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With the large number of images that will be viewed simultaneously in a medical picture archiving and communication system (PACS) system in the diagnosis of a part icular patient, image by image interactive contrast enhancement, at present by intensity windowing, becomes unacceptably time-consuming. Furthermore, windowing has disadvantages of being non-reproducible and providing adequate contrast primarily in selected image regions. The method of adaptive histogram equalization ( ahe) appears to provide a solution to these problems. It is reproducible, automatic, and simultaneously provides contrast in all image regions.After summarizing the basic method, this paper will 1) describe a new contrast limited form of ahe that appears to allow its application to a wide variety of medical images, 2) present a VLSI machine design that will allow the calculation of ahe in a fraction of a second per megapixel, and 3) report the results of a study demonstrating that for chest CT images, ahe provides no measurable loss of diagnostic performance compared to the now standard windowing.I I mage rocessang, 1986.

Pixel-planes is a logic-enhanced memory system for raster graphics and imaging. Although each pixel-memory is enhanced with a one-bit ALU, the system's real power comes from a tree of one-bit adders that can evaluate linear expressions Ax+By+C for every pixel (x,y) simultaneously, as fast as the ALUs and the memory circuits can accept the results. We and others have begun to develop a variety of algorithms that exploit this fast linear expression evaluation capability. In this paper we report some of those results. Illustrated in this paper is a sample image from a small working prototype of the Pixel-planes hardware and a variety of images from simulations of a full-scale system. Timing estimates indicate that 30,000 smooth shaded triangles can be generated per second, or 21,000 smooth-shaded and shadowed triangles can be generated per second, or over 25,000 shaded spheres can be generated per second. Image-enhancement by adaptive histogram equalization can be performed within 4 seconds on a 512x512 image.

Pixel-planes is a logic-enhanced memory system for raster graphics and imaging. Although each pixel-memory is enhanced with a one-bit ALU, the system's real power comes from a tree of one-bit adders that can evaluate linear expressions Az + By + C for every pLxel (z, y) simultaneously, as fast as the ALUs and the memory circuits can accept the results. We and others have begun to develop a variety of algorithms that exploit this fast linear expression evaluation capability. In this paper we report some of those results. Illustrated in this paper is a sample image from a small working prototype of the Pixel-planes hardware and a variety of images from simulations of a full-scMe system. Timing estimates indicate that 30,000 smooth shaded triangles can be generated per second, or 21,000 smooth-shaded and shadowed triangles can be generated per second, or over 25,000 shaded spheres can be generated per second. Image-enhancement by adaptive histogram equalization can be performed within 4 seconds on a 512x512 image.