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Anna Breger

Publications and source records attributed to Anna Breger.

At least 19 recordsLinked to original sources
arXiv2026

Reconstructing Historical Manuscripts through MSI: The Potential of Contrast in Assessing Image Quality and Legibility

Digital restoration of historical manuscript images aims to improve readability while preserving the authenticity of cultural heritage documents. However, evaluating quality of restored manuscripts remains challenging, where readability is often subjective and expert annotations are scarce. This study investigates the suitability of contrast-based image quality measures to assess quality and legibility of reconstructed manuscript images from multi-spectral imaging. Two experiments were conducted with publicly-available data sets, facilitating manual quality scores by experts and full-reference image quality measures as reference evaluations. The results show that potential contrast achieves the highest correlation with expert ratings, while contrast-to-noise ratio demonstrates the strongest agreement with full-reference quality measures. Overall, contrast-based measures consistently outperform general image quality measures, demonstrating their potential as objective indicators of manuscript legibility and reconstruction quality.

cs.CV↗
arXiv2026

CBCT-IQ: A Publicly Available Annotated Cone-Beam CT Dataset for Image Quality Assessment and Benchmarking

Medical image quality plays a critical role in diagnostic accuracy, especially in X-ray-based imaging modalities such as cone-beam computed tomography (CBCT), where image quality must be balanced against radiation dose. While expert visual evaluation remains the clinical standard for image quality evaluation, it is time-consuming, subjective and affected by inter-observer variability, emphasizing the need for reliable quantitative image quality assessment (IQA) methods. However, the development and validation of such IQA methods have been limited by the lack of publicly available CBCT datasets with expert image quality annotations. In this study, we provide the first open-access CBCT IQA dataset containing 1,764 annotated image slices acquired using systematic variations in image acquisition and reconstruction parameters. Three clinical experts graded the overall image quality and a predefined regions of interest (ROI) using a four-level scoring scheme. In addition, we benchmark 26 full reference- and no reference-based IQA measures against expert annotations and introduce an exploratory IQA measure-based ranking capable of distinguishing subtle image quality differences. This dataset introduced a standardized benchmark for future CBCT IQA research and provides a valuable resource for the development and validation of new IQA methods, enabling reproducible research and advancing CBCT IQA.

physics.med-ph↗
arXiv2026

Rethinking Clinical Relevance in Chest X-ray Machine Learning: How Evaluation References Define Performance

Chest X-ray (CXR) machine learning relies heavily on automated evaluation using reference standards that aim to approximate clinical judgment. However, commonly used report-derived labels for pathology classification or generic image quality metrics for reconstruction may not reliably reflect clinical judgment. We systematically investigate how evaluation-reference choices affect model performance and ranking in both pathology classification and image quality assessment (IQA). To enable controlled comparison across evaluation references, we collected paired expert image- and report-derived labels for thoracic findings from a clinical cohort at Cambridge University Hospitals (CUH) and curated a subset of the public MIMIC-CXR dataset, along with expert ratings of diagnostic image quality. We show that for supervised image classifiers (ResNet, DenseNet), several zero-shot and fine-tuned vision-language models (e.g., MedKLIP, GLoRIA, and ConVIRT), changing the label source leads to substantial differences not only in performance estimates but also in model rankings. In parallel, alignment of IQA measures with expert judgment depends heavily on the choice of measure, and commonly used IQA metrics such as SSIM and PSNR often fail to align with expert assessments of diagnostic usability. Our results demonstrate that evaluation choices are crucial: they can determine which models and methods appear best and are therefore selected for further development or deployment. The selection of evaluation references should therefore be treated as a central component of clinical validity in CXR machine learning, and justified with respect to the pathology, imaging task, and intended downstream clinical use.

eess.IV↗
arXiv2026

No-reference based automatic parameter optimization for iterative reconstruction using a novel search space aware crow search algorithm

