Medical image denoising is a crucial pre-processing task in the medical field to ensure accurate analysis of anomalies or sicknesses in the human body. Digital filters are popular for reducing undesired noise as they provide reliability, high accuracy, and reduced sensitivity to component tolerances compared to analog filters. However, conventional digital filter design approaches lack efficiency in achieving global optimization robustness. To overcome these incapabilities, this paper adopted bio-inspired optimization algorithms to offer viable digital filter designing tools because of their simple implementation and requirement of a few parameters to control their convergence. This research article explores a hybrid strategy that combines a novel guided decimation box filter (GDBF) with a hybrid cuckoo particle swarm optimization (HCPSO) algorithm to design a denoising filter for medical images. It is the first time a decimation box filter has been used for denoising, leading to novelty. The HCPSO algorithm is applied to obtain the filter parameters optimally. Medical images mostly suffer from four types of noises. The performance of the proposed filter is analyzed for these types of noise. To highlight the importance of parameter selection, the results of the proposed method are compared with other recently utilized bio-inspired genetic algorithms, such as PSO (particle swarm optimization), CS (cuckoo search), and FF (firefly). The superiority (potency) of the proposed method has been established by calculating the improvement in quality parameters such as the peak signal-to-noise ratio (PSNR), structure similarity index (SSIM), and feature similarity index (FSIM). The proposed filter achieved the highest PSNR (~35.7 dB), SSIM (~0.95), and FSIM (~0.92) and proved its numerical and visual quality efficacy over state-of-the-art models.
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