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

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 acq...

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Veröffentlicht in:European radiology 2021-08, Vol.31 (8), p.5498-5506
Hauptverfasser: Oostveen, Luuk J., Meijer, Frederick J. A., de Lange, Frank, Smit, Ewoud J., Pegge, Sjoert A., Steens, Stefan C. A., van Amerongen, Martin J., Prokop, Mathias, Sechopoulos, Ioannis
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container_end_page 5506
container_issue 8
container_start_page 5498
container_title European radiology
container_volume 31
creator Oostveen, Luuk J.
Meijer, Frederick J. A.
de Lange, Frank
Smit, Ewoud J.
Pegge, Sjoert A.
Steens, Stefan C. A.
van Amerongen, Martin J.
Prokop, Mathias
Sechopoulos, Ioannis
description 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.
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A. ; de Lange, Frank ; Smit, Ewoud J. ; Pegge, Sjoert A. ; Steens, Stefan C. A. ; van Amerongen, Martin J. ; Prokop, Mathias ; Sechopoulos, Ioannis</creator><creatorcontrib>Oostveen, Luuk J. ; Meijer, Frederick J. A. ; de Lange, Frank ; Smit, Ewoud J. ; Pegge, Sjoert A. ; Steens, Stefan C. A. ; van Amerongen, Martin J. ; Prokop, Mathias ; Sechopoulos, Ioannis</creatorcontrib><description>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.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-020-07668-x</identifier><identifier>PMID: 33693996</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Algorithms ; Computed Tomography ; Deep learning ; Diagnostic Radiology ; Differentiation (biology) ; Evaluation ; Image contrast ; Image processing ; Image quality ; Image reconstruction ; Imaging ; Internal Medicine ; Interventional Radiology ; Iterative methods ; Machine learning ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Neuroradiology ; Noise ; Observers ; Radiology ; Sharpness ; Substantia alba ; Ultrasound</subject><ispartof>European radiology, 2021-08, Vol.31 (8), p.5498-5506</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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A.</creatorcontrib><creatorcontrib>de Lange, Frank</creatorcontrib><creatorcontrib>Smit, Ewoud J.</creatorcontrib><creatorcontrib>Pegge, Sjoert A.</creatorcontrib><creatorcontrib>Steens, Stefan C. A.</creatorcontrib><creatorcontrib>van Amerongen, Martin J.</creatorcontrib><creatorcontrib>Prokop, Mathias</creatorcontrib><creatorcontrib>Sechopoulos, Ioannis</creatorcontrib><title>Deep learning–based reconstruction may improve non-contrast cerebral CT imaging compared to other current reconstruction algorithms</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>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.</description><subject>Algorithms</subject><subject>Computed Tomography</subject><subject>Deep learning</subject><subject>Diagnostic Radiology</subject><subject>Differentiation (biology)</subject><subject>Evaluation</subject><subject>Image contrast</subject><subject>Image processing</subject><subject>Image quality</subject><subject>Image reconstruction</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Iterative methods</subject><subject>Machine learning</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neuroradiology</subject><subject>Noise</subject><subject>Observers</subject><subject>Radiology</subject><subject>Sharpness</subject><subject>Substantia alba</subject><subject>Ultrasound</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc9u1DAQxi0EokvhBTggS1y4hPpfEueChJYWkCpxKWfLcWazqRI72E7V3nrhCXjDPkln2dJCDxwsSzO_-WY-fYS85uw9Z6w-SoxJyQom8NVVpYvLJ2TFlRQFZ1o9JSvWSF3UTaMOyIuUzhljDVf1c3IgZdXIpqlW5OcngJmOYKMffH9z_au1CToawQWfclxcHoKnk72iwzTHcAHUB19gM0ebMnUQoY12pOszBGyPGtSFabYRRXKgIW8hUrfECD4_VrVjH-KQt1N6SZ5t7Jjg1d1_SL6fHJ-tvxSn3z5_XX88LVypWC7qDVPg6ho6ZTUXyjm3q5S8FVYLtsFKy9BWK10LQohONg64anQruxKclYfkw153XtoJOgc7G6OZI94er0ywg_m344et6cOF0aJmuipR4N2dQAw_FkjZTENyMI7WQ1iSESVmUvOyYoi-fYSehyV6tIcU3iS1VhVSYk-5GFKKsLk_hjOzS9nsUzaYsvmdsrnEoTd_27gf-RMrAnIPJGz5HuLD7v_I3gKyqrk9</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Oostveen, Luuk J.</creator><creator>Meijer, Frederick J. 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A.</au><au>de Lange, Frank</au><au>Smit, Ewoud J.</au><au>Pegge, Sjoert A.</au><au>Steens, Stefan C. A.</au><au>van Amerongen, Martin J.</au><au>Prokop, Mathias</au><au>Sechopoulos, Ioannis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deep learning–based reconstruction may improve non-contrast cerebral CT imaging compared to other current reconstruction algorithms</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>31</volume><issue>8</issue><spage>5498</spage><epage>5506</epage><pages>5498-5506</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33693996</pmid><doi>10.1007/s00330-020-07668-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0445-9436</orcidid><oa>free_for_read</oa></addata></record>
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subjects Algorithms
Computed Tomography
Deep learning
Diagnostic Radiology
Differentiation (biology)
Evaluation
Image contrast
Image processing
Image quality
Image reconstruction
Imaging
Internal Medicine
Interventional Radiology
Iterative methods
Machine learning
Medical imaging
Medicine
Medicine & Public Health
Neuroradiology
Noise
Observers
Radiology
Sharpness
Substantia alba
Ultrasound
title Deep learning–based reconstruction may improve non-contrast cerebral CT imaging compared to other current reconstruction algorithms
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