Iterative reconstruction technique's ability to reduce radiation exposure by using fewer projections has attracted significant attention. However, these methods typically require a precise tuning of several hyperparameters, which can have a major impact on reconstruction quality. Manually setting these parameters is time-consuming and increases the workload for human operators. In this paper, we introduce a novel fully automatic parameter optimization framework that can be applied to a wide range of Cone-beam computed tomography (CBCT) iterative reconstruction algorithms to determine optimal parameters without requiring a reference reconstruction. The proposed method incorporates a modified crow search algorithm (CSA) featuring a superior set-dependent local search mechanism, a search-space-aware global search strategy, and an objective-driven balance between local and global search. Additionally, to ensure an effective initial population, we propose a chaotic diagonal linear uniform initialization scheme that accelerates algorithm convergence. The performance of the proposed framework was evaluated on three imaging machines and four real datasets, as well as three different iterative reconstruction methods with the highest number of tunable parameters, representing the most challenging senario. The results indicate that the proposed method could outperform manual settings and CSA, with an 4.19% improvement in average fitness and 4.89% and 3.82% improvements on CHILL@UK and RPI_AXIS, respectively, which are two benchmark no-reference learning-based quality metrics. In addition, the qualitative results clearly show the superiority of the proposed method by maintaining fine details sharply. The overall performance of the proposed framework across different comparison scenarios demonstrates its effectiveness and robustness across all cases.

cs.CV↗
arXiv2025

PhotIQA: A photoacoustic image data set with image quality ratings

Image quality assessment (IQA) is crucial in the evaluation stage of novel algorithms operating on images, including traditional and machine learning based methods. Due to the lack of available quality-rated medical images, most commonly used full-reference IQA measures have been developed and tested for natural images. Reported pitfalls and inconsistencies arising when applying such measures for medical images are not surprising, as they rely on different properties than natural images. In photoacoustic imaging (PAI), especially, standard benchmarking approaches for assessing the quality of image reconstructions are lacking. PAI is a multi-physics imaging modality, in which two inverse problems have to be solved, which makes the application of IQA measures uniquely challenging due to both, acoustic and optical, artifacts. To support the development and testing of IQA measures we assembled PhotIQA, a data set consisting of 1134 photoacoustic images. The images were rated by five experts across five quality properties in a full-reference setting, where the detailed rating enables usage beyond PAI. The data set with the images and corresponding ratings is publicly available on Zenodo.

eess.IV↗
arXiv2025

Potential Contrast: Properties, Equivalences, and Generalization to Multiple Classes

Potential contrast is typically used as an image quality measure and quantifies the maximal possible contrast between samples from two classes of pixels in an image after an arbitrary grayscale transformation. It has been applied in cultural heritage to evaluate multispectral images using a small number of labeled pixels. In this work, we introduce a normalized version of potential contrast that removes dependence on image format and also prove equalities that enable generalization to more than two classes and to continuous settings. Finally, we exemplify the utility of multi-class normalized potential contrast through an application to a medieval music manuscript with visible bleedthrough from the back of the page. We share our implementations, based on both original algorithms and our new equalities, including generalization to multiple classes, at https://github.com/wallacepeaslee/Multiple-Class-Normalized-Potential-Contrast.

eess.IV↗
arXiv2024

Parameter choices in HaarPSI for IQA with medical images

When developing machine learning models, image quality assessment (IQA) measures are a crucial component for the evaluation of obtained output images. However, commonly used full-reference IQA (FR-IQA) measures have been primarily developed and optimized for natural images. In many specialized settings, such as medical images, this poses an often overlooked problem regarding suitability. In previous studies, the FR-IQA measure HaarPSI showed promising behavior regarding generalizability. The measure is based on Haar wavelet representations and the framework allows optimization of two parameters. So far, these parameters have been aligned for natural images. Here, we optimize these parameters for two medical image data sets, a photoacoustic and a chest X-ray data set, with IQA expert ratings. We observe that they lead to similar parameter values, different to the natural image data, and are more sensitive to parameter changes. We denote the novel optimized setting as HaarPSI$_{MED}$, which improves the performance of the employed medical images significantly (p<0.05). Additionally, we include an independent CT test data set that illustrates the generalizability of HaarPSI$_{MED}$, as well as visual examples that qualitatively demonstrate the improvement. The results suggest that adapting common IQA measures within their frameworks for medical images can provide a valuable, generalizable addition to employment of more specific task-based measures.

eess.IV↗
arXiv2024

Can Rule-Based Insights Enhance LLMs for Radiology Report Classification? Introducing the RadPrompt Methodology

