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Published in: Insights into Imaging 1/2020

Open Access 01-12-2020 | Original Article

Clinical application of multi-material artifact reduction (MMAR) technique in Revolution CT to reduce metallic dental artifacts

Authors: Yijuan Wei, Fei Jia, Ping Hou, Kaiji Zha, Shi Pu, Jianbo Gao

Published in: Insights into Imaging | Issue 1/2020

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Abstract

Background

This study aimed to explore the performance of Revolution CT virtual monoenergetic images (VMI) combined with the multi-material artifact reduction (MMAR) technique in reducing metal artifacts in oral and maxillofacial imaging.

Results

There were significant differences in image quality scores between VMI + MMAR images and VMI+MARS (multiple artifact reduction system) images at each monochromatic energy level (p = 0.000). Compared with the MARS technology, the MMAR technology further reduced metal artifacts and improved the image quality. At VMI90 keV and VMI110 keV, the SD, CNR, and AI in the Revolution CT group were significantly lower than in the Discovery CT, but no significant differences in these parameters were found between two groups at VMI50 keV, VMI70 keV, and VMI130 keV (p > 0.05). The attenuation was comparable between two groups at any energy level (p > 0.05).

Conclusions

Compared with the MARS reconstruction technique of Discovery CT, the MMAR technique of Revolution CT is better to reduce the artifacts of dental implants in oral and maxillofacial imaging, which improves the image quality and the diagnostic value of surrounding soft tissues.
Literature
1.
go back to reference Gong XY, Meyer E, Yu XJ et al (2013) Clinical evaluation of the normalized metal artefact reduction algorithm caused by dental fillings in CT. Dentomaxillofac Radiol 42:20120105CrossRef Gong XY, Meyer E, Yu XJ et al (2013) Clinical evaluation of the normalized metal artefact reduction algorithm caused by dental fillings in CT. Dentomaxillofac Radiol 42:20120105CrossRef
2.
go back to reference De Crop A, Casselman J, Van Hoof T et al (2015) Analysis of metal artifact reduction tools for dental hardware in CT scans of the oral cavity: kVp, iterative reconstruction, dual-energy CT, metal artifact reduction software: does it make a difference? Neuroradiology 57:841–849CrossRef De Crop A, Casselman J, Van Hoof T et al (2015) Analysis of metal artifact reduction tools for dental hardware in CT scans of the oral cavity: kVp, iterative reconstruction, dual-energy CT, metal artifact reduction software: does it make a difference? Neuroradiology 57:841–849CrossRef
3.
go back to reference Huang ZJ, Liu Y, Xiao ZB, Cao CY, Chen JW (2013) Gemstone CT spectral imaging for metallic artifacts reduction in patients with spine metal implanted: a clinical application study. Chin Comput Med Imag 19:79–83 Huang ZJ, Liu Y, Xiao ZB, Cao CY, Chen JW (2013) Gemstone CT spectral imaging for metallic artifacts reduction in patients with spine metal implanted: a clinical application study. Chin Comput Med Imag 19:79–83
4.
go back to reference Bongers MN, Schabel C, Thomas C et al (2015) Comparison and combination of dual-energy- and iterative-based metal artefact reduction on hip prosthesis and dental implants. PLoS One 10:e0143584CrossRef Bongers MN, Schabel C, Thomas C et al (2015) Comparison and combination of dual-energy- and iterative-based metal artefact reduction on hip prosthesis and dental implants. PLoS One 10:e0143584CrossRef
5.
go back to reference Grosse Hokamp N, Neuhaus V, Abdullayev N et al (2018) Reduction of artifacts caused by orthopedic hardware in the spine in spectral detector CT examinations using virtual monoenergetic image reconstructions and metal-artifact-reduction algorithms. Skeletal Radiol 47:195–201CrossRef Grosse Hokamp N, Neuhaus V, Abdullayev N et al (2018) Reduction of artifacts caused by orthopedic hardware in the spine in spectral detector CT examinations using virtual monoenergetic image reconstructions and metal-artifact-reduction algorithms. Skeletal Radiol 47:195–201CrossRef
