A method of clustering observers with different visual characteristics.

Evaluation of observer's image perception in medical images is important, and yet has not been performed because it is difficult to quantify visual characteristics. In the present study, we investigated the observer's image perception by clustering a group of 20 observers. Images of a contrast-detail (C-D) phantom, which had cylinders of 10 rows and 10 columns with different diameters and lengths, were acquired with an X-ray screen-film system with fixed exposure conditions. A group of 10 films were prepared for visual evaluations. Sixteen radiological technicians, three radiologists and one medical physicist participated in the observation test. All observers read the phantom radiographs on a transillumination image viewer with room lights off. The detectability was defined as the shortest length of the cylinders of which border the observers could recognize from the background, and was recorded using the number of columns. The detectability was calculated as the average of 10 readings for each observer, and plotted for different phantom diameter. The unweighted pair-group method using arithmetic averages (UPGMA) was adopted for clustering. The observers were clustered into two groups: one group selected objects with a demarcation from the vicinity, and the other group searched for the objects with their eyes constrained. This study showed a usefulness of the cluster method to select personnels with the similar perceptual predisposition when a C-D phantom was used in image quality control.