Combining virtual monoenergetic imaging and iterative metal artifact reduction in first-generation photon-counting computed tomography of patients with dental implants.


Journal

European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 21 02 2023
accepted: 27 04 2023
revised: 04 04 2023
medline: 27 10 2023
pubmed: 7 6 2023
entrez: 7 6 2023
Statut: ppublish

Résumé

While established for energy-integrating detector computed tomography (CT), the effect of virtual monoenergetic imaging (VMI) and iterative metal artifact reduction (iMAR) in photon-counting detector (PCD) CT lacks thorough investigation. This study evaluates VMI, iMAR, and combinations thereof in PCD-CT of patients with dental implants. In 50 patients (25 women; mean age 62.0 ± 9.9 years), polychromatic 120 kVp imaging (T3D), VMI, T3D iMAR reduced hyper-/hypodense artifacts (T3D 1305.0/-1418.4 versus T3D While VMI alone holds minimal metal artifact reduction potential, iMAR post-processing enabled substantial reduction of hyperdense and hypodense artifacts. The combination of VMI ≥ 110 keV and iMAR resulted in the least extensive metal artifacts. Combining iMAR with VMI represents a potent tool for maxillofacial PCD-CT with dental implants achieving substantial artifact reduction and high image quality. • Post-processing of photon-counting CT scans with an iterative metal artifact reduction algorithm substantially reduces hyperdense and hypodense artifacts arising from dental implants. • Virtual monoenergetic images presented only minimal metal artifact reduction potential. • The combination of both provided a considerable benefit in subjective analysis compared to iterative metal artifact reduction alone.

Identifiants

pubmed: 37284870
doi: 10.1007/s00330-023-09790-y
pii: 10.1007/s00330-023-09790-y
pmc: PMC10598126
doi:

Substances chimiques

Dental Implants 0
Metals 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7818-7829

Subventions

Organisme : Interdisziplinäres Zentrum für Klinische Forschung, Universitätsklinikum Würzburg
ID : Z-3BC/02
Organisme : Deutsche Forschungsgemeinschaft
ID : 467675629

Informations de copyright

© 2023. The Author(s).

