Assessment of bilateral filter on 1/2-dose chest-pelvis CT views

A bilateral filter (BF) is a non-linear filter that has been proved to de-noise images without overrunning edges. Multi-slice computerized tomography (CT) may employ a BF to participate in dose reduction. This paper quantifies the role of the BF in achieving this objective on 1/2-dose CT. Two sets of CT images are acquired for the chest-pelvis at two different radiation doses. The BF was applied on the 1/2-dose CT images by use of various window sizes. Each time, a set of values of the BF range was fixed while the BF domain was modified. The goal was to observe the behavior of the BF on 1/2-dose CT images in comparison with full-dose CT images. The comparison was carried out by use of four co-occurrence matrix descriptors. Additionally, the peak signal-to-noise ratio (PSNR) and the mean square error (MSE) were reported. The study was applied to the sagittal, coronal, and axial CT views. The results showed that the impact of applying a BF varies among different CT views. The BF can retrieve only part of the signal being lost due to reduction of the radiation dose by one half. Yet, the BF improves the appearance of the 1/2-dose chest-pelvis CT examination. Thus, the BF can contribute to a 50% dose reduction. A procedure for employing the BF on CT machines is proposed. The results also showed that texture descriptors are similar to the PSNR and MSE in providing quantities for assessing medical image quality.