title: Effect of data compression on proximal caries detection: observer performance with DenOptix photostimulable phosphor images.
abstract: OBJECTIVE
  To study the effect of lossy image compression on caries detection. Null hypothesis states no difference in caries detection efficacy among observers using original digital images versus images compressed at various rates of compression.
  
  
  METHODS
  Digital images of 41 extracted posterior teeth were obtained with a storage phosphor DenOptix (Gendex DenOptix Imaging system) system. Images were exported in Tagged Image File Format (TIFF) and compressed with Joint Photographic Experts Group File Interchange Format (JFIF), as provided by the software of the imaging system. The compressions options JFIF100%, JFIF75% and JFIF50% resulted in reducing the image size to 1:2, 1:11 and 1:16, respectively. Eight observers evaluated the presence or absence of caries on a 5-point confidence scale. The actual caries status of each proximal surface was determined by ground section histology. Responses were evaluated by receiver operating characteristic (ROC) analysis. Areas under the curves (Az) were assessed using analysis of variance (ANOVA).
  
  
  RESULTS
  The mean Az scores were 0.85 for original/uncompressed images, and 0.89 for JFIF100%, 0.88 for JFIF75% and 0.88 for JFIF50% images. These differences were not statistically significant (P = 0.26). Differences between observers were also not statistically significant (P = 0.12).
  
  
  CONCLUSIONS
  JFIF compression at the level of 1:16 can be used without significant deterioration in diagnostic accuracy for proximal caries detection.
authors.affiliation: Oral and Maxillofacial Radiology, University of North Carolina, Chapel Hill, NC, USA. pablat@dental.umaryland.edu
authors.forename: T
authors.initials: T
authors.lastname: Pabla
authors.forename: J B
authors.initials: JB
authors.lastname: Ludlow
authors.forename: D A
authors.initials: DA
authors.lastname: Tyndall
authors.forename: E
authors.initials: E
authors.lastname: Platin
authors.forename: M
authors.initials: M
authors.lastname: Abreu
mesh_terms: D000704:Analysis of Variance; D001641:Bicuspid / Q000000981:diagnostic imaging; D003731:Dental Caries / Q000000981:diagnostic imaging*; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods*; D008963:Molar / Q000000981:diagnostic imaging; D012372:ROC Curve; D019252:Radiography, Dental, Digital / Q000379:methods*; D011873:Radiology Information Systems