Detection and display of defects in medical scintigraphic images

Abstract

To achieve the evaluation of the lesion detectability of a program implemented by us on a minicomputer system to indicate possible defects on liver scans, we simulated a set of geometrical phantoms with different patterns of cold lesions to obtain LROC curves in different cases. Then, to check its clinical value, the program was applied to 44 liver scintigrams of patients among which 7 occurred to be pathological. These liver scintigrams had been evaluated by 6 clinicians so that a comparison between the program and the clinicians could be performedd on the basis of the corresponding LROC curves. Moreover, once an abnormality had been detected by the program, the abnormality was processed in order to perform a psychovisual evaluation of the image more easily: an adapted local 2-level display of the possible defect was superimposed on the scan to enhance it and to facilitate diagnosis.