The introduction of fuzzy logic improves a system for the automatic quantif
ication of renal artery lesions seen in digital subtraction angiograms, A t
wo-step approach has been followed. An earlier system based on non fuzzy sy
ntactic analysis provided a clear symbolic description of the stenotic lesi
ons, Although this system worked correctly, it did not take into account th
e variability and uncertainty inherent to image processing and to knowledge
on the reference diameter. This system has been improved by the introducti
on of fuzzy logic in the representation of the reference diameter. It provi
des a description of the stenosis in terms of fuzzy quantities, To illustra
te the benefits of the fuzzy approach, the results of the two systems have
been compared by plotting the differences of an index of variability. It ap
pears that the differences are statistically different when using a two-tai
led paired t-test (t = 2.37; p = 0.025). The result shows that the fuzzy ap
proach is better than a non-fuzzy approach in the sense that the index of v
ariability is reduced significantly.