Xue Gongbo, Liu Hongyan, Cai Xiaoyi, Zhang Zhen, Zhang Shuai, Liu Ling, Hu Bin, Wang Guohua
Department of Radiology, Qingdao Municipal Hospital, Qingdao, China.
Graduate School, Dalian Medical University, Dalian, China.
Front Oncol. 2023 Apr 5;13:1167745. doi: 10.3389/fonc.2023.1167745. eCollection 2023.
OBJECTIVE: To evaluate the impact of deep learning image reconstruction (DLIR) and adaptive statistical iterative reconstruction-Veo (ASIR-V) on abdominal CT radiomic features acquired in portal venous phase in liver tumor patients. METHODS: Sixty patients with liver tumors who underwent contrast-enhanced abdominal CT were retrospectively enrolled. Six groups including filtered back projection (FBP), ASIR-V (30%, 70%) and DLIR at low (DLIR-L), medium (DLIR-M and high (DLIR-H), were reconstructed using portal venous phase data. CT-based radiomic features (first-order, texture and wavelet features) were extracted from 2D and 3D liver tumors, peritumor and liver parenchyma. All features were analyzed for comparison. < 0.05 indicated statistically different. The consistency of 3D lesion feature extraction was assessed by calculating intraclass correlation coefficient (ICC). RESULTS: Different reconstruction algorithms influenced most radiomic features. The percentages of first-order, texture and wavelet features without statistical difference among 2D and 3D lesions, peritumor and liver parenchyma for all six groups were 27.78% (5/18), 5.33% (4/75) and 5.56% (1/18), respectively (all > 0.05), and they decreased while the level of reconstruction strengthened for both ASIR-V and DLIR. Compared with FBP, the features of ASIR-V30% and 70% without statistical difference decreased from 71.31% to 23.95%, and DLIR-L, DLIR-M, and DLIR-H decreased from 31.65% to 27.11% and 23.73%. Among texture features, unaffected features of peritumor were larger than those of lesions and liver parenchyma, and unaffected 3D lesions features were larger than those of 2D lesions. The consistency of 3D lesion first-order features was excellent, with intra- and inter-observer ICCs ranging from 0.891 to 0.999 and 0.880 to 0.998. CONCLUSIONS: Both ASIR-V and DLIR algorithms with different strengths influenced the radiomic features of abdominal CT images in portal venous phase, and the influences aggravated as reconstruction strength increased.
目的:评估深度学习图像重建(DLIR)和自适应统计迭代重建-Veo(ASIR-V)对肝肿瘤患者门静脉期腹部CT影像组学特征的影响。 方法:回顾性纳入60例行腹部增强CT的肝肿瘤患者。使用门静脉期数据重建六组图像,包括滤波反投影(FBP)、ASIR-V(30%、70%)以及低剂量(DLIR-L)、中等剂量(DLIR-M)和高剂量(DLIR-H)的DLIR。从二维和三维肝肿瘤、瘤周组织及肝实质中提取基于CT的影像组学特征(一阶、纹理和小波特征)。对所有特征进行分析比较。P<0.05表示差异有统计学意义。通过计算组内相关系数(ICC)评估三维病变特征提取的一致性。 结果:不同的重建算法影响了大多数影像组学特征。六组中二维和三维病变、瘤周组织及肝实质中一阶、纹理和小波特征无统计学差异的百分比分别为27.78%(5/18)、5.33%(4/75)和5.56%(1/18)(均P>0.05),且随着ASIR-V和DLIR重建强度的增加而降低。与FBP相比,ASIR-V 30%和70%无统计学差异的特征从71.31%降至23.95%,DLIR-L、DLIR-M和DLIR-H从31.65%降至27.11%和23.73%。在纹理特征中,瘤周组织未受影响的特征大于病变和肝实质,三维病变未受影响的特征大于二维病变。三维病变一阶特征的一致性良好,观察者内和观察者间ICC范围分别为0.891至0.999和0.880至0.998。 结论:不同强度的ASIR-V和DLIR算法均影响门静脉期腹部CT图像的影像组学特征,且随着重建强度的增加,影响加剧。
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