Deep learning-based reconstruction may improve non-contrast cerebral CT imaging compared to other current reconstruction algorithms

© 2021. The Author(s)..

OBJECTIVES: To evaluate image quality and reconstruction times of a commercial deep learning reconstruction algorithm (DLR) compared to hybrid-iterative reconstruction (Hybrid-IR) and model-based iterative reconstruction (MBIR) algorithms for cerebral non-contrast CT (NCCT).

METHODS: Cerebral NCCT acquisitions of 50 consecutive patients were reconstructed using DLR, Hybrid-IR and MBIR with a clinical CT system. Image quality, in terms of six subjective characteristics (noise, sharpness, grey-white matter differentiation, artefacts, natural appearance and overall image quality), was scored by five observers. As objective metrics of image quality, the noise magnitude and signal-difference-to-noise ratio (SDNR) of the grey and white matter were calculated. Mean values for the image quality characteristics scored by the observers were estimated using a general linear model to account for multiple readers. The estimated means for the reconstruction methods were pairwise compared. Calculated measures were compared using paired t tests.

RESULTS: For all image quality characteristics, DLR images were scored significantly higher than MBIR images. Compared to Hybrid-IR, perceived noise and grey-white matter differentiation were better with DLR, while no difference was detected for other image quality characteristics. Noise magnitude was lower for DLR compared to Hybrid-IR and MBIR (5.6, 6.4 and 6.2, respectively) and SDNR higher (2.4, 1.9 and 2.0, respectively). Reconstruction times were 27 s, 44 s and 176 s for Hybrid-IR, DLR and MBIR respectively.

CONCLUSIONS: With a slight increase in reconstruction time, DLR results in lower noise and improved tissue differentiation compared to Hybrid-IR. Image quality of MBIR is significantly lower compared to DLR with much longer reconstruction times.

KEY POINTS: • Deep learning reconstruction of cerebral non-contrast CT results in lower noise and improved tissue differentiation compared to hybrid-iterative reconstruction. • Deep learning reconstruction of cerebral non-contrast CT results in better image quality in all aspects evaluated compared to model-based iterative reconstruction. • Deep learning reconstruction only needs a slight increase in reconstruction time compared to hybrid-iterative reconstruction, while model-based iterative reconstruction requires considerably longer processing time.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

European radiology - 31(2021), 8 vom: 10. Aug., Seite 5498-5506

Sprache:

Englisch

Beteiligte Personen:

Oostveen, Luuk J [VerfasserIn]
Meijer, Frederick J A [VerfasserIn]
de Lange, Frank [VerfasserIn]
Smit, Ewoud J [VerfasserIn]
Pegge, Sjoert A [VerfasserIn]
Steens, Stefan C A [VerfasserIn]
van Amerongen, Martin J [VerfasserIn]
Prokop, Mathias [VerfasserIn]
Sechopoulos, Ioannis [VerfasserIn]

Links:

Volltext

Themen:

Brain
Deep learning
Journal Article
Tomography, X-ray computed

Anmerkungen:

Date Completed 13.07.2021

Date Revised 18.09.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00330-020-07668-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM322510805