6.
go back to reference Huang JY, Kerns JR, Nute JL et al (2015) An evaluation of three commercially available metal artifact reduction methods for CT imaging. Phys Med Biol 60:1047–1067CrossRef Huang JY, Kerns JR, Nute JL et al (2015) An evaluation of three commercially available metal artifact reduction methods for CT imaging. Phys Med Biol 60:1047–1067CrossRef
7.
go back to reference Sun Q, Dong MJ, Yang X, Jiang MD, Tao XF (2017) Clinical analysis of spectrum CT imaging reducing metal artifacts of oral and maxillofacial region. Shanghai Kou Qiang Yi Xue 26:646–649 Sun Q, Dong MJ, Yang X, Jiang MD, Tao XF (2017) Clinical analysis of spectrum CT imaging reducing metal artifacts of oral and maxillofacial region. Shanghai Kou Qiang Yi Xue 26:646–649
8.
go back to reference Lin X, Wang W, Zhao X et al (2017) The value of spectral imaging in reducing dental restoration material artifacts. J Clin Radiol 36:1868–1872 Lin X, Wang W, Zhao X et al (2017) The value of spectral imaging in reducing dental restoration material artifacts. J Clin Radiol 36:1868–1872
9.
go back to reference Cha J, Kim HJ, Kim ST, Kim YK, Kim HY, Park GM (2017) Dual-energy CT with virtual monochromatic images and metal artifact reduction software for reducing metallic dental artifacts. Acta Radiol 58:1312–1319CrossRef Cha J, Kim HJ, Kim ST, Kim YK, Kim HY, Park GM (2017) Dual-energy CT with virtual monochromatic images and metal artifact reduction software for reducing metallic dental artifacts. Acta Radiol 58:1312–1319CrossRef
10.
go back to reference Tawfik AM, Kerl JM, Razek AA et al (2011) Image quality and radiation dose of dual-energy CT of the head and neck compared with a standard 120-kVp acquisition. AJNR Am J Neuroradiol 32:1994–1999CrossRef Tawfik AM, Kerl JM, Razek AA et al (2011) Image quality and radiation dose of dual-energy CT of the head and neck compared with a standard 120-kVp acquisition. AJNR Am J Neuroradiol 32:1994–1999CrossRef
11.
go back to reference Vogl TJ, Schulz B, Bauer RW, Stöver T, Sader R, Tawfik AM (2012) Dual-energy CT applications in head and neck imaging. AJR Am J Roentgenol 199:S34–S39CrossRef Vogl TJ, Schulz B, Bauer RW, Stöver T, Sader R, Tawfik AM (2012) Dual-energy CT applications in head and neck imaging. AJR Am J Roentgenol 199:S34–S39CrossRef
12.
go back to reference Roele ED, Timmer VCML, Vaassen LAA, van Kroonenburgh AMJL, Postma AA (2017) Dual-energy CT in head and neck imaging. Curr Radiol Rep 5:19 Roele ED, Timmer VCML, Vaassen LAA, van Kroonenburgh AMJL, Postma AA (2017) Dual-energy CT in head and neck imaging. Curr Radiol Rep 5:19
13.
go back to reference Razek AA, Tawfik AM, Elsorogy LG, Soliman NY (2014) Perfusion CT of head and neck cancer. Eur J Radiol 83:537–544CrossRef Razek AA, Tawfik AM, Elsorogy LG, Soliman NY (2014) Perfusion CT of head and neck cancer. Eur J Radiol 83:537–544CrossRef
14.
go back to reference Tawfik AM, Razek AA, Kerl JM, Nour-Eldin NE, Bauer R, Vogl TJ (2014) Comparison of dual-energy CT-derived iodine content and iodine overlay of normal, inflammatory and metastatic squamous cell carcinoma cervical lymph nodes. Eur Radiol 24:574–580CrossRef Tawfik AM, Razek AA, Kerl JM, Nour-Eldin NE, Bauer R, Vogl TJ (2014) Comparison of dual-energy CT-derived iodine content and iodine overlay of normal, inflammatory and metastatic squamous cell carcinoma cervical lymph nodes. Eur Radiol 24:574–580CrossRef
15.
go back to reference Yamauchi H, Buehler M, Goodsitt MM, Keshavarzi N, Srinivasan A (2016) Dual-energy CT-based differentiation of benign posttreatment changes from primary or recurrent malignancy of the head and neck: comparison of spectral Hounsfield units at 40 and 70 keV and iodine concentration. AJR Am J Roentgenol 206:580–587CrossRef Yamauchi H, Buehler M, Goodsitt MM, Keshavarzi N, Srinivasan A (2016) Dual-energy CT-based differentiation of benign posttreatment changes from primary or recurrent malignancy of the head and neck: comparison of spectral Hounsfield units at 40 and 70 keV and iodine concentration. AJR Am J Roentgenol 206:580–587CrossRef