Developing imaging models capable of detecting pathologies from chest X-rays can be cost and time-prohibitive for large datasets as it requires supervision to attain state-of-the-art performance. Instead, labels extracted from radiology reports may serve as distant supervision since these are routinely generated as part of clinical practice. Despite their widespread use, current rule-based methods for label extraction rely on extensive rule sets that are limited in their robustness to syntactic variability. To alleviate these limitations, we introduce RadPert, a rule-based system that integrates an uncertainty-aware information schema with a streamlined set of rules, enhancing performance. Additionally, we have developed RadPrompt, a multi-turn prompting strategy that leverages RadPert to bolster the zero-shot predictive capabilities of large language models, achieving a statistically significant improvement in weighted average F1 score over GPT-4 Turbo. Most notably, RadPrompt surpasses both its underlying models, showcasing the synergistic potential of LLMs with rule-based models. We have evaluated our methods on two English Corpora: the MIMIC-CXR gold-standard test set and a gold-standard dataset collected from the Cambridge University Hospitals.

cs.CL↗
arXiv2024

A study on the adequacy of common IQA measures for medical images

Image quality assessment (IQA) is standard practice in the development stage of novel machine learning algorithms that operate on images. The most commonly used IQA measures have been developed and tested for natural images, but not in the medical setting. Reported inconsistencies arising in medical images are not surprising, as they have different properties than natural images. In this study, we test the applicability of common IQA measures for medical image data by comparing their assessment to manually rated chest X-ray (5 experts) and photoacoustic image data (2 experts). Moreover, we include supplementary studies on grayscale natural images and accelerated brain MRI data. The results of all experiments show a similar outcome in line with previous findings for medical images: PSNR and SSIM in the default setting are in the lower range of the result list and HaarPSI outperforms the other tested measures in the overall performance. Also among the top performers in our experiments are the full reference measures FSIM, LPIPS and MS-SSIM. Generally, the results on natural images yield considerably higher correlations, suggesting that additional employment of tailored IQA measures for medical imaging algorithms is needed.

eess.IV↗
arXiv2024

A study of why we need to reassess full reference image quality assessment with medical images

Image quality assessment (IQA) is indispensable in clinical practice to ensure high standards, as well as in the development stage of machine learning algorithms that operate on medical images. The popular full reference (FR) IQA measures PSNR and SSIM are known and tested for working successfully in many natural imaging tasks, but discrepancies in medical scenarios have been reported in the literature, highlighting the gap between development and actual clinical application. Such inconsistencies are not surprising, as medical images have very different properties than natural images, and PSNR and SSIM have neither been targeted nor properly tested for medical images. This may cause unforeseen problems in clinical applications due to wrong judgment of novel methods. This paper provides a structured and comprehensive overview of examples where PSNR and SSIM prove to be unsuitable for the assessment of novel algorithms using different kinds of medical images, including real-world MRI, CT, OCT, X-Ray, digital pathology and photoacoustic imaging data. Therefore, improvement is urgently needed in particular in this era of AI to increase reliability and explainability in machine learning for medical imaging and beyond. Lastly, we will provide ideas for future research as well as suggesting guidelines for the usage of FR-IQA measures applied to medical images.

eess.IV↗
arXiv2022

visClust: A visual clustering algorithm based on orthogonal projections

We present a novel clustering algorithm, visClust, that is based on lower dimensional data representations and visual interpretation. Thereto, we design a transformation that allows the data to be represented by a binary integer array enabling the use of image processing methods to select a partition. Qualitative and quantitative analyses measured in accuracy and an adjusted Rand-Index show that the algorithm performs well while requiring low runtime and RAM. We compare the results to 6 state-of-the-art algorithms with available code, confirming the quality of visClust by superior performance in most experiments. Moreover, the algorithm asks for just one obligatory input parameter while allowing optimization via optional parameters. The code is made available on GitHub and straightforward to use.

cs.CV↗
arXiv2021

Blood vessel segmentation in en-face OCTA images: a frequency based method

Optical coherence tomography angiography (OCTA) is a novel noninvasive imaging modality for visualization of retinal blood flow in the human retina. Using specific OCTA imaging biomarkers for the identification of pathologies, automated image segmentations of the blood vessels can improve subsequent analysis and diagnosis. We present a novel segmentation method for vessel density identification based on frequency representations of the image, in particular, using so-called Gabor filter banks. The algorithm is evaluated qualitatively and quantitatively on an OCTA image in-house data set from $10$ eyes acquired by a Cirrus HD-OCT device. Qualitatively, the segmentation outcomes received very good visual evaluation feedback by experts. Quantitatively, we compared the resulting vessel density values with automated in-built values provided by the device. The results underline the visual evaluation. For the evaluation of the FAZ identification substep, manual annotations of $2$ expert graders were used, showing that our results coincide well in visual and quantitative manners. Lastly, we suggest the computation of adaptive local vessel density maps that allow straightforward analysis of retinal blood flow in a local manner.

