Skip to main content
Top
Published in: European Radiology 11/2019

01-11-2019 | Computed Tomography | Imaging Informatics and Artificial Intelligence

Deep learning reconstruction improves image quality of abdominal ultra-high-resolution CT

Authors: Motonori Akagi, Yuko Nakamura, Toru Higaki, Keigo Narita, Yukiko Honda, Jian Zhou, Zhou Yu, Naruomi Akino, Kazuo Awai

Published in: European Radiology | Issue 11/2019

Login to get access

Abstract

Objectives

Deep learning reconstruction (DLR) is a new reconstruction method; it introduces deep convolutional neural networks into the reconstruction flow. This study was conducted in order to examine the clinical applicability of abdominal ultra-high-resolution CT (U-HRCT) exams reconstructed with a new DLR in comparison to hybrid and model-based iterative reconstruction (hybrid-IR, MBIR).

Methods

Our retrospective study included 46 patients seen between December 2017 and April 2018. A radiologist recorded the standard deviation of attenuation in the paraspinal muscle as the image noise and calculated the contrast-to-noise ratio (CNR) for the aorta, portal vein, and liver. The overall image quality was assessed by two other radiologists and graded on a 5-point confidence scale ranging from 1 (unacceptable) to 5 (excellent). The difference between CT images subjected to hybrid-IR, MBIR, and DLR was compared.

Results

The image noise was significantly lower and the CNR was significantly higher on DLR than hybrid-IR and MBIR images (p < 0.01). DLR images received the highest and MBIR images the lowest scores for overall image quality.

Conclusions

DLR improved the quality of abdominal U-HRCT images.

