There was an article in Quilting Arts Magazine this year titled 'Against the Grain' (authored by Wiebe). The author's process begins by printing her digitally-altered photographs on to tissue paper. Then she applies them to a fabric backing (muslin) with gloss medium. This is the first step of creating several layers, so that the end product is very textured (and it may not even resemble the original tissue paper photos used).
I started the process and am free-wheeling it a bit. But I started out with prints on tissue paper and then added a host of other things (transparencies, prints on paper, netting, silk leaves, painted fabrics, lace, etc.). I've started to free-motion stitch the piece (which is the next part of the process described in the article). Due to the variation in thicknesses, it isn't easy.
The maroon areas (created by painting maroon dye over red metallic netting) look to me like leaves...or maybe wannabes. It does have a sort of Fall sense to it so far.