eess.IV↗
arXiv2019

On the reconstruction accuracy of multi-coil MRI with orthogonal projections

MRI signal acquisition with multiple coils in a phased array is nowadays commonplace. The use of multiple receiver coils increases the signal-to-noise ratio (SNR) and enables accelerated parallel imaging methods. Some of these methods, like GRAPPA or SPIRiT, yield individual coil images in the k-space domain which need to be combined to form a final image. Coil combination is often the last step of the image reconstruction, where the root sum of squares (rSOS) is frequently used. This straightforward method works well for coil images with high SNR, but can yield problems in images with artifacts or low SNR in all individual coils. We aim to analyze the final coil combination step in the framework of linear compression, including principal component analysis (PCA). With two data sets, a simulated and an in-vivo, we use random projections as a representation of the whole space of orthogonal projections. This allows us to study the impact of linear compression in the image space with diverse measures of reconstruction accuracy. In particular, the $L_2$ error, variance, SNR, and visual results serve as performance measures to describe the final image quality. We study their relationships and observe that the $L_2$ error and variance strongly correlate, but as expected minimal $L_2$ error does not necessarily correspond to the best visual results. In terms of visual evaluation and SNR, the compression with PCA outperforms all other methods, including rSOS on the uncompressed image space data.

physics.med-ph↗
arXiv2019

An amplified-target loss approach for photoreceptor layer segmentation in pathological OCT scans

Segmenting anatomical structures such as the photoreceptor layer in retinal optical coherence tomography (OCT) scans is challenging in pathological scenarios. Supervised deep learning models trained with standard loss functions are usually able to characterize only the most common disease appeareance from a training set, resulting in suboptimal performance and poor generalization when dealing with unseen lesions. In this paper we propose to overcome this limitation by means of an augmented target loss function framework. We introduce a novel amplified-target loss that explicitly penalizes errors within the central area of the input images, based on the observation that most of the challenging disease appeareance is usually located in this area. We experimentally validated our approach using a data set with OCT scans of patients with macular diseases. We observe increased performance compared to the models that use only the standard losses. Our proposed loss function strongly supports the segmentation model to better distinguish photoreceptors in highly pathological scenarios.

eess.IV↗
arXiv2019

Improving Machine Hearing on Limited Data Sets

Convolutional neural network (CNN) architectures have originated and revolutionized machine learning for images. In order to take advantage of CNNs in predictive modeling with audio data, standard FFT-based signal processing methods are often applied to convert the raw audio waveforms into an image-like representations (e.g. spectrograms). Even though conventional images and spectrograms differ in their feature properties, this kind of pre-processing reduces the amount of training data necessary for successful training. In this contribution we investigate how input and target representations interplay with the amount of available training data in a music information retrieval setting. We compare the standard mel-spectrogram inputs with a newly proposed representation, called Mel scattering. Furthermore, we investigate the impact of additional target data representations by using an augmented target loss function which incorporates unused available information. We observe that all proposed methods outperform the standard mel-transform representation when using a limited data set and discuss their strengths and limitations. The source code for reproducibility of our experiments as well as intermediate results and model checkpoints are available in an online repository.

cs.SD↗
arXiv2019

On orthogonal projections for dimension reduction and applications in augmented target loss functions for learning problems

The use of orthogonal projections on high-dimensional input and target data in learning frameworks is studied. First, we investigate the relations between two standard objectives in dimension reduction, preservation of variance and of pairwise relative distances. Investigations of their asymptotic correlation as well as numerical experiments show that a projection does usually not satisfy both objectives at once. In a standard classification problem we determine projections on the input data that balance the objectives and compare subsequent results. Next, we extend our application of orthogonal projections to deep learning tasks and introduce a general framework of augmented target loss functions. These loss functions integrate additional information via transformations and projections of the target data. In two supervised learning problems, clinical image segmentation and music information classification, the application of our proposed augmented target loss functions increase the accuracy.

math.NA↗
arXiv2016

Points on manifolds with asymptotically optimal covering radius

Given a finite set of points on the Euclidean sphere, the worst case quadrature error in Sobolev spaces has recently been shown to provide upper bounds on the covering radius of the point set. Moreover, quasi-Monte Carlo integration points on the sphere achieve the asymptotically optimal covering radius. Here, we extend these results to points on compact smooth Riemannian manifolds and provide numerical experiments illustrating our findings for the Grassmannian manifold.

math.NA↗