Department of Abdominal Imaging, University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009.
Department of Imaging Physics, University of Texas MD Anderson Cancer Center, Houston, TX.
AJR Am J Roentgenol. 2020 Jul;215(1):50-57. doi: 10.2214/AJR.19.22332. Epub 2020 Apr 14.
The purpose of this study was to perform quantitative and qualitative evaluation of a deep learning image reconstruction (DLIR) algorithm in contrast-enhanced oncologic CT of the abdomen. Retrospective review (April-May 2019) of the cases of adults undergoing oncologic staging with portal venous phase abdominal CT was conducted for evaluation of standard 30% adaptive statistical iterative reconstruction V (30% ASIR-V) reconstruction compared with DLIR at low, medium, and high strengths. Attenuation and noise measurements were performed. Two radiologists, blinded to examination details, scored six categories while comparing reconstructions for overall image quality, lesion diagnostic confidence, artifacts, image noise and texture, lesion conspicuity, and resolution. DLIR had a better contrast-to-noise ratio than 30% ASIR-V did; high-strength DLIR performed the best. High-strength DLIR was associated with 47% reduction in noise, resulting in a 92-94% increase in contrast-to-noise ratio compared with that of 30% ASIR-V. For overall image quality and image noise and texture, DLIR scored significantly higher than 30% ASIR-V with significantly higher scores as DLIR strength increased. A total of 193 lesions were identified. The lesion diagnostic confidence, conspicuity, and artifact scores were significantly higher for all DLIR levels than for 30% ASIR-V. There was no significant difference in perceived resolution between the reconstruction methods. Compared with 30% ASIR-V, DLIR improved CT evaluation of the abdomen in the portal venous phase. DLIR strength should be chosen to balance the degree of desired denoising for a clinical task relative to mild blurring, which increases with progressively higher DLIR strengths.
本研究旨在对腹部增强 CT 中一种深度学习图像重建(DLIR)算法进行定量和定性评估。对 2019 年 4 月至 5 月进行腹部 CT 门脉期成像以进行肿瘤分期的成年人的病例进行回顾性研究,对标准 30%自适应统计迭代重建 V(30% ASIR-V)重建与低、中、高强度的 DLIR 进行比较。对衰减和噪声进行了测量。两名放射科医生在不了解检查细节的情况下,对所有重建图像的总体图像质量、病变诊断信心、伪影、图像噪声和纹理、病变显著性以及分辨率进行了评分。DLIR 的对比噪声比优于 30% ASIR-V;高强度的 DLIR 表现最好。与 30% ASIR-V 相比,高强度的 DLIR 降低了 47%的噪声,使对比噪声比提高了 92%-94%。对于总体图像质量和图像噪声及纹理,DLIR 的评分明显高于 30% ASIR-V,随着 DLIR 强度的增加,评分也明显提高。共发现 193 个病变。所有 DLIR 水平的病变诊断信心、显著性和伪影评分均明显高于 30% ASIR-V。两种重建方法的感知分辨率无显著差异。与 30% ASIR-V 相比,DLIR 改善了门脉期腹部 CT 评估。DLIR 强度应根据相对于轻度模糊的临床任务所需的降噪程度进行选择,随着 DLIR 强度的增加,模糊程度会增加。
AJR Am J Roentgenol. 2020-4-14
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