Références

Feldhaus F, Böning G, Jonczyk M et al (2019) Metallic dental artifact reduction in computed tomography (Smart MAR): improvement of image quality and diagnostic confidence in patients with suspected head and neck pathology and oral implants. Eur J Radiol 118:153–160. https://doi.org/10.1016/J.EJRAD.2019.07.015
doi: 10.1016/J.EJRAD.2019.07.015 pubmed: 31439235
Klein L, Dorn S, Amato C et al (2020) Effects of detector sampling on noise reduction in clinical photon-counting whole-body computed tomography. Invest Radiol 55:111–119. https://doi.org/10.1097/RLI.0000000000000616
doi: 10.1097/RLI.0000000000000616 pubmed: 31770298
Symons R, Pourmorteza A, Sandfort V et al (2017) Feasibility of dose-reduced chest CT with photon-counting detectors: initial results in humans. Radiology 285:980–989. https://doi.org/10.1148/RADIOL.2017162587
doi: 10.1148/RADIOL.2017162587 pubmed: 28753389
Rajendran K, Petersilka M, Henning A et al (2022) First clinical photon-counting-detector CT system: technical evaluation. Radiology 303:130. https://doi.org/10.1148/RADIOL.212579
doi: 10.1148/RADIOL.212579 pubmed: 34904876
Willemink MJ, Persson M, Pourmorteza A et al (2018) Photon-counting CT: technical principles and clinical prospects. Radiology 289:293–312. https://doi.org/10.1148/RADIOL.2018172656
doi: 10.1148/RADIOL.2018172656 pubmed: 30179101
Flohr T, Petersilka M, Henning A et al (2020) Photon-counting CT review. Phys Med 79:126–136. https://doi.org/10.1016/J.EJMP.2020.10.030
doi: 10.1016/J.EJMP.2020.10.030 pubmed: 33249223
Sartoretti T, Landsmann A, Nakhostin D et al (2022) Quantum iterative reconstruction for abdominal photon-counting detector CT improves image quality. Radiology 303:339–348. https://doi.org/10.1148/RADIOL.211931/ASSET/IMAGES/LARGE/RADIOL.211931.VA.JPEG
doi: 10.1148/RADIOL.211931/ASSET/IMAGES/LARGE/RADIOL.211931.VA.JPEG pubmed: 35103540
Zhou W, Bartlett DJ, Diehn FE et al (2019) Reduction of metal artifacts and improvement in dose efficiency using photon-counting detector computed tomography and tin filtration. Invest Radiol 54:204–211. https://doi.org/10.1097/RLI.0000000000000535
doi: 10.1097/RLI.0000000000000535 pubmed: 30562270 pmcid: 6434693
Pourmorteza A, Symons R, Henning A et al (2018) Dose efficiency of quarter-millimeter photon-counting computed tomography: first-in-human results. Invest Radiol 53:365–372. https://doi.org/10.1097/RLI.0000000000000463
doi: 10.1097/RLI.0000000000000463 pubmed: 29595753
Leng S, Rajendran K, Gong H et al (2018) 150-μm spatial resolution using photon-counting detector computed tomography technology: technical performance and first patient images. Invest Radiol 53:655–662. https://doi.org/10.1097/RLI.0000000000000488
doi: 10.1097/RLI.0000000000000488 pubmed: 29847412 pmcid: 6173631
Lee MJ, Kim S, Lee SA et al (2007) Overcoming artifacts from metallic orthopedic implants at high-field-strength MR imaging and multi-detector CT. Radiographics 27:791–803. https://doi.org/10.1148/RG.273065087
doi: 10.1148/RG.273065087 pubmed: 17495293
Wellenberg RHH, Hakvoort ET, Slump CH et al (2018) Metal artifact reduction techniques in musculoskeletal CT-imaging. Eur J Radiol 107:60–69. https://doi.org/10.1016/j.ejrad.2018.08.010
doi: 10.1016/j.ejrad.2018.08.010 pubmed: 30292274
Gupta A, Subhas N, Primak AN et al (2015) Metal artifact reduction: standard and advanced magnetic resonance and computed tomography techniques. Radiol Clin North Am 53:531–547. https://doi.org/10.1016/J.RCL.2014.12.005
doi: 10.1016/J.RCL.2014.12.005 pubmed: 25953288
Barrett JF, Keat N (2004) Artifacts in CT: recognition and avoidance. Radiographics 24:1679–1691. https://doi.org/10.1148/RG.246045065
doi: 10.1148/RG.246045065 pubmed: 15537976
Boas FE, Fleischmann D (2012) CT artifacts: causes and reduction techniques. Imaging Med 4:229–240
doi: 10.2217/iim.12.13
Pennig L, Zopfs D, Gertz R et al (2021) Reduction of CT artifacts from cardiac implantable electronic devices using a combination of virtual monoenergetic images and post-processing algorithms. Eur Radiol 31:7151–7161. https://doi.org/10.1007/S00330-021-07746-8
doi: 10.1007/S00330-021-07746-8 pubmed: 33630164 pmcid: 8379133
Boas FE, Fleischmann D (2011) Evaluation of two iterative techniques for reducing metal artifacts in computed tomography. Radiology 259:894–902. https://doi.org/10.1148/radiol.11101782
doi: 10.1148/radiol.11101782 pubmed: 21357521
