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Validated novel software to measure the conspicuity index of lesions in DICOM images

Szczepura, K; Manning, D

Validated novel software to measure the conspicuity index of lesions in DICOM images Thumbnail


D Manning


Craig Abbey

Matthew Kupinski


Description of purpose
A novel software programme and associated Excel spreadsheet has been developed to provide an objective measure of the expected visual detectability of focal abnormalities within DICOM images.
ROIs are drawn around the abnormality, the software then fits the lesion using a least squares method to recognise the edges of the lesion based on the full width half maximum. 180 line profiles are then plotted around the lesion, giving 360 edge profiles.
The co-ordinates show in Figure 1 are captured, as well the standard deviation of the pixel values within the background and lesion (representing anatomical noise and lesion noise respectively).

An Excel spreadsheet has been developed to allow variables to be calculated, including SNR and CNR. A conspicuity index has also been developed:

The software has been validated using the GAMMEX ACR CT accreditation phantom, varying mA, kVp and slice thickness (ST) and the results have been found to give a linear response:

A novel software programme has been validated to allow calculation of many physical properties of lesions. Additionally, a new measure of conspicuity index has been developed for focal lesions.
The analysis could be further developed to incorporate reader decision-analysis data and eye-tracking data allowing correlations between physical and perception measures to be made beyond basic CNR calculations. It could also be used as a tool to distinguish between perceptual and cognitive error.
Further refinements could lead to measures of the detectability of more diffuse disease features.


Szczepura, K., & Manning, D. (2016). Validated novel software to measure the conspicuity index of lesions in DICOM images. Proceedings of SPIE, 9787,

Journal Article Type Article
Publication Date Mar 24, 2016
Deposit Date May 4, 2016
Publicly Available Date Mar 14, 2019
Journal Proceedings of SPIE
Print ISSN 0277-786X
Publisher Society of Photo-optical Instrumentation Engineers
Volume 9787
Book Title Proceedings of SPIE Volume 9787. Medical Imaging 2016: Image Perception, Observer Performance, and Technology Assessment
ISBN 9781510600225
Publisher URL
Additional Information Additional Information : Copyright 2016 Society of Photo-Optical Instrumentation Engineers (SPIE). One print or electronic copy may be made for personal use only. Systematic reproduction and distribution, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper are prohibited.


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