| Summary: | The most challenging aspect of working with digital images captured in an uncontrolled environment is to determine whether the image is of sufficient quality to be studied further. One of the most frequent reasons for a decrease in the quality of digital images is the presence of blur artefacts, especially when the images are taken from various angles of the x-ray source with limited angular range such as in digital breast tomosynthesis (DBT). The unwanted artefacts might substantially obscure the breast cancer location, especially in extremely dense fibroglandular breast tissue. It is almost impossible to differentiate breast cancer lesions in blurry and low-contrast DBT images, thereby reducing the accuracy of lesion diagnosis. Due to this blurry artefact issue, this study aims to assess the performance of Laplacian-based Blur Detection (LbBD) algorithm for the blurry detection of DBT images. The LbBD algorithm is designed and developed using MATLAB R2021a software. The algorithm identifies the amount of blurriness by calculating the image variance; the farther the variance is from the threshold value, the less blurry is the image. On the contrary, the lower the variance level is from the threshold value, the greater the blur level. An online survey was conducted with an expert to assess the quality of 20 DBT images using two subjective measurements of blur or non-blur to ascertain the algorithm's performance. Three threshold values were used to compare the outcome with the output of the algorithm's status. With a low error rate (0.05), an accuracy of 95% at the ideal threshold value of 200, and an image size reduction of 10%, the system successfully predicts blurry images. © 2023, Faculty of Medicine, University of Malaya. All rights reserved.
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