Development and validation of the effective CNR analysis method for evaluating the contrast resolution of CT images.

Contrast resolution is an important index for evaluating the signal detectability of computed tomographic (CT) images. Recently, various noise reduction algorithms, such as iterative reconstruction (IR) and deep learning reconstruction (DLR), have been proposed to reduce the image noise in CT images. However, these algorithms cause changes in the image noise texture and blurred image signals in CT images. Furthermore, the contrast-to-noise ratio (CNR) cannot be accurately evaluated in CT images reconstructed using noise reduction methods. Therefore, in this study, we devised a new method, namely, "effective CNR analysis," for evaluating the contrast resolution of CT images. We verified whether the proposed algorithm could evaluate the effective contrast resolution based on the signal detectability of CT images. The findings showed that the effective CNR values obtained using the proposed method correlated well with the subjective visual impressions of CT images. To investigate whether signal detectability was appropriately evaluated using effective CNR analysis, the conventional CNR analysis method was compared with the proposed method. The CNRs of the IR and DLR images calculated using conventional CNR analysis were 13.2 and 10.7, respectively. By contrast, those calculated using the effective CNR analysis were estimated to be 0.7 and 1.1, respectively. Considering that the signal visibility of DLR images was superior to that of IR images, our proposed effective CNR analysis was shown to be appropriate for evaluating the contrast resolution of CT images.