Abstract

In the area of musculoskeletal MR images analysis, the image denoising plays an important role in enhancing the spatial image area for further processing. Recent studies have shown that non-local means (NLM) methods appear to be more effective and robust when compared with conventional local statistical filters, including median or average filters, when Rician noise is presented. A significant limitation of NLM is the fact that thy have the tendency to suppress tiny objects, which may represent clinically important information. For this reason, we provide an extensive quantitative and objective analysis of a novel NLM algorithm, taking advantage of pixel and patch similarity information with the optimization procedure for optimal filter parameters selection to demonstrate a higher robustness and effectivity, when comparing with NLM and conventional local means methods, including average and median filters. We provide extensive testing on variable noise generators with dynamical noise intensity to objectively demonstrate the robustness of the method in a noisy environment, which simulates relevant, variable and real conditions. This work also objectively evaluates the potential and benefits of the application of NLM filters in contrast to conventional local-mean filters. The final part of the analysis is focused on the segmentation performance when an NLM filter is applied. This analysis demonstrates a better performance of tissue identification with the application of smoothing procedure under worsening image conditions.

Highlights

  • The musculoskeletal system comprises a set of organs that allows a person to move (Latin locomotion— the name locomotor system)

  • Recent studies have shown that non-local means (NLM) methods appear to be more effective and robust when compared with conventional local statistical filters, including median or average filters, when Rician noise is presented

  • Image smoothing is one of the essential procedures in the MR image preprocessing. This operation enables an enhancement of spatial image area by suppressing noise and artefacts, which cause image deterioration. These additive image signals lead to improper tissues identification and consequent features extraction, which is essential for proper medical diagnosis

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Summary

Introduction

The musculoskeletal system comprises a set of organs that allows a person to move (Latin locomotion— the name locomotor system). In addition to the basic motor functions, this complex system performs many other indispensable tasks, such as upright posture, protection of vital organs, especially the central nervous system and organs in the abdominal cavity, heat generation needed to maintain a constant body temperature, metabolic function protein supply and, communication functions (e.g., the contraction of mimic muscles expresses our feelings, gesticulation is an important part of interpersonal communication) [5,6]. Based on these facts, the musculoskeletal system is substantially important for a range of human activities. Relative contraindications include metal alien bodies, claustrophobia, first trimester of pregnancy, total endoprosthesis (TEP), stents, and clamps up to 6 weeks after implantation [16,17]

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