Image Quality in the Era of Artificial Intelligence

Artificial intelligence (AI) is being deployed within radiology at a rapid pace. AI has proven an excellent tool for reconstructing and enhancing images that appear sharper, smoother, and more detailed, can be acquired more quickly, and allowing clinicians to review them more rapidly. However, incorporation of AI also introduces new failure modes and can exacerbate the disconnect between perceived quality of an image and information content of that image. Understanding the limitations of AI-enabled image reconstruction and enhancement is critical for safe and effective use of the technology. Hence, the purpose of this communication is to bring awareness to limitations when AI is used to reconstruct or enhance a radiological image, with the goal of enabling users to reap benefits of the technology while minimizing risks.

Advancing the AmbientGAN for learning stochastic object models

Medical imaging systems are commonly assessed and optimized by use of objective-measures of image quality (IQ) that quantify the performance of an observer at specific tasks. Variation in the objects to-be-imaged is an important source of variability that can significantly limit observer performance. This object variability can be described by stochastic object models (SOMs). In order to establish SOMs that can accurately model realistic object variability, it is desirable to use experimental data. To achieve this, an augmented generative adversarial network (GAN) architecture called AmbientGAN has been developed and investigated. However, AmbientGANs cannot be immediately trained by use of advanced GAN training methods such as the progressive growing of GANs (ProGANs). Therefore, the ability of AmbientGANs to establish realistic object models is limited. To circumvent this, a progressively-growing AmbientGAN (ProAmGAN) has been proposed. However, ProAmGANs are designed for generating two-dimensional (2D) images while medical imaging modalities are commonly employed for imaging three-dimensional (3D) objects. Moreover, ProAmGANs that employ traditional generator architectures lack the ability to control specific image features such as fine-scale textures that are frequently considered when optimizing imaging systems. In this study, we address these limitations by proposing two advanced AmbientGAN architectures: 3D ProAmGANs and Style-AmbientGANs (StyAmGANs). Stylized numerical studies involving magnetic resonance (MR) imaging systems are conducted. The ability of 3D ProAmGANs to learn 3D SOMs from imaging measurements and the ability of StyAmGANs to control fine-scale textures of synthesized objects are demonstrated.

Approximating the Hotelling Observer with Autoencoder-Learned Efficient Channels for Binary Signal Detection Tasks

The objective assessment of image quality (IQ) has been advocated for the analysis and optimization of medical imaging systems. One method of obtaining such IQ metrics is through a mathematical observer. The Bayesian ideal observer is optimal by definition for signal detection tasks, but is frequently both intractable and non-linear. As an alternative, linear observers are sometimes used for task-based image quality assessment. The optimal linear observer is the Hotelling observer (HO). The computational cost of calculating the HO increases with image size, making a reduction in the dimensionality of the data desirable. Channelized methods have become popular for this purpose, and many competing methods are available for computing efficient channels. In this work, a novel method for learning channels using an autoencoder (AE) is presented. AEs are a type of artificial neural network (ANN) that are frequently employed to learn concise representations of data to reduce dimensionality. Modifying the traditional AE loss function to focus on task-relevant information permits the development of efficient AE-channels. These AE-channels were trained and tested on a variety of signal shapes and backgrounds to evaluate their performance. In the experiments, the AE-learned channels were competitive with and frequently outperformed other state-of-the-art methods for approximating the HO. The performance gains were greatest for the datasets with a small number of training images and noisy estimates of the signal image. Overall, AEs are demonstrated to be competitive with state-of-the-art methods for generating efficient channels for the HO and can have superior performance on small datasets.