Abstract

Abstract Image contrast is an essential visual feature that determines whether an image is of good quality. In computed tomography (CT), captured images tend to be low contrast, which is a prevalent artifact that reduces the image quality and hampers the process of extracting its useful information. A common tactic to process such artifact is by using histogram-based techniques. However, although these techniques may improve the contrast for different grayscale imaging applications, the results are mostly unacceptable for CT images due to the presentation of various faults, noise amplification, excess brightness, and imperfect contrast. Therefore, an ameliorated version of the contrast-limited adaptive histogram equalization (CLAHE) is introduced in this article to provide a good brightness with decent contrast for CT images. The novel modification to the aforesaid technique is done by adding an initial phase of a normalized gamma correction function that helps in adjusting the gamma of the processed image to avoid the common errors of the basic CLAHE of the excess brightness and imperfect contrast it produces. The newly developed technique is tested with synthetic and real-degraded low-contrast CT images, in which it highly contributed in producing better quality results. Moreover, a low intricacy technique for contrast enhancement is proposed, and its performance is also exhibited against various versions of histogram-based enhancement technique using three advanced image quality assessment metrics of Universal Image Quality Index (UIQI), Structural Similarity Index (SSIM), and Feature Similarity Index (FSIM). Finally, the proposed technique provided acceptable results with no visible artifacts and outperformed all the comparable techniques.

Highlights

  • In the field of digital image processing, contrast enhancement plays an essential role in rendering an image clearly recognizable for different imaging applications [1], including computed tomography (CT)

  • The dataset used in this study consists of real and synthetic degraded lowcontrast grayscale CT images obtained from different medical databases, such as ctisus.com, radpod.org, and MedPix

  • The author decided to use the Universal Image Quality Index (UIQI) [41], Structural Similarity Index (SSIM) [42], and Feature Similarity Index (FSIM) [43]. These metrics utilize different image characteristics to measure the accuracy, wherein the UIQI uses the loss of correlation, luminance distortion, and contrast distortion, while the SSIM employs the structural information and the FSIM utilizes the low-level details

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Summary

Introduction

In the field of digital image processing, contrast enhancement plays an essential role in rendering an image clearly recognizable for different imaging applications [1], including computed tomography (CT). After HE, an improved technique was proposed, known as CLAHE [23] to provide a better contrast for the processed images This algorithm has drawbacks in that it failed to process some CT images properly and produced unsatisfactory results as the images suffered from unbalanced contrast and increased brightness. Such limitations reduced the reliability of CLAHE to be used as a trustworthy enhancement technique for modern clinical routines. A brightnesspreserving dynamic fuzzy histogram equalization (BPDFHE) [29] was proposed This employs the image fuzzy statistics resulting in a better handling of the gray-level imprecise values to produce an improved image contrast. The newly obtained pixel values are stored in a new array that the size of which is similar to the original image to form the new enhanced image

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