Key Points

The potential degradation due to increased noise may prevent implementation of ultra-high-resolution CT in the abdomen.
Image noise and overall image quality for hepatic ultra-high-resolution CT images improved with deep learning reconstruction as compared to hybrid- and model-based iterative reconstruction.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kakinuma R, Moriyama N, Muramatsu Y et al (2015) Ultra-high-resolution computed tomography of the lung: image quality of a prototype scanner. PLoS One 10:e0137165CrossRef Kakinuma R, Moriyama N, Muramatsu Y et al (2015) Ultra-high-resolution computed tomography of the lung: image quality of a prototype scanner. PLoS One 10:e0137165CrossRef
5.
go back to reference Nakayama Y, Awai K, Funama Y et al (2005) Abdominal CT with low tube voltage: preliminary observations about radiation dose, contrast enhancement, image quality, and noise. Radiology 237:945–951CrossRef Nakayama Y, Awai K, Funama Y et al (2005) Abdominal CT with low tube voltage: preliminary observations about radiation dose, contrast enhancement, image quality, and noise. Radiology 237:945–951CrossRef
6.
go back to reference Volders D, Bols A, Haspeslagh M, Coenegrachts K (2013) Model-based iterative reconstruction and adaptive statistical iterative reconstruction techniques in abdominal CT: comparison of image quality in the detection of colorectal liver metastases. Radiology 269:469–474CrossRef Volders D, Bols A, Haspeslagh M, Coenegrachts K (2013) Model-based iterative reconstruction and adaptive statistical iterative reconstruction techniques in abdominal CT: comparison of image quality in the detection of colorectal liver metastases. Radiology 269:469–474CrossRef
7.
go back to reference Chang W, Lee JM, Lee K et al (2013) Assessment of a model-based, iterative reconstruction algorithm (MBIR) regarding image quality and dose reduction in liver computed tomography. Invest Radiol 48:598–606CrossRef Chang W, Lee JM, Lee K et al (2013) Assessment of a model-based, iterative reconstruction algorithm (MBIR) regarding image quality and dose reduction in liver computed tomography. Invest Radiol 48:598–606CrossRef
8.
go back to reference Fontarensky M, Alfidja A, Perignon R et al (2015) Reduced radiation dose with model-based iterative reconstruction versus standard dose with adaptive statistical iterative reconstruction in abdominal CT for diagnosis of acute renal colic. Radiology 276:156–166CrossRef Fontarensky M, Alfidja A, Perignon R et al (2015) Reduced radiation dose with model-based iterative reconstruction versus standard dose with adaptive statistical iterative reconstruction in abdominal CT for diagnosis of acute renal colic. Radiology 276:156–166CrossRef
9.
go back to reference Nishizawa M, Tanaka H, Watanabe Y, Kunitomi Y, Tsukabe A, Tomiyama N (2015) Model-based iterative reconstruction for detection of subtle hypoattenuation in early cerebral infarction: a phantom study. Jpn J Radiol 33:26–32CrossRef Nishizawa M, Tanaka H, Watanabe Y, Kunitomi Y, Tsukabe A, Tomiyama N (2015) Model-based iterative reconstruction for detection of subtle hypoattenuation in early cerebral infarction: a phantom study. Jpn J Radiol 33:26–32CrossRef
10.
go back to reference Euler A, Stieltjes B, Szucs-Farkas Z et al (2017) Impact of model-based iterative reconstruction on low-contrast lesion detection and image quality in abdominal CT: a 12-reader-based comparative phantom study with filtered back projection at different tube voltages. Eur Radiol 27:5252–5259CrossRef Euler A, Stieltjes B, Szucs-Farkas Z et al (2017) Impact of model-based iterative reconstruction on low-contrast lesion detection and image quality in abdominal CT: a 12-reader-based comparative phantom study with filtered back projection at different tube voltages. Eur Radiol 27:5252–5259CrossRef
11.
go back to reference Racine D, Ba AH, Ott JG, Bochud FO, Verdun FR (2016) Objective assessment of low contrast detectability in computed tomography with channelized Hotelling observer. Phys Med 32:76–83CrossRef Racine D, Ba AH, Ott JG, Bochud FO, Verdun FR (2016) Objective assessment of low contrast detectability in computed tomography with channelized Hotelling observer. Phys Med 32:76–83CrossRef
12.
go back to reference Pickhardt PJ, Lubner MG, Kim DH et al (2012) Abdominal CT with model-based iterative reconstruction (MBIR): initial results of a prospective trial comparing ultralow-dose with standard-dose imaging. AJR Am J Roentgenol 199:1266–1274CrossRef Pickhardt PJ, Lubner MG, Kim DH et al (2012) Abdominal CT with model-based iterative reconstruction (MBIR): initial results of a prospective trial comparing ultralow-dose with standard-dose imaging. AJR Am J Roentgenol 199:1266–1274CrossRef
13.
