Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CT

Objective: To investigate the effectiveness and clinical value of using a deep learning reconstruction algorithm (DLIR) to display small blood vessels in upper abdominal computed tomography (CT) with an enhanced energy spectrum. Methods: Using three reconstruction algorithms, a retrospective analysi...

Full description

Saved in:
Bibliographic Details
Main Authors: Qin WANG, Weijie YAN, Yuan YUAN, Hehan TANG, Liping DENG
Format: Article
Language:English
Published: Editorial Office of Computerized Tomography Theory and Application 2025-01-01
Series:CT Lilun yu yingyong yanjiu
Subjects:
Online Access:https://www.cttacn.org.cn/cn/article/doi/10.15953/j.ctta.2024.168
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832592367511666688
author Qin WANG
Weijie YAN
Yuan YUAN
Hehan TANG
Liping DENG
author_facet Qin WANG
Weijie YAN
Yuan YUAN
Hehan TANG
Liping DENG
author_sort Qin WANG
collection DOAJ
description Objective: To investigate the effectiveness and clinical value of using a deep learning reconstruction algorithm (DLIR) to display small blood vessels in upper abdominal computed tomography (CT) with an enhanced energy spectrum. Methods: Using three reconstruction algorithms, a retrospective analysis was performed on 28 patients with upper abdominal discomfort who underwent enhanced CT spectrum examination at the West China Hospital of Sichuan University from February 2021 to June 2022. The three reconstruction algorithms were adaptive statistical iterative reconstruction (ASIR-V), DLIR-M, and DLIR-H. Simultaneously, 40 keV and 70 keV single-energy images were extracted using energy spectrum post-processing software, and four groups of images were generated, which were labeled as 40 keV-AV, 40 keV-DL-M, 40 keV-DL-H, and 70 keV-AV, respectively. The CT and standard deviation (SD) values of common hepatic, left gastric, splenic, and superior mesenteric arteries were measured, and the CT and SD values of the vertical spinal muscle at the same level were measured. In addition, the signal-to-noise (SNR) and contrast-to-noise (CNR) ratios of each branch vessel were calculated. Two radiologists provided subjective scores on image noise, image artifacts, target blood vessel contrast, image “waxiness.” and overall image quality. Differences in SNR, CNR, and background noise among the four groups of images were compared using one-way analysis of variance (ANOVA) and paired t-tests. The kappa test was used to compare differences in the consistency of the subjective evaluations. Results: In both objective and subjective evaluations, the SNR, CNR, overall image quality score, and noise of the DL-H images were superior to those of the DL-M images, where the latter in turn were superior to those of the AV images. The SNR, CNR, and image quality score increased and the noise decreased with an increase in DL intensity. In the subjective scores of the four groups of images, the DL-H score was higher than the DL-M score, and the DL-M score was higher than the AV score. Conclusion: The DLIR can improve the display of small- and medium-sized vessels in upper abdomen energy spectrum enhanced CT 40 keV single-energy images. With an increase in intensity, the image quality is improved and noise is reduced. Compared with AV, the DLIR significantly improves the display capabilities of upper abdominal energy spectrum-enhanced CT in the examination of small blood vessels.
format Article
id doaj-art-95a0a7644d8045f2aef0042048234d11
institution Kabale University
issn 1004-4140
language English
publishDate 2025-01-01
publisher Editorial Office of Computerized Tomography Theory and Application
record_format Article
series CT Lilun yu yingyong yanjiu
