Literature DB >> 23490736

Tin-filter enhanced dual-energy-CT: image quality and accuracy of CT numbers in virtual noncontrast imaging.

Sascha Kaufmann1, Alexander Sauter, Daniel Spira, Sergios Gatidis, Dominik Ketelsen, Martin Heuschmid, Claus D Claussen, Christoph Thomas.   

Abstract

OBJECTIVES: To measure and compare the objective image quality of true noncontrast (TNC) images with virtual noncontrast (VNC) images acquired by tin-filter-enhanced, dual-source, dual-energy computed tomography (DECT) of upper abdomen.
MATERIALS AND METHODS: Sixty-three patients received unenhanced abdominal CT and enhanced abdominal DECT (100/140 kV with tin filter) in portal-venous phase. VNC images were calculated from the DECT datasets using commercially available software. The mean attenuation of relevant tissues and image quality were compared between the TNC and VNC images. Image quality was rated objectively by measuring image noise and the sharpness of object edges using custom-designed software. Measurements were compared using Student two-tailed t-test. Correlation coefficients for tissue attenuation measurements between TNC and VNC were calculated and the relative deviations were illustrated using Bland-Altman plots.
RESULTS: Mean attenuation differences between TNC and VNC (HUTNC - HUVNC) image sets were as follows: right liver lobe -4.94 Hounsfield units (HU), left liver lobe -3.29 HU, vena cava -2.19 HU, spleen -7.46 HU, pancreas 1.29 HU, fat -11.14 HU, aorta 1.29 HU, bone marrow 36.83 HU (all P < .05); right kidney 0.46 HU, left kidney 0.56 HU, vena portae -0.48 HU and muscle -0.62 HU (nonsignificant). Good correlations between VNC and TNC series were observed for liver, vena portae, kidneys, pancreas, muscle and bone marrow (Pearson's correlation coefficient ≥0.75). Mean image noise was significantly higher in TNC images (P < .0001). Measurements of edge sharpness revealed no significant differences between VNC and TNC images (P = .19).
CONCLUSION: The Hounsfield units in VNC images closely resemble TNC images in the majority of the organs of the upper abdomen (kidneys, liver, pancreas). In spleen and fat, Hounsfield numbers in VNC images are tend to be higher than in TNC images. VNC images show a low image noise and satisfactory edge sharpness. Other criteria of image quality and the depiction of certain lesions need to be evaluated additionally.
Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

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Year:  2013        PMID: 23490736     DOI: 10.1016/j.acra.2013.01.010

Source DB:  PubMed          Journal:  Acad Radiol        ISSN: 1076-6332            Impact factor:   3.173


  15 in total

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7.  Dual-energy CT of the brain: Comparison between DECT angiography-derived virtual unenhanced images and true unenhanced images in the detection of intracranial haemorrhage.

Authors:  Matteo Bonatti; Fabio Lombardo; Giulia A Zamboni; Patrizia Pernter; Roberto Pozzi Mucelli; Giampietro Bonatti
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Review 8.  Dual energy CT applications in pancreatic pathologies.

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9.  Single-portal-phase low-tube-voltage dual-energy CT for short-term follow-up of acute pancreatitis: evaluation of CT severity index, interobserver agreement and radiation dose.

Authors:  Julian L Wichmann; Pawel Majenka; Martin Beeres; Wolfgang Kromen; Boris Schulz; Stefan Wesarg; Ralf W Bauer; J Matthias Kerl; Tatjana Gruber-Rouh; Renate Hammerstingl; Thomas J Vogl; Thomas Lehnert
Journal:  Eur Radiol       Date:  2014-07-17       Impact factor: 5.315

10.  Comparison of dual-energy CT-derived iodine content and iodine overlay of normal, inflammatory and metastatic squamous cell carcinoma cervical lymph nodes.

Authors:  Ahmed M Tawfik; A A Razek; J Matthias Kerl; N E Nour-Eldin; Ralf Bauer; Thomas J Vogl
Journal:  Eur Radiol       Date:  2013-10-02       Impact factor: 5.315

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