Imaging of intracranial hemorrhage in photon counting computed tomography using virtual monoenergetic images.

Computed tomography Image quality Intracranial hemorrhage Photon counting computed tomography Photon counting detector

Journal

Neuroradiology
ISSN: 1432-1920
Titre abrégé: Neuroradiology
Pays: Germany
ID NLM: 1302751

Informations de publication

Date de publication:
May 2024
Historique:
received: 24 08 2023
accepted: 08 02 2024
pubmed: 27 2 2024
medline: 27 2 2024
entrez: 27 2 2024
Statut: ppublish

Résumé

To determine the optimal virtual monoenergetic image (VMI) for detecting and assessing intracranial hemorrhage in unenhanced photon counting CT of the head based on the evaluation of quantitative and qualitative image quality parameters. Sixty-three patients with acute intracranial hemorrhage and unenhanced CT of the head were retrospectively included. In these patients, 35 intraparenchymal, 39 intraventricular, 30 subarachnoidal, and 43 subdural hemorrhages were selected. VMIs were reconstructed using all available monoenergetic reconstruction levels (40-190 keV). Multiple regions of interest measurements were used for evaluation of the overall image quality, and signal, noise, signal-to-noise-ratio (SNR), and contrast-to-noise-ratio (CNR) of intracranial hemorrhage. Based on the results of the quantitative analysis, specific VMIs were rated by five radiologists on a 5-point Likert scale. Signal, noise, SNR, and CNR differed significantly between different VMIs (p < 0.001). Maximum CNR for intracranial hemorrhage was reached in VMI with keV levels > 120 keV (intraparenchymal 143 keV, intraventricular 164 keV, subarachnoidal 124 keV, and subdural hemorrhage 133 keV). In reading, no relevant superiority in the detection of hemorrhage could be demonstrated using VMIs above 66 keV. For the detection of hemorrhage in unenhanced CT of the head, the quantitative analysis of the present study on photon counting CT is generally consistent with the findings from dual-energy CT, suggesting keV levels just above 120 keV and higher depending on the location of the hemorrhage. However, on the basis of the qualitative analyses, no reliable statement can yet be made as to whether an additional VMI with higher keV is truly beneficial in everyday clinical practice.

Identifiants

pubmed: 38411902
doi: 10.1007/s00234-024-03308-z
pii: 10.1007/s00234-024-03308-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

729-736

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Denise Schoenbeck (D)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Alexander Sacha (A)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Julius Henning Niehoff (JH)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Christoph Moenninghoff (C)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Jan Borggrefe (J)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Sebastian Horstmeier (S)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Alexey Surov (A)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Iram Shahzadi (I)

Siemens Healthineers GmbH, Henkestr. 127, 91052, Erlangen, Germany.

Ulrich Knappe (U)

Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.
Department of Neurosurgery, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.

Jan Robert Kroeger (JR)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany.

Arwed Elias Michael (AE)

Department of Radiology, Neuroradiology and Nuclear Medicine, Johannes Wesling University Hospital, Ruhr University Bochum, Bochum, Germany. arwed.michael@muehlenkreiskliniken.de.
Johannes Wesling University Hospital By Muehlenkreiskliniken AöR, Hans-Nolte-Straße 1, 32429, Minden, Germany. arwed.michael@muehlenkreiskliniken.de.

Classifications MeSH