Clinical Evaluation of the JPEG2000 Compression Rate of CT and MR Images for Long Term Archiving in PACS.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3348/jkrs.2006.54.3.227
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Soon Joo CHA
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Sung Hwan KIM
			        		
			        		;
		        		
		        		
		        		
			        		Yong Hoon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Yoon Joon HWANG
			        		
			        		;
		        		
		        		
		        		
			        		Jung Wook SEO
			        		
			        		;
		        		
		        		
		        		
			        		Su Young KIM
			        		
			        		;
		        		
		        		
		        		
			        		Mi Young KIM
			        		
			        		;
		        		
		        		
		        		
			        		Hae Ryeon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Yoon Hee HAN
			        		
			        		;
		        		
		        		
		        		
			        		Gham HUR
			        		
			        		;
		        		
		        		
		        		
			        		Joo Hwan PARK
			        		
			        		;
		        		
		        		
		        		
			        		Byung Hoon LEE
			        		
			        		;
		        		
		        		
		        		
			        		Seung Tae LEE
			        		
			        		;
		        		
		        		
		        		
			        		Bae Geun OH
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Inje University Image Research Center, Korea. chasoonj@ilsanpaik.ac.kr
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		PACS;
			        		
			        		
			        		
				        		PACS Digital imaging and communications in medicine (DICOM);
			        		
			        		
			        		
				        		Data compression
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Data Compression;
				        		
			        		
				        		
					        		Noise
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Journal of the Korean Radiological Society
	            		
	            		 2006;54(3):227-233
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	PURPOSE: We wanted to evaluate an acceptable compression rate of JPEG2000 for long term archiving of CT and MR images in PACS. MATERIALS AND METHODS: Nine CT images and 9 MR images that had small or minimal lesions were randomly selected from the PACS at our institute. All the images are compressed with rates of 5:1, 10:1, 20:1, 40:1 and 80:1 by the JPEG2000 compression protocol. Pairs of original and compressed images were compared by 9 radiologists who were working independently. We designed a JPEG2000 viewing program for comparing two images on one monitor system for performing easy and quick evaluation. All the observers performed the comparison study twice on 5 mega pixel grey scale LCD monitors and 2 mega pixel color LCD monitors, rspectively. The PSNR (Peak Signal to Noise Ratio) values were calculated for making quantitative comparisons. RESULTS: On MR and CT, all the images with 5:1 compression images showed no difference from the original images by all 9 observers and only one observer could detect a image difference on one CT image for 10:1 compression on only the 5 mega pixel monitor. For the 20:1 compression rate, clinically significant image deterioration was found in 50% of the images on the 5M pixel monitor study, and in 30% of the images on the 2M pixel monitor. PSNR values larger than 44 dB were calculated for all the compressed images. CONCLUSION: The clinically acceptable image compression rate for long term archiving by the JPEG2000 compression protocol is 10:1 for MR and CT, and if this is applied to PACS, it would reduce the cost and responsibility of the system.