16.
go back to reference Poort LJ, Stadler AAR, Ludlage JHB, Hoebers FJP, Kessler PAWH, Postma AA (2017) Detection of bone marrow edema pattern with dual-energy computed tomography of the pig mandible treated with radiotherapy and surgery compared with magnetic resonance imaging. J Comput Assist Tomogr 41:553–558CrossRef Poort LJ, Stadler AAR, Ludlage JHB, Hoebers FJP, Kessler PAWH, Postma AA (2017) Detection of bone marrow edema pattern with dual-energy computed tomography of the pig mandible treated with radiotherapy and surgery compared with magnetic resonance imaging. J Comput Assist Tomogr 41:553–558CrossRef
17.
go back to reference Scholtz JE, Husers K, Kaup M et al (2015) Evaluation of image quality and dose reduction of 80 kVp neck computed tomography in patients with suspected peritonsillar abscess. Clin Radiol 70:e67–e73CrossRef Scholtz JE, Husers K, Kaup M et al (2015) Evaluation of image quality and dose reduction of 80 kVp neck computed tomography in patients with suspected peritonsillar abscess. Clin Radiol 70:e67–e73CrossRef
18.
go back to reference Lee YH, Park KK, Song HT, Kim S, Suh JS (2012) Metal artefact reduction in gemstone spectral imaging dual-energy CT with and without metal artefact reduction software. Eur Radiol 22:1331–1340CrossRef Lee YH, Park KK, Song HT, Kim S, Suh JS (2012) Metal artefact reduction in gemstone spectral imaging dual-energy CT with and without metal artefact reduction software. Eur Radiol 22:1331–1340CrossRef
19.
go back to reference Bamberg F, Dierks A, Nikolaou K, Reiser MF, Becker CR, Johnson TR (2011) Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol 21:1424–1429CrossRef Bamberg F, Dierks A, Nikolaou K, Reiser MF, Becker CR, Johnson TR (2011) Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol 21:1424–1429CrossRef
20.
go back to reference Haramati N, Staron RB, Mazel-Sperling K et al (1994) CT scans through metal scanning technique versus hardware composition. Comput Med Imaging Graph 18:429–434CrossRef Haramati N, Staron RB, Mazel-Sperling K et al (1994) CT scans through metal scanning technique versus hardware composition. Comput Med Imaging Graph 18:429–434CrossRef
21.
go back to reference Kotsenas AL, Michalak GJ, DeLone DR et al (2015) CT metal artifact reduction in the spine: can an iterative reconstruction technique improve visualization? AJNR Am J Neuroradiol 36:2184–2190CrossRef Kotsenas AL, Michalak GJ, DeLone DR et al (2015) CT metal artifact reduction in the spine: can an iterative reconstruction technique improve visualization? AJNR Am J Neuroradiol 36:2184–2190CrossRef
22.
go back to reference Lee MJ, Kim S, Lee SA et al (2007) Overcoming artifacts from metallic orthopedic implants at high-field-strength MR imaging and multi-detector CT. Radiographics 27:791–803CrossRef Lee MJ, Kim S, Lee SA et al (2007) Overcoming artifacts from metallic orthopedic implants at high-field-strength MR imaging and multi-detector CT. Radiographics 27:791–803CrossRef
23.
go back to reference Kuchenbecker S, Faby S, Sawall S, Lell M, Kachelrieß M (2015) Dual energy CT: how well can pseudo-monochromatic imaging reduce metal artifacts? Med Phys 42:1023–1036CrossRef Kuchenbecker S, Faby S, Sawall S, Lell M, Kachelrieß M (2015) Dual energy CT: how well can pseudo-monochromatic imaging reduce metal artifacts? Med Phys 42:1023–1036CrossRef
24.
go back to reference Verburg JM, Seco J (2012) CT metal artifact reduction method correcting for beam hardening and missing projections. Phys Med Biol 57:2803–2818CrossRef Verburg JM, Seco J (2012) CT metal artifact reduction method correcting for beam hardening and missing projections. Phys Med Biol 57:2803–2818CrossRef
