Metal artifacts from sternal wires: evaluation of virtual monoenergetic images from spectral-detector CT for artifact reduction.
Artifacts
Neoplasm staging
Spectral-detector CT
Sternal wires
Thoracic surgery
X-ray computed tomography
Journal
Clinical imaging
ISSN: 1873-4499
Titre abrégé: Clin Imaging
Pays: United States
ID NLM: 8911831
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
07
05
2019
revised:
22
12
2019
accepted:
27
12
2019
pubmed:
23
1
2020
medline:
4
9
2020
entrez:
23
1
2020
Statut:
ppublish
Résumé
In chest imaging, sternal wires can cause metal artifacts that hamper depiction of surrounding soft tissue and bone. This study investigated if these artifacts may be reduced by means of virtual monoenergetic images (VMI) obtained from a novel detector-based spectral CT scanner (SDCT) in comparison to conventional CT images (CI). 30 patients with clinically indicated SDCT scans of the chest exhibiting artifacts due to sternal wires were included in this IRB-approved study. CI and VMI (40-200 keV, 10 keV increment) were reconstructed. Quantitative image analysis was conducted by ROI-based measurement of attenuation (HU) and standard deviation within the most pronounced hypo- and hyperdense artifacts. Visually, artifact reduction and diagnostic assessment of surrounding soft tissue as well as sternal bone were independently rated by two radiologists on 5-point Likert-scales. In comparison to CI, high-keV VMI showed an effective reduction of hypo- and hyperattenuating parasternal artifacts, as corrected HU-values approximated their true expected values (hypodense: CI -66.2 ± 70.8; VMI High-keV VMI yielded a significant reduction of artifacts from sternal wires and improved assessment of surrounding structures.
Identifiants
pubmed: 31968284
pii: S0899-7071(19)30286-4
doi: 10.1016/j.clinimag.2019.12.018
pii:
doi:
Substances chimiques
Metals
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
249-256Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest NGH: On the speaker's bureau of Philips Healthcare. The other authors state that they have nothing to disclose.