
data using previously described segmentation 
technique. 
A low-contrast example is compared to a high-
contrast one shown in Fig. 5. Quality measure for this 
image is 2.81, the quality increased to 8.62 after 
denoising. 
Quality measure values for bilateral filtering and 
curvature diffusion are lower than results obtained 
with non-local-means filter and total variance 
denoising. Sample results obtained on two low-
contrast CT images (with a quality lower than 2) and 
on two CT images with normal contrast are shown in 
table 1. 
Table 1: Image quality measure for denoising. 
Image type 
Image number/Quality measure (10) 
Image 
#21 
Image 
#3 
Image 
#5 
Image 
#22 
Noisy image  1.45  1.86  2.81  2.27 
Bilateral 
filtering 
2.11 2.13  5.83  3.12 
Curvature 
diffusion 
1.87 2.45  6.17  2.87 
Non-local-
means 
2.30 2.67  8.89  4.13 
TV L2  2.83  2.44  8.62  3.78 
TV L1  3.23  2.94  8.17  3.65 
These results allow us to make the following 
conclusions. First, proposed one-point contrast-to-
noise based CT image quality measure helps to 
predict the quality of the segmentation and allows 
detection of the low-contrast CT data. It is also a 
useful in choosing the best denoising procedure and 
its parameters for individual CT scans. 
Second, for CT images with good contrast and a 
quality measure higher than 2.0, results for total 
variance algorithm using 
1
 and 
2
 norms and non-
local-means are close. Non-local-means produce a 
slightly better denoising results, which is similar to 
the findings in (Buades, Coll and Morel, 2006).  
Third, TV 
1
 denoising shows significantly 
better results for low-contrast images. While these 
low quality images represent only 20% of our data 
set, only TV 
1
 filtering makes whole venous 
segmentation technique from section 4 possible. 
As shown in section 5, HPC implementation 
reduces the time of the TV 
1
 denoising procedure 
while maintains its effectiveness. It makes this 
denoising method the best practical choice for 
preprocessing low-contrast CT data with quality 
measure (10) lower than 2.0. 
The results achieved with an HPC-based 
implementation of TV L1 algorithm opens new 
opportunities in exploring computationally intensive 
hepatic segmentation algorithms, as well as other 
aspects of image-guided surgery such as non-rigid 
registration and real-time tracking. This will be 
explored in subsequent research. 
Improvement to the segmentation technique for 
low contrast images is another interesting area to 
explore. The challenge here is that the image requires 
different threshold values in various areas of the CT. 
Incorporating threshold prediction in the wave 
propagation process during the first step of the 
segmentation could be a promising direction. An 
HPC implementation of the geodesic active contour 
segmentation step could further reduce segmentation 
processing time. 
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