Abstract
The objective of this study was to compare the performance of variance, median absolute deviation, and the square of median absolute deviation methods of noise estimation in denoising of (99m)Tc-sestamibi parathyroid images using wavelet transform. Sixty-eight (99m)Tc-sestamibi parathyroid images including 33 images acquired at zoom 1.0 and 35 acquired at zoom 2.0 were denoised using the wavethresh package in R. The image decomposition and reconstruction method discrete wavelet transform, wavelet filter db4, shrinkage method hard, and thresholding policy universal were used. The noise estimation in the process was made using var, mad and madmad functions, which use variance, mean absolute deviation, and the square of mean absolute deviation, respectively. The quality of denoised images was assessed both qualitatively and quantitatively. A nonparametric two-sample Kolmogorov-Smirnov test was applied to find whether the difference in image quality produced by these three noise estimation methods was significant at 95% confidence. Noise estimation using madmad function produced the best quality denoised image. Further, the quality of the denoised image using madmad function was significantly better than the quality of the denoised image obtained with var or mad function (P = 1). The estimation of noise using madmad functions in wavelet transforms provides the best-denoised image for both zoom 1.0 and zoom 2.0 (99m)Tc-sestamibi parathyroid images.