Jagoda P, Schmitz D, Wagenpfeil S et al (2018) Comparison of metal artifact reduction in dual- And single-source CT: a vertebral phantom study. AJR Am J Roentgenol 211:1298–1305. https://doi.org/10.2214/AJR.17.19397
doi: 10.2214/AJR.17.19397 pubmed: 30299998
Huflage H, Grunz J-P, Hackenbroch C et al (2022) Metal artefact reduction in low-dose computed tomography: benefits of tin prefiltration versus postprocessing of dual-energy datasets over conventional CT imaging. Radiography 28:690–696. https://doi.org/10.1016/J.RADI.2022.05.006
doi: 10.1016/J.RADI.2022.05.006 pubmed: 35728278
Meyer E, Raupach R, Lell M et al (2010) Normalized metal artifact reduction (NMAR) in computed tomography. Med Phys 37:5482–5493. https://doi.org/10.1118/1.3484090
doi: 10.1118/1.3484090 pubmed: 21089784
Huang JY, Kerns JR, Nute JL et al (2015) An evaluation of three commercially available metal artifact reduction methods for CT imaging. Phys Med Biol 60:1047–1067. https://doi.org/10.1088/0031-9155/60/3/1047
doi: 10.1088/0031-9155/60/3/1047 pubmed: 25585685 pmcid: 4311882
Subhas N, Primak AN, Obuchowski NA et al (2014) Iterative metal artifact reduction: evaluation and optimization of technique. Skelet Radiol 43(12):1729–1735. https://doi.org/10.1007/S00256-014-1987-2
doi: 10.1007/S00256-014-1987-2
Diehn FE, Michalak GJ, DeLone DR et al (2017) CT dental artifact: comparison of an iterative metal artifact reduction technique with weighted filtered back-projection. Acta Radiol Open 6:205846011774327. https://doi.org/10.1177/2058460117743279
doi: 10.1177/2058460117743279
Meyer E, Raupach R, Lell M et al (2012) Frequency split metal artifact reduction (FSMAR) in computed tomography. Med Phys 39:1904–1916. https://doi.org/10.1118/1.3691902
doi: 10.1118/1.3691902 pubmed: 22482612
Laukamp KR, Zopfs D, Wagner A et al (2019) CT artifacts from port systems: virtual monoenergetic reconstructions from spectral-detector CT reduce artifacts and improve depiction of surrounding tissue. Eur J Radiol 121:108733. https://doi.org/10.1016/J.EJRAD.2019.108733
doi: 10.1016/J.EJRAD.2019.108733 pubmed: 31739270
Große Hokamp N, Neuhaus V, Abdullayev N et al (2018) Reduction of artifacts caused by orthopedic hardware in the spine in spectral detector CT examinations using virtual monoenergetic image reconstructions and metal-artifact-reduction algorithms. Skeletal Radiol 47:195–201. https://doi.org/10.1007/S00256-017-2776-5
doi: 10.1007/S00256-017-2776-5 pubmed: 28932962
Schmidt AMA, Grunz JP, Petritsch B et al (2022) Combination of iterative metal artifact reduction and virtual monoenergetic reconstruction using split-filter dual-energy CT in patients with dental artifact on head and neck CT. AJR Am J Roentgenol 218:716–727. https://doi.org/10.2214/AJR.21.26772
doi: 10.2214/AJR.21.26772 pubmed: 34755521
Laukamp KR, Zopfs D, Lennartz S et al (2019) Metal artifacts in patients with large dental implants and bridges: combination of metal artifact reduction algorithms and virtual monoenergetic images provides an approach to handle even strongest artifacts. Eur Radiol 29:4228–4238. https://doi.org/10.1007/S00330-018-5928-7
doi: 10.1007/S00330-018-5928-7 pubmed: 30649598
Bongers MN, Schabel C, Thomas C et al (2015) Comparison and combination of dual-energy- and iterative-based metal artefact reduction on hip prosthesis and dental implants. PLoS One 10(11):e0143584. https://doi.org/10.1371/JOURNAL.PONE.0143584
doi: 10.1371/JOURNAL.PONE.0143584 pubmed: 26600188 pmcid: 4658024
McCollough CH, Leng S, Yu L, Fletcher JG (2015) Dual- and multi-energy CT: principles, technical approaches, and clinical applications. Radiology 276:637–653. https://doi.org/10.1148/RADIOL.2015142631
doi: 10.1148/RADIOL.2015142631 pubmed: 26302388
Koo TK, Li MY (2016) A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med 15:155–163. https://doi.org/10.1016/j.jcm.2016.02.012
doi: 10.1016/j.jcm.2016.02.012 pubmed: 27330520 pmcid: 4913118
Pourmorteza A, Symons R, Reich DS et al (2017) Photon-counting CT of the brain: in vivo human results and image-quality assessment. AJNR Am J Neuroradiol 38:2257. https://doi.org/10.3174/AJNR.A5402
doi: 10.3174/AJNR.A5402 pubmed: 28982793 pmcid: 7963753
Yu Z, Leng S, Jorgensen SM et al (2016) Evaluation of conventional imaging performance in a research whole-body CT system with a photon-counting detector array. Phys Med Biol 61:1572–1595. https://doi.org/10.1088/0031-9155/61/4/1572
doi: 10.1088/0031-9155/61/4/1572 pubmed: 26835839 pmcid: 4782185
