Estimation of Missing DICOM Windowing Parameters in High-Dynamic-Range Radiographs Using Deep Learning

Digital Imaging and Communication in Medicine (DICOM) is a standard format for storing medical images, which are typically represented in higher bit depths (10–16 bits), enabling detailed representation but exceeding the display capabilities of standard displays and human visual perception. To address this, DICOM images are often accompanied by windowing parameters, analogous to tone mapping in High-Dynamic-Range image processing, which compress the intensity range to enhance diagnostically relevant regions. This study evaluates traditional histogram-based methods and explores the potential of deep learning for predicting window parameters in radiographs where such information is missing. A range of architectures, including MobileNetV3Small, VGG16, ResNet50, and ViT-B/16, were trained on high-bit-depth computed radiography images using various combinations of loss functions, including structural similarity (SSIM), perceptual loss (LPIPS), and an edge preservation loss. Models were evaluated based on multiple criteria, including pixel entropy preservation, Hellinger distance of pixel value distributions, and peak-signal-to-noise ratio after 8-bit conversion. The tested approaches were further validated on the publicly available GRAZPEDWRI-DX dataset. Although histogram-based methods showed satisfactory performance, especially scaling through identifying the peaks in the pixel value histogram, deep learning-based methods were better at selectively preserving clinically relevant image areas while removing background noise.