I. Introduction
Medical images are typically visually scrutinized by physicians searching and classifying morphological features of interest that might predict the state of disease. In this context, medical image quality has been objectively defined in terms of physicians' performance in clinically relevant visual tasks. Thus, evaluating and optimizing medical image quality entails conducting psychophysical studies measuring human performance in these visual detection or classification tasks. Because conducting such psychophysical studies with physicians is time consuming there has been a rationale to develop model observers (also known as numerical observers) that can accurately predict human performance across a range of conditions. Advantages of using these model observers are that they can assist in evaluating, rank ordering, and optimizing image quality in a time efficient manner and also allow for investigation of a range of conditions that is simply not feasible using psychophysical studies. There is now a large literature of successful use of linear model observers to predict human visual detection performance in noise with varying power spectra [1]–[8]. Model observers have also been used to optimize single photon emission computed tomography, lens aperture, and image compression of coronary angiograms [7]–[11].