Medical imaging generates high-resolution images posing significant storage, transmission, and computational challenges. While low-rank matrix approximation (LoRMA) techniques offer efficient compression by exploiting structural redundancy, global approaches often fail to preserve local details critical for diagnosis. This paper focuses on clustering techniques that exploit non-local self-similarity to identify structurally similar regions in medical images. These clusters can be used for post-processing tasks such as adaptive image compression. We evaluate five clustering techniques: k-means, mini-batch k-means, agglomerative hierarchical clustering, balanced iterative reducing and clustering using hierarchies (BIRCH), and bisecting k-means across MRI, ultrasound, and chest X-ray modalities. All clustering techniques were optimised using random search, and cluster quality was assessed using the Silhouette score, the Davies-Bouldin (DB) index, and the Calinski-Harabasz (CH) index. Results demonstrate that standard k-means and bisecting k-means generally achieve strong cluster cohesion and separation across modalities. However, they tend to form a small number of clusters with high intra-cluster variability, limiting their effectiveness for post-processing tasks such as adaptive compression. Agglomerative clustering outperformed other techniques for MRI and ultrasound in terms of intra-cluster homogeneity, making it more suitable for preserving fine diagnostic details. For chest X-rays, mini-batch k-means achieved the best balance between clustering quality and intra-cluster compactness. BIRCH consistently underperformed across all modalities.
Oliver Bause, Jörg Gammerdinger, Julia Wernercs.CV
Video Capsule Endoscopy (VCE) is a promising method for improving the medical examination of the small intestine in the gastrointestinal tract. A key challenge is their limited size, resulting in a short battery lifetime which conflicts with high energy consumption for image capturing and transmission to an on-body device. Thus, we propose an image compression pipeline that substantially reduces the transmitted data while preserving diagnostic image quality. Furthermore, we exploit characteristics of the compression process to identify frames with low diagnostic value mainly caused by bubbles, without requiring additional image analysis. For low-visibility frames, a dynamic bubble-aware frame rate adaptation strategy reduces image acquisition and transmission during these phases while preserving sensitivity to potential anomalies. The proposed compression and frame rate adaptation are evaluated on a RISC-V platform using the Kvasir-Capsule and Galar datasets. The compression method achieves a compression ratio of 5.748 (82.6%) at a peak signal-to-noise ratio of 40.3 dB, indicating negligible loss of visual quality. The compression accomplished a mean energy reduction of the whole system by 20.58%. Additionally, the proposed bubble-aware frame rate adaptation reduced the energy consumption by up to 40%. These results demonstrate the potential of our method to increase the applicability of VCE.