CBCT-IQ: A Publicly Available Annotated Cone-Beam CT Dataset for Image Quality Assessment and Benchmarking
Authors: Sepideh Hatamikia, Anna Breger, Clemens Karner, Birgit Pohn, Poorya MohammadiNasab, Martin Buschmann, Stephanie Nougaret, Laura Haddad, +9 more
Organizations: Austrian Center for Medical Innovation and Technology (ACMIT), Wiener Neustadt, Austria · Department of Medicine, Faculty of Medicine and Dentistry, Danube Private University, Krems, Austria · Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria · Department of Applied Mathematics and Theoretical Physics (DAMTP), University of Cambridge, Cambridge, United Kingdom · Faculty Computer Science and Applied Mathematics, University of Applied Sciences Technikum Wien, Vienna, Austria · Department of Radiation Oncology, University Hospital Vienna and Medical University of Vienna, Vienna, Austria · Department of Radiology, Montpellier Cancer Institute, PINKCC lab U1194, University of Montpellier, Montpellier, France · Department of Radiology, Faculty of Medicine, Urmia University of Medical Science, Urmia, Iran · Clinical Institute for Diagnostic and Interventional Radiology and Nuclear Medicine, University Hospital Wiener Neustadt, Wiener Neustadt, Austria · Clinical Department of Ophthalmology and Optometry, University Hospital Wiener Neustadt, Wiener Neustadt, Austria · Image X Institute, Faculty of Medicine and Health, University of Sydney, Australia
Medical image quality plays a critical role in diagnostic accuracy, especially in X-ray-based imaging modalities such as cone-beam computed tomography (CBCT), where image quality must be balanced against radiation dose. While expert visual evaluation remains the clinical standard for image quality evaluation, it is time-consuming, subjective and affected by inter-observer variability, emphasizing the need for reliable quantitative image quality assessment (IQA) methods. However, the development and validation of such IQA methods have been limited by the lack of publicly available CBCT datasets with expert image quality annotations. In this study, we provide the first open-access CBCT IQA dataset containing 1,764 annotated image slices acquired using systematic variations in image acquisition and reconstruction parameters. Three clinical experts graded the overall image quality and a predefined regions of interest (ROI) using a four-level scoring scheme. In addition, we benchmark 26 full reference- and no reference-based IQA measures against expert annotations and introduce an exploratory IQA measure-based ranking capable of distinguishing subtle image quality differences. This dataset introduced a standardized benchmark for future CBCT IQA research and provides a valuable resource for the development and validation of new IQA methods, enabling reproducible research and advancing CBCT IQA.
Mobile C-arm cone-beam computed tomography (CBCT) has been widely used for real-time intraoperative 3D imaging. However, current practice often mechanically applies the fan-beam CT criterion of "180° plus fan angle" in pursuit of "data completeness" in reconstruction. This review argues that, under the single circular trajectory of three-dimensional cone-beam geometry, complete data are mathematically unattainable; moreover, blindly increasing sampling may exacerbate the trade-off among intraoperative image quality (Q), imaging time (T), and radiation dose (D). Against this background, this review reframes the evaluation of intraoperative CBCT around "data sufficiency" rather than "data completeness." This perspective moves beyond the excessive pursuit of absolute mathematical and analytic accuracy, and instead emphasizes task-specific minimum image-quality thresholds required for clinical decision-making. By synthesizing evidence from multiple clinical scenarios, this review suggests that approximation errors can be acceptable when clinical decision-making requirements are satisfied, thereby achieving a Q-T-D balance.
In abdominal CT imaging, developing a low-dose, no-reference image quality assessment (No-reference IQA) model that mimics doctors' reading habits for evaluating CT image quality has significant practical value. This paper proposes a novel deep learning-based framework, ClinReadNet, whose design aligns with the clinical reading logic of radiologists: first, it introduces the Sobel ordinal quality network (SOQN) module, which can simultaneously focus on edge details highly relevant to image quality and the quality distribution pattern of the entire image, accurately matching the clinical image-reading judgment habit of "considering both local details and overall context"; second, the framework integrates the (shifted) window multi-scale temperature multi-head self-attention ((S)W-MTMSA) module, which further replicates the radiologists' image-reading process of shifting from overall scanning to local focusing, and accurately locks in regions of interest through multi-sharpness attention; third, it designs the hierarchical ranked probability score (HRPS) loss function, which combines the dual logics of coarse classification and fine classification, while paying attention to the distance information between grading labels, effectively improving the performance of image quality assessment. Experiments conducted on the LDCTIQAG2023 dataset show that the proposed method achieves the current state-of-the-art (SOTA) performance: the values of Pearson's linear correlation coefficient (PLCC), Spearman's rank-order correlation coefficient (SROCC), and Kendall's rank-order correlation coefficient (KROCC) reach 0.9507, 0.9554, and 0.8629 respectively, with the sum of their absolute values (Score) being 2.7690, outperforming existing methods.
Recent advances in conventional and learning-based image coding have increased the demand for benchmark datasets that support fine-grained assessment of compressed image quality, particularly for learning-based image compression methods. This paper introduces Assessment of Image Coding 2026 (AIC2026), a large-scale dataset for high-fidelity image compression containing 70 source images selected from 2,787 candidates using semantic clustering, inter-metric disagreement among objective image quality assessment (IQA) methods, and manual inspection and refinement. The dataset covers a wide range of compression artifacts produced by eight conventional and four learning-based codecs across 17 coding configurations. Each source image is encoded using seven codecs. For each source-codec pair, decoded images are provided at 20 perceptually spaced distortion levels, corresponding approximately to 0.2-4.0 just-noticeable difference (JND) units using the ColorVideoVDP (CVVDP) metric for distortion estimation, yielding 9,618 distorted images. This fine-grained sampling enables analysis of rate-distortion behavior and objective metric evaluation for subtle quality differences across a wide range of compression artifacts. We report an extensive objective analysis using 24 conventional and 12 learning-based IQA methods. The results show substantial disagreement among current IQA methods for fine-grained quality differences, particularly for artifacts introduced by learning-based codecs. The complete dataset is publicly available at https://doi.org/10.18419/DARUS-6156.