I use the: Use the advanced 3d settings option, and change a few settings myself.
I am not 100% convinced that puttning it to max IQ is highest image quality setting because sometimes it bugs for me and puts one or two settings in the wrong way. Like the option for clamp is very important you use application controlled AF and set to 16 ingame and use Clamp. The same for AA if you want max IQ but with transparency at multisample.
There is also another trilinear optimization that sometimes depending on games will either be greyed as disabled or sometimes ON. So i disable that manually too if the game will allow because Nvidia clearly give a description under it that says disable for max iq. You just have to go from top to bottom and do this for each one because as i said this one bugs and every setting matters at driver level.
Example my first 5 from the top if a game lacks AO but has AF and MSAA options:
AO (Quality)
AF (Application controlled)
Openglsetting (off)
Openglsetting (off)
AA (Application controlled)
Transparency (Multisample)
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