Leng S, Bruesewitz M, Tao S et al (2019) Photon-counting detector CT: system design and clinical applications of an emerging technology. Radiographics 39:729–743. https://doi.org/10.1148/RG.2019180115
doi: 10.1148/RG.2019180115 pubmed: 31059394
Lewis M, Reid K, Toms AP (2013) Reducing the effects of metal artefact using high keV monoenergetic reconstruction of dual energy CT (DECT) in hip replacements. Skeletal Radiol 42:275–282. https://doi.org/10.1007/S00256-012-1458-6/METRICS
doi: 10.1007/S00256-012-1458-6/METRICS pubmed: 22684409
Do TD, Sawall S, Heinze S et al (2020) A semi-automated quantitative comparison of metal artifact reduction in photon-counting computed tomography by energy-selective thresholding. Sci Rep 10(1):21099. https://doi.org/10.1038/S41598-020-77904-3
doi: 10.1038/S41598-020-77904-3 pubmed: 33273590 pmcid: 7713179
Anhaus JA, Schmidt S, Killermann P et al (2022) Iterative metal artifact reduction on a clinical photon counting system—technical possibilities and reconstruction selection for optimal results dependent on the metal scenario. Phys Med Biol 67:115018. https://doi.org/10.1088/1361-6560/AC71F0
doi: 10.1088/1361-6560/AC71F0
Patzer TS, Grunz JP, Huflage H et al (2022) Combining gantry-free cone-beam computed tomography with iterative metal artefact reduction for surgical follow-up imaging of the appendicular skeleton. Eur J Radiol 155:110465. https://doi.org/10.1016/J.EJRAD.2022.110465
doi: 10.1016/J.EJRAD.2022.110465 pubmed: 35973302
Khodarahmi I, Haroun RR, Lee M et al (2018) Metal artifact reduction computed tomography of arthroplasty implants: effects of combined modeled iterative reconstruction and dual-energy virtual monoenergetic extrapolation at higher photon energies. Invest Radiol 53:728–735. https://doi.org/10.1097/RLI.0000000000000497
doi: 10.1097/RLI.0000000000000497 pubmed: 30015677
Große Hokamp N, Laukamp KR, Lennartz S et al (2018) Artifact reduction from dental implants using virtual monoenergetic reconstructions from novel spectral detector CT. Eur J Radiol 104:136–142. https://doi.org/10.1016/J.EJRAD.2018.04.018
doi: 10.1016/J.EJRAD.2018.04.018 pubmed: 29857859
Hackenbroch C, Schnaidt S, Halt D et al (2020) Dose reduction in dental CT: a phantom study with special focus on tin filter technique. AJR Am J Roentgenol 215:945–953. https://doi.org/10.2214/AJR.19.22461
doi: 10.2214/AJR.19.22461 pubmed: 32783561
Costa ALF, Fardim KAC, Mantoani JM et al (2022) In vitro quantitative evaluation of postprocessing filter for metal artifact reduction in cone beam computed tomography images of titanium and zirconium dioxide implants. Biomed Res Int 2022:1362473. https://doi.org/10.1155/2022/1362473
doi: 10.1155/2022/1362473 pubmed: 35295958 pmcid: 8920685
Aissa J, Boos J, Schleich C et al (2017) Metal artifact reduction in computed tomography after deep brain stimulation electrode placement using iterative reconstructions. Invest Radiol 52:18–22. https://doi.org/10.1097/RLI.0000000000000296
doi: 10.1097/RLI.0000000000000296 pubmed: 27309775
Mangold S, Gatidis S, Luz O et al (2014) Single-source dual-energy computed tomography: use of monoenergetic extrapolation for a reduction of metal artifacts. Invest Radiol 49:788–793. https://doi.org/10.1097/RLI.0000000000000083
doi: 10.1097/RLI.0000000000000083 pubmed: 24979325
Bamberg F, Dierks A, Nikolaou K et al (2011) Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol 21:1424–1429. https://doi.org/10.1007/S00330-011-2062-1/FIGURES/6
doi: 10.1007/S00330-011-2062-1/FIGURES/6 pubmed: 21249370

Auteurs

Theresa Sophie Patzer (TS)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany. Patzer_T@ukw.de.

Andreas Steven Kunz (AS)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.

Henner Huflage (H)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.

Philipp Gruschwitz (P)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.

Pauline Pannenbecker (P)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.

Saif Afat (S)

Department of Diagnostic and Interventional Radiology, University Hospital Tübingen, Hoppe-Seyler-Str 3, 72076, Tübingen, Germany.

Judith Herrmann (J)

Department of Diagnostic and Interventional Radiology, University Hospital Tübingen, Hoppe-Seyler-Str 3, 72076, Tübingen, Germany.

Bernhard Petritsch (B)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.

Thorsten Alexander Bley (TA)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.

Jan-Peter Grunz (JP)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH