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Related Experiment Video

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Author Spotlight: Advancing Cardiovascular Imaging - Introducing the Spatially Weighted Calcium Score for Early Disease Detection
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A metaheuristics-equipped post-processing model for coronary angiograms.

K Y Devi1, J S Bobby2, S Vinurajkumar3

  • 1Department of Biomedical Engineering, Easwari Engineering College, Ramapuram, Chennai, Tamil Nadu 600089, India.

Radiography (London, England : 1995)
|February 21, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces an optimized Contrast-Limited Adaptive Histogram Equalization (CLAHE) method for enhancing coronary angiograms. The proposed Optimum CLAHE (OCLAHE) method improves image quality and aids in stenosis detection.

Keywords:
Contrast-limited adaptive histogram equalizationCoronary angiogramsGrey wolf optimizationMetaheuristicsPatch-based contrast quality index

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Area of Science:

  • Medical Imaging
  • Image Processing
  • Cardiovascular Diagnostics

Background:

  • Contrast-Limited Adaptive Histogram Equalization (CLAHE) enhances coronary angiograms.
  • Optimizing the clip limit (CL) is essential for high-quality, distortion-free CLAHE outputs.

Purpose of the Study:

  • To automate clip limit (CL) selection for CLAHE in coronary angiogram enhancement.
  • To evaluate the performance of the optimized CLAHE (OCLAHE) against existing methods.

Main Methods:

  • Developed a parameter optimization model integrating Grey Wolf Optimization (GWO) and a patch-based contrast quality index (PCQI) fitness function.
  • Compared OCLAHE with Histogram Equalization (HE), Unsharp Masking (USM), Morphological Filtering (MF), and Frangi Filter (FF).
  • Assessed image quality using subjective visual appeal and objective Image Quality Assessment (IQA) indices: PCQI, Quality-Aware Relative Contrast Measure (QRCM), entropy, and Blind/Referenceless Image Spatial Quality Evaluator (BRISQUE).

Main Results:

  • OCLAHE demonstrated superior performance across all objective IQA indices compared to HE, USM, MF, and FF.
  • OCLAHE achieved higher PCQI, QRCM, and entropy values.
  • OCLAHE resulted in a lower BRISQUE score, indicating enhanced visual quality.

Conclusions:

  • OCLAHE preserves gradient profiles and textural integrity (high QRCM), maintains high information content and contrast (high entropy), and presents a natural appearance (low BRISQUE).
  • OCLAHE effectively amplifies intensity differences between vessels and background without over-amplifying overall brightness.
  • The enhanced visual quality from OCLAHE facilitates both automated and subjective detection of stenosis in coronary angiograms.