spelling doaj-art-95a0a7644d8045f2aef0042048234d112025-01-21T09:14:43ZengEditorial Office of Computerized Tomography Theory and ApplicationCT Lilun yu yingyong yanjiu1004-41402025-01-01341374310.15953/j.ctta.2024.1682024.168Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CTQin WANG0Weijie YAN1Yuan YUAN2Hehan TANG3Liping DENG4Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Radiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Radiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Radiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Radiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaObjective: To investigate the effectiveness and clinical value of using a deep learning reconstruction algorithm (DLIR) to display small blood vessels in upper abdominal computed tomography (CT) with an enhanced energy spectrum. Methods: Using three reconstruction algorithms, a retrospective analysis was performed on 28 patients with upper abdominal discomfort who underwent enhanced CT spectrum examination at the West China Hospital of Sichuan University from February 2021 to June 2022. The three reconstruction algorithms were adaptive statistical iterative reconstruction (ASIR-V), DLIR-M, and DLIR-H. Simultaneously, 40 keV and 70 keV single-energy images were extracted using energy spectrum post-processing software, and four groups of images were generated, which were labeled as 40 keV-AV, 40 keV-DL-M, 40 keV-DL-H, and 70 keV-AV, respectively. The CT and standard deviation (SD) values of common hepatic, left gastric, splenic, and superior mesenteric arteries were measured, and the CT and SD values of the vertical spinal muscle at the same level were measured. In addition, the signal-to-noise (SNR) and contrast-to-noise (CNR) ratios of each branch vessel were calculated. Two radiologists provided subjective scores on image noise, image artifacts, target blood vessel contrast, image “waxiness.” and overall image quality. Differences in SNR, CNR, and background noise among the four groups of images were compared using one-way analysis of variance (ANOVA) and paired t-tests. The kappa test was used to compare differences in the consistency of the subjective evaluations. Results: In both objective and subjective evaluations, the SNR, CNR, overall image quality score, and noise of the DL-H images were superior to those of the DL-M images, where the latter in turn were superior to those of the AV images. The SNR, CNR, and image quality score increased and the noise decreased with an increase in DL intensity. In the subjective scores of the four groups of images, the DL-H score was higher than the DL-M score, and the DL-M score was higher than the AV score. Conclusion: The DLIR can improve the display of small- and medium-sized vessels in upper abdomen energy spectrum enhanced CT 40 keV single-energy images. With an increase in intensity, the image quality is improved and noise is reduced. Compared with AV, the DLIR significantly improves the display capabilities of upper abdominal energy spectrum-enhanced CT in the examination of small blood vessels.https://www.cttacn.org.cn/cn/article/doi/10.15953/j.ctta.2024.168deep learninggemstone spectral ctvirtual monoenergetic imagingsmall abdominal vessels
spellingShingle Qin WANG
Weijie YAN
Yuan YUAN
Hehan TANG
Liping DENG
Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CT
CT Lilun yu yingyong yanjiu
deep learning
gemstone spectral ct
virtual monoenergetic imaging
small abdominal vessels
title Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CT
title_full Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CT
title_fullStr Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CT
title_full_unstemmed Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CT
title_short Study of a Deep Learning Reconstruction Algorithm for Displaying Small- and Medium-sized Blood Vessels in Upper Abdominal Energy Spectrum CT
title_sort study of a deep learning reconstruction algorithm for displaying small and medium sized blood vessels in upper abdominal energy spectrum ct
topic deep learning
gemstone spectral ct
virtual monoenergetic imaging
small abdominal vessels
url https://www.cttacn.org.cn/cn/article/doi/10.15953/j.ctta.2024.168
work_keys_str_mv AT qinwang studyofadeeplearningreconstructionalgorithmfordisplayingsmallandmediumsizedbloodvesselsinupperabdominalenergyspectrumct
AT weijieyan studyofadeeplearningreconstructionalgorithmfordisplayingsmallandmediumsizedbloodvesselsinupperabdominalenergyspectrumct
AT yuanyuan studyofadeeplearningreconstructionalgorithmfordisplayingsmallandmediumsizedbloodvesselsinupperabdominalenergyspectrumct
AT hehantang studyofadeeplearningreconstructionalgorithmfordisplayingsmallandmediumsizedbloodvesselsinupperabdominalenergyspectrumct
AT lipingdeng studyofadeeplearningreconstructionalgorithmfordisplayingsmallandmediumsizedbloodvesselsinupperabdominalenergyspectrumct