25.
go back to reference Brook OR, Gourtsoyianni S, Brook A, Mahadevan A, Wilcox C, Raptopoulos V (2012) Spectral CT with metal artifacts reduction software for improvement of tumor visibility in the vicinity of gold fiducial markers. Radiology 263:696–705CrossRef Brook OR, Gourtsoyianni S, Brook A, Mahadevan A, Wilcox C, Raptopoulos V (2012) Spectral CT with metal artifacts reduction software for improvement of tumor visibility in the vicinity of gold fiducial markers. Radiology 263:696–705CrossRef
26.
go back to reference Chaikriangkrai K, Choi SY, Nabi F, Chang SM (2014) Important advances in technology and unique applications to cardiovascular computed tomography. Methodist Debakey Cardiovasc J 10:152–158CrossRef Chaikriangkrai K, Choi SY, Nabi F, Chang SM (2014) Important advances in technology and unique applications to cardiovascular computed tomography. Methodist Debakey Cardiovasc J 10:152–158CrossRef
27.
go back to reference Douglas-Akinwande AC, Buckwalter KA, Rydberg J, Rankin JL, Choplin RH (2006) Multichannel CT: evaluating the spine in postoperative patients with orthopedic hardware. Radiographics 26(Suppl 1):S97-110CrossRef Douglas-Akinwande AC, Buckwalter KA, Rydberg J, Rankin JL, Choplin RH (2006) Multichannel CT: evaluating the spine in postoperative patients with orthopedic hardware. Radiographics 26(Suppl 1):S97-110CrossRef
28.
go back to reference Gatti M, Marchisio F, Fronda M et al (2018) Adaptive statistical iterative reconstruction-V versus adaptive statistical iterative reconstruction: impact on dose reduction and image quality in body computed tomography. J Comput Assist Tomogr 42:191–196CrossRef Gatti M, Marchisio F, Fronda M et al (2018) Adaptive statistical iterative reconstruction-V versus adaptive statistical iterative reconstruction: impact on dose reduction and image quality in body computed tomography. J Comput Assist Tomogr 42:191–196CrossRef
29.
go back to reference Ren Z, Zhang X, Hu Z et al (2019) Reducing radiation dose and improving image quality in CT portal venography using 80 kV and adaptive statistical iterative reconstruction-V in slender patients. Acad Radiol 27:233–243CrossRef Ren Z, Zhang X, Hu Z et al (2019) Reducing radiation dose and improving image quality in CT portal venography using 80 kV and adaptive statistical iterative reconstruction-V in slender patients. Acad Radiol 27:233–243CrossRef
30.
go back to reference Kwon H, Cho J, Oh J et al (2015) The adaptive statistical iterative reconstruction-V technique for radiation dose reduction in abdominal CT: comparison with the adaptive statistical iterative reconstruction technique. Br J Radiol 88:20150463CrossRef Kwon H, Cho J, Oh J et al (2015) The adaptive statistical iterative reconstruction-V technique for radiation dose reduction in abdominal CT: comparison with the adaptive statistical iterative reconstruction technique. Br J Radiol 88:20150463CrossRef
31.
go back to reference Elmokadem AH, Ibrahim EA, Gouda WA, Khalek Abdel Razek AA (2019) Whole-body computed tomography using low-dose biphasic injection protocol with adaptive statistical iterative reconstruction V: assessment of dose reduction and image quality in trauma patients. J Comput Assist Tomogr 43:870–876CrossRef Elmokadem AH, Ibrahim EA, Gouda WA, Khalek Abdel Razek AA (2019) Whole-body computed tomography using low-dose biphasic injection protocol with adaptive statistical iterative reconstruction V: assessment of dose reduction and image quality in trauma patients. J Comput Assist Tomogr 43:870–876CrossRef
Metadata
Title
Clinical application of multi-material artifact reduction (MMAR) technique in Revolution CT to reduce metallic dental artifacts
Authors
Yijuan Wei
Fei Jia
Ping Hou
Kaiji Zha
Shi Pu
Jianbo Gao
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2020
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1186/s13244-020-0836-1

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