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NERS/BIOE 481 Lecture 13 Observer Performance Michael Flynn, Adjunct Prof HenryFord Nuclear Engr & Rad. Science Health System mikef@umich.edu mikef@rad.hfh.edu RADIOLOGY RESEARCH Display Quality Test Image Gray tone test pattern


  1. NERS/BIOE 481 Lecture 13 Observer Performance Michael Flynn, Adjunct Prof HenryFord Nuclear Engr & Rad. Science Health System mikef@umich.edu mikef@rad.hfh.edu RADIOLOGY RESEARCH

  2. Display Quality Test Image Gray tone test pattern 243/255 12/0 243/255 12/0 2 NERS/BIOE 481 - 2019

  3. - General Models Radiographic Imaging: Subject contrast (A) recorded by the detector (B) is transformed (C) to display values presented (D) for the human visual system (E) and interpretation. Radioisotope Imaging: The detector records the radioactivity distribution by using a multi-hole collimator. A B 3 NERS/BIOE 481 - 2019

  4. IX.A – Visual contrast threshold (15 charts) A) Contrast Sensitivity of the Human Eye. 1) Test pattern characteristics 2) Contrast threshold/sensitivity 3) Measurement methods 4) Influence of size, frequency, & luminance 5) 2AFC measures of contrast sensitivity 4 NERS/BIOE 481 - 2019

  5. IX.A.1 – Test patterns for visual performance A variety of test patterns are used to assess visual performance. Clinical measures of acuity are done with a Snellen eye chart. Much psycho-visual research has been done using modulated test targets. 5 NERS/BIOE 481 - 2019

  6. IX.A.2 – Contrast measures Contrast threshold: C t , C t m The contrast for a just visible target. Contrast sensitivity: C s , C sm The inverse of the contrast threshold. C s = 1/ C t C sm = 1/ C t m Contrast is defined using two alternative definitions as illustrated. • The early literature uses the Michelson definition of contrast threshold, C tm , which is the amplitude of a sine function. This is used in Barten-1999. • DICOM uses the peak to peak contrast, C t , in part 14 of it’s standard. The Michelson contrast is one-half of the peak to peak contrast. 6 NERS/BIOE 481 - 2019

  7. IX.A.3 - C T Measurement Methods Two methods to measure C T --------------------------------------------------------------- • Variable Adjustment • observer manipulates the contrast until C T is found • dependent on the observer’s confidence level • requires fine control of the contrast to find C T • Alternative Forced Choice (AFC) • observer must determine the location of the target from two (or more) options or make a guess. • does not require fine control of the contrast • dependent on a % correct criteria (for a 2AFC test, C T = 75% chance of success) 7 NERS/BIOE 481 - 2019

  8. IX.A.4 - Visual target characteristics. Barten fit a psycho-visual model function to the results of numerous experimental studies. In general, all studies used the variable adjustment method. The following charts use Barten’s model (Barten, SPIE, 1999) to illustrate how contrast threshold/sensitivity depends on the following characteristics of the target; • Background Luminance • Angular frequency, • Target size • Target orientation 8 NERS/BIOE 481 - 2019

  9. IX.A.4 – Spatial Frequency: cycles/degree The eye perceives luminance variations as a change with respect to viewing angle. cycles /mm f distance, mm Data on visual performance can easily be converted from cycles/degree to cycles/mm at a specified viewing distance.   57.3   cycles/mm=cycles/degree distance   9 NERS/BIOE 481 - 2019

  10. IX.A.4 - Contrast sensitivity vs luminance and frequency C sm vs L (cd/m2) and w (cycles/mm at 60 cm) 400 L = 0.10 L = 1.00 L = 10.0 L = 100.0 L = 1000 cd/m2 300 20 mm target Csm 200 100 0 0.01 0.1 1 10 cycles/mm @ 60 cm 10 NERS/BIOE 481 - 2019

  11. IX.A.4 - Contrast sensitivity vs luminance and frequency Visual demonstration of contrast sensitivity. Campbell-Robson CSF chart 11 NERS/BIOE 481 - 2019

  12. IX.A.4 - Contrast sensitivity vs target size C sm vs target size (mm), 100 cd/m2, .7 cycles/mm, 60 cm 400 300 Csm @ 100 cd/m2 200 100 0 0 20 40 60 80 100 target size, mm 12 NERS/BIOE 481 - 2019

  13. IX.A.4 - Contrast sensitivity vs luminance C sm vs L (cd/m2) , 20 mm target, .7 cycles/mm, 60 cm 400 Csm @ .7 cycle/mm, 20 mm target 300 200 100 0 0.1 1 10 100 1000 10000 Luminance, cd/m2 13 NERS/BIOE 481 - 2019

  14. IX.A.4 - Contrast threshold vs luminance C t vs L (cd/m2) , 20 mm target, .7 cycles/mm, 60 cm 0.05 C t = Peak to peak just noticeable contrast threshold Ct @ .7 cycle/mm, 20 mm target 0.04 0.03 0.02 0.01 0 0.1 1 10 100 1000 10000 Luminance, cd/m2 14 NERS/BIOE 481 - 2019

