICC profiles, but few medical imaging devices support color presentation state.support color presentation state.

Page 25: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Color Presentation StateColor Presentation State

Final Text in June 2005, Supplement 100Final Text in June 2005, Supplement 100 Color Presentation StateColor Presentation State

– Based on ICC Color ProfilesBased on ICC Color Profiles– Provides consistent color for color imagesProvides consistent color for color images

Also defined consistent color mechanisms Also defined consistent color mechanisms for other objects using color, by defining a for other objects using color, by defining a relationship to ICC profiles.relationship to ICC profiles.

Page 26: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

ConclusionsConclusions

Consistent Presentation is Provided byConsistent Presentation is Provided by– Device calibration, using GSDF and characteristic Device calibration, using GSDF and characteristic

curvecurve

– Use of Presentation LUT for Grayscale PrintUse of Presentation LUT for Grayscale Print

– Use GSPS SOP Instances to capture the presentation of Use GSPS SOP Instances to capture the presentation of softcopy images.softcopy images.

Devices that claim conformance to the IHE Devices that claim conformance to the IHE Consistent Presentation of Grayscale Images Consistent Presentation of Grayscale Images provide these functions.provide these functions.

Page 27: Consistent Presentation of Images R. Horn, Research Scientist (robert.horn@agfa.com) robert.horn@agfa.com G. Claeys, Technology Manager (geert.claeys@agfa.com)

Thank YouThank You