OBJECTIVE. Image data compression is an enabling technology for telera
diology and picture archive and communication systems. Compression dec
reases the time and cost of image transmission and the requirements fo
r image storage. Wavelets, discovered in 1987, constitute a new compre
ssion technique that has been described in radiologic publications but
, to our knowledge, no previous studies of its use have been reported.
The purpose of this study was to demonstrate the application of wavel
et-based compression technology to digitized radiographs. MATERIALS AN
D METHODS. Twelve radiographs with abnormal findings were digitized, c
ompressed, and decompressed by using a new wavelet-based lossy compres
sion algorithm. Images were compressed at ratios from 10:1 to 60:1. Se
ven board-certified radiologists reviewed images on a two-headed, high
-resolution (2K x 2K) diagnostic workstation. Paired original and comp
ressed/decompressed images were presented in random order. Reviewers a
djusted contrast and magnification to judge whether image degradation
was present, and if so, whether it was of diagnostic significance. Qua
ntitative error measures were tabulated. RESULTS. Reviewers found no c
linically relevant degradation below a compression ratio of 30:1. Skel
etal radiographs appeared more sensitive to compression than did chest
or abdominal radiographs, but the trend was not statistically signifi
cant. Quantitative error measures increased gradually with compression
ratio. CONCLUSION. On the basis of subjective assessment of image qua
lity and the computational efficiency of the algorithm, wavelet-based
techniques appear promising for the compression of digitized radiograp
hs. The results of this initial experience can be used to design appro
priate observer performance studies.