  15. IX.A.5 - Finding C T for a 2AFC Observer Test Two Alternative Forced Choice (2 AFC) method ---------------------------------------------------------- • An observer views a series of image with a test pattern in one of 2 Alternative positions. • For each, the observer makes a Forced Choice. Data Analysis: • Assume a model for the behavior of the human visual system (HVS) • Identify the responses as (correct / incorrect) for images with varying contrast. • Deduce contrast threshold ( C T = 75% correct) from a maximum likelihood fit of the HVS model 15 NERS/BIOE 481 - 2019

  16. IX.A.5 - Graphics Software (2AFC test) A series of bar patterns appear randomly in one of two regions. Observers must choose which side the target is on. Contrast varies randomly with each image 16 NERS/BIOE 481 - 2019

  17. IX.A.5 - Display Conditions • Minimal ambient luminance • Observer level with target • Eye 60 cm from monitor surface • 54 image training sequence 17 NERS/BIOE 481 - 2019

  18. IX.A.5 - The Psychometric Function A psychometric expression is assumed for the probability that a grating target will be visually detected as a function of contrast. 1 � � = 0.5 1 + 1 + � �� ��� � � 18 NERS/BIOE 481 - 2019

  19. IX.A.5 - Human C T vs. W , two observers Both C T and W are 0.7 determined from binary responses using maximum MJF 0.6 PMT likelihood estimation (MLE). 0.5 • C T is normalized here to be relative to the Barton 0.4 C T model contrast threshold. 0.3 • C T is referred to as a 0.2 just noticeable difference (JND) unit. 0.1 • W is the width of the 0 psychometric function in 0 0.1 0.2 0.3 0.4 0.5 0.6 JND units. W For most person’s C T measured in a 2AFC experiment is less than that measured with the variable adjustment method. 19 NERS/BIOE 481 - 2019

  20. IX.B – Human Vision & Display (25 charts) Display requirements for the interpretation of radiological images are deduced from the performance of the human visual system (HVS). B) Human Vision & Display 1. Viewing Distance 2. Display Size 3. Pixel Size 4. Display Zoom 5. Equivalent Contrast ACR–AAPM–SIIM TECHNICAL STANDARD FOR ELECTRONIC PRACTICE OF MEDICAL IMAGING American College of Radiology, rev. 2017 20 NERS/BIOE 481 - 2019

  21. IX.B.1 – Viewing Distance? •Vergence •Accomodation • Vergence (convergence) allows both eyes to focus the object at the same place on the retina. • The closer the object, the more the extraocular muscles converge the eyes inward towards the nose. 21 NERS/BIOE 481 - 2019

  22. IX.B.1 – Viewing distance and vergence Resting Point of Vergence • Grandjean 1983 • reported an average preferred viewing distance of 30 inches. • Jaschcinsk-Kruza 1991 • Objects closer than the resting point cause muscle strain. • The closer the distance, the greater the strain (Collins 1975). • Jaschinski-Kruza 1998 • Every one of the subjects studied judged an eye-screen distance of 20 inches to be too close. • All accepted a 40 inch distance.  Arms length viewing distance: ~ 30 in 22 NERS/BIOE 481 - 2019

  23. IX.B.1 – Viewing distance and accomodation Resting Point of Accommodation • The ciliary muscle changes the shape of the lens to focus at the distance of an object. • The eyes have a resting point of accommodation which is the distance that the eye focuses to when there is nothing to look at (Owens 1984). • This resting point averages about 31 inches (Krueger 1984). • Prolonged viewing of a monitor closer than the resting point of accommodation increases eye strain. The ciliary muscle must work 2.5 times harder to focus on a monitor 12 inches away than at 30 inches. (Jaschinski-Kruza 1988)  Arms length viewing distance: ~ 30 in 23 NERS/BIOE 481 - 2019

  24. IX.B.2 – Display Size? Radiologist at workstations with multiple monitors and a wide front deck with a viewing distance of about 30 inches (76 cm). Angular field of view is measured using the diagonal distance. 24 NERS/BIOE 481 - 2019

  25. IX.B.2 – HVS: peripheral response The retina contains a large number of rod receptors (160 M) distributed over the peripheral field. Rod receptors have high sensitivity, gray response, and interconnections that respond to movement of peripheral field features. 44 o view 25 NERS/BIOE 481 - 2019

  26. IX.B.2 – Display Size vs Viewing Distance Visualization of the full scene is achieved when the diagonal display distance is about 80 % of the viewing distance. • This corresponds to a viewing angle of 44 degrees. • Somewhat larger than the peak retinal rod cell density Diagonal Size Viewing Distance Task Inches (cm) Inches (cm) Small Handheld 8 (20) 10 (25) Tablet handheld 11 (28) 14 (36) Laptop 16 (40) 20 (51) Workstation 24 (61) 30 (76) Note 1: The diagonal size of 22.5 inches for the workstation is similar to a traditional 14” x 17” radiographic film, 22.0” Note 2: THX1 home entertainment recommends that the diagonal size should be about 84% of the viewing distance (46 o ). 26 NERS/BIOE 481 - 2019

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