go back to reference Yasaka K, Furuta T, Kubo T et al (2017) Full and hybrid iterative reconstruction to reduce artifacts in abdominal CT for patients scanned without arm elevation. Acta Radiol 58:1085–1093CrossRef Yasaka K, Furuta T, Kubo T et al (2017) Full and hybrid iterative reconstruction to reduce artifacts in abdominal CT for patients scanned without arm elevation. Acta Radiol 58:1085–1093CrossRef
14.
go back to reference Nakamoto A, Kim T, Hori M et al (2015) Clinical evaluation of image quality and radiation dose reduction in upper abdominal computed tomography using model-based iterative reconstruction; comparison with filtered back projection and adaptive statistical iterative reconstruction. Eur J Radiol 84:1715–1723CrossRef Nakamoto A, Kim T, Hori M et al (2015) Clinical evaluation of image quality and radiation dose reduction in upper abdominal computed tomography using model-based iterative reconstruction; comparison with filtered back projection and adaptive statistical iterative reconstruction. Eur J Radiol 84:1715–1723CrossRef
15.
go back to reference Deak Z, Grimm JM, Treitl M et al (2013) Filtered back projection, adaptive statistical iterative reconstruction, and a model-based iterative reconstruction in abdominal CT: an experimental clinical study. Radiology 266:197–206CrossRef Deak Z, Grimm JM, Treitl M et al (2013) Filtered back projection, adaptive statistical iterative reconstruction, and a model-based iterative reconstruction in abdominal CT: an experimental clinical study. Radiology 266:197–206CrossRef
16.
go back to reference Higaki T, Tatsugami F, Fujioka C et al (2017) Visualization of simulated small vessels on computed tomography using a model-based iterative reconstruction technique. Data Brief 13:437–443CrossRef Higaki T, Tatsugami F, Fujioka C et al (2017) Visualization of simulated small vessels on computed tomography using a model-based iterative reconstruction technique. Data Brief 13:437–443CrossRef
17.
go back to reference Cohen J (1988) Statistical power analysis for the behavior sciences (2nd ed.) Lawrence Erlbaum Associates, Hillsdale, NJ Cohen J (1988) Statistical power analysis for the behavior sciences (2nd ed.) Lawrence Erlbaum Associates, Hillsdale, NJ
18.
go back to reference Bruix J, Sherman M (2011) Management of hepatocellular carcinoma: an update. Hepatology 53:1020–1022CrossRef Bruix J, Sherman M (2011) Management of hepatocellular carcinoma: an update. Hepatology 53:1020–1022CrossRef
19.
go back to reference Bruix J, Sherman M (2005) Management of hepatocellular carcinoma. Hepatology 42:1208–1236CrossRef Bruix J, Sherman M (2005) Management of hepatocellular carcinoma. Hepatology 42:1208–1236CrossRef
20.
go back to reference Lim JH, Choi D, Park CK, Lee WJ, Lim HK (2006) Encapsulated hepatocellular carcinoma: CT-pathologic correlations. Eur Radiol 16:2326–2333CrossRef Lim JH, Choi D, Park CK, Lee WJ, Lim HK (2006) Encapsulated hepatocellular carcinoma: CT-pathologic correlations. Eur Radiol 16:2326–2333CrossRef
22.
go back to reference Brady SL, Kaufman RA (2012) Investigation of American Association of Physicists in Medicine report 204 size-specific dose estimates for pediatric CT implementation. Radiology 265:832–840CrossRef Brady SL, Kaufman RA (2012) Investigation of American Association of Physicists in Medicine report 204 size-specific dose estimates for pediatric CT implementation. Radiology 265:832–840CrossRef
23.
go back to reference Christner JA, Braun NN, Jacobsen MC, Carter RE, Kofler JM, McCollough CH (2012) Size-specific dose estimates for adult patients at CT of the torso. Radiology 265:841–847CrossRef Christner JA, Braun NN, Jacobsen MC, Carter RE, Kofler JM, McCollough CH (2012) Size-specific dose estimates for adult patients at CT of the torso. Radiology 265:841–847CrossRef
25.
go back to reference Hur BY, Lee JM, Joo I et al (2014) Liver computed tomography with low tube voltage and model-based iterative reconstruction algorithm for hepatic vessel evaluation in living liver donor candidates. J Comput Assist Tomogr 38:367–375CrossRef Hur BY, Lee JM, Joo I et al (2014) Liver computed tomography with low tube voltage and model-based iterative reconstruction algorithm for hepatic vessel evaluation in living liver donor candidates. J Comput Assist Tomogr 38:367–375CrossRef
26.
go back to reference Phelps AS, Naeger DM, Courtier JL et al (2015) Pairwise comparison versus Likert scale for biomedical image assessment. AJR Am J Roentgenol 204:8–14CrossRef Phelps AS, Naeger DM, Courtier JL et al (2015) Pairwise comparison versus Likert scale for biomedical image assessment. AJR Am J Roentgenol 204:8–14CrossRef
27.
go back to reference Likert R (1932) A technique for the measurement of attitudes. Arch Psychol 140:55 Likert R (1932) A technique for the measurement of attitudes. Arch Psychol 140:55
28.
go back to reference Svanholm H, Starklint H, Gundersen HJ, Fabricius J, Barlebo H, Olsen S (1989) Reproducibility of histomorphologic diagnoses with special reference to the kappa statistic. APMIS 97:689–698CrossRef Svanholm H, Starklint H, Gundersen HJ, Fabricius J, Barlebo H, Olsen S (1989) Reproducibility of histomorphologic diagnoses with special reference to the kappa statistic. APMIS 97:689–698CrossRef
