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In this ®gure, the top row of images shows chest radiographs compressed (using SPIHT wavelet method) at 10:1, 50:1, and 200:1. A magni®ed subregion is shown in the upper right corner. The absolute error image, using a display 

In this ®gure, the top row of images shows chest radiographs compressed (using SPIHT wavelet method) at 10:1, 50:1, and 200:1. A magni®ed subregion is shown in the upper right corner. The absolute error image, using a display 

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The volume of data from medical imaging is growing at exponential rates, matching or exceeding the decline in the costs of digital data storage. While methods to reversibly compress image data do exist, current methods only achieve modest reductions in storage requirements. Irreversible compression can achieve substantially higher compression ratio...

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... low compression rates are used, the quantization step largely discards high-frequency noise in which spectral content is represented by a large number of low magnitude coecients. 10 At these very low compression ratios, image degradation is im- perceptible (referred to as``as``visually lossless''; Fig 3a). As noted above, JPEG2000 allows users to specify the maximum change in pixel value permitted. ...

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... Nevertheless, the utilisation of proprietary compression techniques substantially amplifies the expenses and exertion involved in transmitting data across diverse systems, hence compelling the implementation of digital communication standards [4]. It is important to acknowledge that prior assessments of medical image compression techniques have been documented in published literature [5][6][7][8][9][10][11][12][13][14]. ...
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... Several methods evaluate the clinical acceptance of the compression level [46]. The first is the numerical analysis of the pixel before and after compression [47]. This simple method is recommended for calculating the mean pixel error for the compressed image but has no correlation with radiologists' evaluations and therefore has no clinical significance. ...
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... 2,3 With the application of image compression and decompression techniques, such expectations and challenges can be met to preserve all clinically relevant information. [4][5][6][7][8] These techniques can be divided into two types: lossless and lossy. Lossless compression methods are the group of algorithms that allow you to recover all data to its initial intact state after the decompression process, therefore these methods are known to result in a lower compression ratio. ...
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... [22][23][24] The lossy compression method consists of 3 steps-transformation, quantization, and encoding-and eliminates less important information, thereby reducing transmission and storage requirements. 24,25 The theoretical major loss in image information occurs during the quantization step. 25,26 However, the present study revealed no significant influence on the diagnosis of proximal caries lesions between the file formats assessed. ...
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Objectives This in-vitro study aimed to evaluate the influence of the radiographic image file format and the transmission application (app) on the diagnosis of proximal caries lesions. Study Design Twenty bitewing radiographs of 40 posterior human teeth placed in phantoms were acquired using the Digora Toto digital sensor. All images were exported as TIFF, BMP, PNG, and JPEG and transmitted online via WhatsApp and Messenger. Five examiners evaluated the radiographs with no online transmission and as transmitted through the 2 apps for the presence of proximal caries lesions by using a 5-point scale. The reference standard for caries lesions was established using micro-computed tomography. Two-way ANOVA compared values of sensitivity, specificity, accuracy, and area under the receiver operating characteristic (ROC) curve (Az) (α=0.05). The kappa test was used to assess intra- and interexaminer agreements. Results Sensitivity, specificity, accuracy, and Az values showed no significant differences in the diagnosis of proximal caries lesions between the different image file formats (p ≥ 0.773) and transmission apps (p ≥ 0.608). Intraexaminer agreement was substantial (κ = 0.742) and interexaminer agreement was moderate (κ = 0.475). Conclusion The digital file format and transmission app did not influence the radiographic diagnosis of proximal caries lesions.
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... 11 In general, generally modern compression standards are not context-based regarding bi-level segmented medical images and the irreversible techniques are not preferred for medical image compression. 20,21 The characteristics of the bi-level (segmented medical data) differ from natural image data in terms of entropy level, compactness, 22 and the energy of the image matrix, which is defined as an absolute value of enclosed curve or volume, and morphological structure. 23 And thus, the compression techniques that are not specifically designed for medical data cannot completely reveal the corresponding redundancy. ...
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Background DICOM standard does not have modules that provide the possibilities of two‐dimensional Presentation States to three‐dimensional (3D). Once the final 3D rendering is obtained, only video/image exporting or snapshots can be used. To increase the utility of 3D Presentation States in clinical practice and teleradiology, the storing and transferring the segmentation results, obtained after tedious procedures, can be very effective. Purpose To propose a strategy for preserving interaction and mobility of visualizations for teleradiology by storing and transferring only binary segmented data, which is effectively compressed by modern adaptive and context‐based reversible methods. Material and Methods A diverse set of segmented data, which include four abdominal organs (liver, spleen, right, and left kidneys) from 20 T1‐DUAL and 20 T2‐SPIR MRI, liver from 20 CT, and abdominal aorta with aneurysms (AAA) from 19 computed tomography‐angiography datasets, are collected. Each organ is segmented manually by expert physicians, and binary volumes are created. The well‐established reversible binary compression methods PNG, JPEG‐LS, JPEG‐XR, CCITT‐G4, LZW, JBIG2, and ZIP are applied to medical datasets. Recently proposed context‐based (3D‐RLE) and adaptive (ABIC) algorithms are also employed. The performance assessment has been presented in terms of the compression ratio that is a universal compression metric. Results Reversible compression of binary volumes results with substantial decreases in file size such as 254 to 2.14 MB for CT‐AAA, 56.7 to 0.3 MB for CT‐liver. Moreover, compared to the performance of well‐established methods (i.e., mean 76.14%), CR is observed to be increased significantly for all segmented organs from both CT and MRI datasets when ABIC (95.49%) and 3D‐RLE (94.98%) are utilized. The hypothesis is that morphological coherence of scanning procedure and adaptation between the segmented organs, that is, bi‐level images, contributes to compression performance. Although the performance of well‐established techniques is satisfactory, the sensitivity of ABIC to modality type and the advantage of 3D‐RLE when the spatial coherence between the adjacent slices are high results with up to 10 times more CR performance. Conclusion Adaptive and context‐based compression strategies allow effective storage and transfer of segmented binary data, which can be used to re‐produce visualizations for better teleradiology practices preserving all interaction mechanisms.