Assessment of image reconstruction methods for photoacoustic computed tomography based on signal detection performance
Photoacoustic computed tomography (PACT) combines the advantages of optical and ultrasound imaging, offering significant potential for both preclinical and clinical applications. The development and refinement of PACT imaging systems and reconstruction methods should ideally be guided by performance measures that reflect the clinical utility of the images produced. However, widely employed conventional image quality (IQ) measures, including mean squared error (MSE) and structural similarity index (SSIM), do not always correlate with the utility of images with consideration of a specified diagnostic task, such as lesion detection. To address this, task-based IQ measures can be employed, which directly quantify the utility of an image for a specified clinical purpose. However, currently, such task-based IQ measures are not widely utilized in the photoacoustics research community. In this study, a task-based IQ measure is introduced and employed to quantify the performance of PACT reconstruction methods with respect to a clinically significant task, namely binary signal detection. Through systematic virtual imaging studies that involve realistic numerical breast phantoms and both physicsand learning-based image reconstruction methods, the advantages of task-based over conventional IQ measures are demonstrated. Examples are provided in which conventional IQ measures suggest comparable performance across reconstruction methods, while the task-based IQ measure demonstrates substantial differences, particularly when clinically significant lesions are missed. These results highlight the limitations of conventional IQ metrics in characterizing the diagnostic performance of PACT methods and underscore the necessity of integrating task-based IQ assessment into the development and evaluation of PACT reconstruction methods for clinical translation.
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