30.
go back to reference Yoshioka K, Tanaka R, Takagi H et al (2018) Ultra-high-resolution CT angiography of the artery of Adamkiewicz: a feasibility study. Neuroradiology 60:109–115CrossRef Yoshioka K, Tanaka R, Takagi H et al (2018) Ultra-high-resolution CT angiography of the artery of Adamkiewicz: a feasibility study. Neuroradiology 60:109–115CrossRef
31.
go back to reference Tamm EP, Rong XJ, Cody DD, Ernst RD, Fitzgerald NE, Kundra V (2011) Quality initiatives: CT radiation dose reduction: how to implement change without sacrificing diagnostic quality. Radiographics 31:1823–1832CrossRef Tamm EP, Rong XJ, Cody DD, Ernst RD, Fitzgerald NE, Kundra V (2011) Quality initiatives: CT radiation dose reduction: how to implement change without sacrificing diagnostic quality. Radiographics 31:1823–1832CrossRef
32.
go back to reference Goldman LW (2007) Principles of CT: radiation dose and image quality. J Nucl Med Technol 35:213–225 quiz 226-218CrossRef Goldman LW (2007) Principles of CT: radiation dose and image quality. J Nucl Med Technol 35:213–225 quiz 226-218CrossRef
33.
go back to reference Lubner MG, Pickhardt PJ, Tang J, Chen GH (2011) Reduced image noise at low-dose multidetector CT of the abdomen with prior image constrained compressed sensing algorithm. Radiology 260:248–256CrossRef Lubner MG, Pickhardt PJ, Tang J, Chen GH (2011) Reduced image noise at low-dose multidetector CT of the abdomen with prior image constrained compressed sensing algorithm. Radiology 260:248–256CrossRef
34.
go back to reference Friedman SN, Fung GS, Siewerdsen JH, Tsui BM (2013) A simple approach to measure computed tomography (CT) modulation transfer function (MTF) and noise-power spectrum (NPS) using the American College of Radiology (ACR) accreditation phantom. Med Phys 40:051907CrossRef Friedman SN, Fung GS, Siewerdsen JH, Tsui BM (2013) A simple approach to measure computed tomography (CT) modulation transfer function (MTF) and noise-power spectrum (NPS) using the American College of Radiology (ACR) accreditation phantom. Med Phys 40:051907CrossRef
35.
go back to reference Kaza RK, Platt JF, Goodsitt MM et al (2014) Emerging techniques for dose optimization in abdominal CT. Radiographics 34:4–17CrossRef Kaza RK, Platt JF, Goodsitt MM et al (2014) Emerging techniques for dose optimization in abdominal CT. Radiographics 34:4–17CrossRef
36.
go back to reference Scheffel H, Stolzmann P, Schlett CL et al (2012) Coronary artery plaques: cardiac CT with model-based and adaptive-statistical iterative reconstruction technique. Eur J Radiol 81:e363–e369CrossRef Scheffel H, Stolzmann P, Schlett CL et al (2012) Coronary artery plaques: cardiac CT with model-based and adaptive-statistical iterative reconstruction technique. Eur J Radiol 81:e363–e369CrossRef
37.
go back to reference Hajdu SD, Daniel RT, Meuli RA, Zerlauth JB, Dunet V (2018) Impact of model-based iterative reconstruction (MBIR) on image quality in cerebral CT angiography before and after intracranial aneurysm treatment. Eur J Radiol 102:109–114CrossRef Hajdu SD, Daniel RT, Meuli RA, Zerlauth JB, Dunet V (2018) Impact of model-based iterative reconstruction (MBIR) on image quality in cerebral CT angiography before and after intracranial aneurysm treatment. Eur J Radiol 102:109–114CrossRef
38.
go back to reference Mathews JD, Forsythe AV, Brady Z et al (2013) Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 346:f2360CrossRef Mathews JD, Forsythe AV, Brady Z et al (2013) Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 346:f2360CrossRef
39.
go back to reference Faber J, Fonseca LM (2014) How sample size influences research outcomes. Dental Press J Orthod 19:27–29CrossRef Faber J, Fonseca LM (2014) How sample size influences research outcomes. Dental Press J Orthod 19:27–29CrossRef
40.
go back to reference Soyer P, Poccard M, Boudiaf M et al (2004) Detection of hypovascular hepatic metastases at triple-phase helical CT: sensitivity of phases and comparison with surgical and histopathologic findings. Radiology 231:413–420CrossRef Soyer P, Poccard M, Boudiaf M et al (2004) Detection of hypovascular hepatic metastases at triple-phase helical CT: sensitivity of phases and comparison with surgical and histopathologic findings. Radiology 231:413–420CrossRef
Metadata
Title
Deep learning reconstruction improves image quality of abdominal ultra-high-resolution CT
Authors
Motonori Akagi
Yuko Nakamura
Toru Higaki
Keigo Narita
Yukiko Honda
Jian Zhou
Zhou Yu
Naruomi Akino
Kazuo Awai
Publication date
01-11-2019
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 11/2019
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-019-06170-3

Other articles of this Issue 11/2019

European Radiology 11/2019 Go to the issue