Contrast enhancement for cephalometric images using wavelet-based modified adaptive histogram equalization

Cephalometric images usually have low contrast. The existing techniques for automatic cephalometric analysis usually use histogram equalization for image enhancement. This technique has the advantage of being fully automatic and nonlinear. However, it suffers from spikes, excessive enhancement, and lack of brightness preservation. The proposed technique is an adaptive histogram equalization technique that uses wavelet based gradient histograms. This paper compares its performance with two traditional techniques, three histogram modification based techniques, and two wavelet based techniques. Forty digital and scanned cephalograms are used to conduct tests. In addition to visual histograms and intensity profiles, the proposed method is compared in terms of eight quantitative measures. The various measures are applied to analyze the results in terms of contrast enhancement (EME, CNR), brightness preservation (AMBE), edge conservation and enhancement (H, TEN), preservation of image structures and non-addition distortion (MSSIM, SVD-M). The proposed method gives good contrast enhancement, with better brightness preservation without losing edge information and with the minimum addition of distortions to the enhanced cephalometric images. (C) 2016 Elsevier B.V. All rights reserved.