Dear All,

Im wondering if hypothesis testing is needed in the following case:

I have a set of image medical images (it is relevant here to understand, that medical images are normally corrected during the reconstruction process for systematic errors introduced by detectors or because correct, direct measurements of the required quantity is normally not possible, e.g. effects like beam hardening, scatter, etc. need to be corrected) which I want to use for testing of how much new methods for such corrections can improve the image. To test this, I would reconstruct the very same data set with both correction variants and evaluate/compare image based figure of merits, e.g the contrast of two regions of interest.

Now my question is: do I need hypothesis testing here, e.g location tests of the both mean values over the voxels of the ROI, distribution tests, etc. to confirm that there is an effect of the changed data correction methods? (It can be assumed, that the reconstruction process and all correction methods are deterministic, i.e. I will obtain exactly the same image when I reconstruct the same data set twice). My understanding is, that hypothesis testing is meaningless in this case, as any difference that I may observe in the reconstructed images necessarily must be due to the different correction method and there is no possibility, that these difference occur by pure chance, as for instance in comparison of groups, where I cannot run the same experiment twice modifying only one condition and leaving all others untouched.

I would appreciate, if someone with sound expertise in statistics and hypothesis testing could comment on this, ideally recommending references, where this case is discussed.

Many thanks, Christoph

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