Evidence map›Paper›PMID 33415436›Full record

ArticleEuropean radiology2021

Image quality of ultralow-dose chest CT using deep learning techniques: potential superiority of vendor-agnostic post-processing over vendor-specific techniques.

Ju Gang Nam, Chulkyun Ahn, Hyewon Choi, Wonju Hong, Jongsoo Park, Jong Hyo Kim, Jin Mo Goo

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In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Ju Gang NamDepartment of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Chulkyun AhnDepartment of Transdisciplinary Studies, Program in Biomedical Radiation Sciences, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, 08826, Republic of Korea.
Hyewon ChoiDepartment of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Wonju HongDepartment of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Jongsoo ParkDepartment of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Jong Hyo KimDepartment of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Jin Mo GooDepartment of Radiology, Seoul National University College of Medicine, and Institute of Radiation Medicine, Seoul National University Medical Research Center, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea. jmgoo@plaza.snu.ac.kr.ORCID http://orcid.org/0000-0003-1791-7942

Funding

Korea Health Industry Development Institute HI19C1129
6 · The paper itself

Abstract

objectiveTo compare the image quality between the vendor-agnostic and vendor-specific algorithms on ultralow-dose chest CT.

methodsVendor-agnostic deep learning post-processing model (DLM), vendor-specific deep learning image reconstruction (DLIR, high level), and adaptive statistical iterative reconstruction (ASiR, 70%) algorithms were employed. One hundred consecutive ultralow-dose noncontrast CT scans (CTDI

resultsDLM-stnd, followed by DLIR, showed the best subjective noise on both lung and mediastinal windows, while DLIR yielded the least measured noise (ps < .0001). Compared to DLM-stnd, DLIR showed inferior subjective spatial resolution on lung window and higher edge-rise-distance (ps < .0001). Additionally, DLIR showed the most frequent distortion artifacts and deviated skewness (ps < .0001). DLM-stnd scored the best overall image quality, followed by DLM-shrp and DLIR (mean score 3.89 ± 0.19, 3.68 ± 0.24, and 3.53 ± 0.33; ps < .001). Two among three readers preferred DLM-stnd on both windows.

conclusionAlthough DLIR provided the best quantitative noise profile, DLM-stnd showed the best overall image quality with fewer artifacts and was preferred by two among three readers. KEY POINTS: • A vendor-agnostic deep learning post-processing algorithm applied to ultralow-dose chest CT exhibited the best image quality compared to vendor-specific deep learning algorithm and ASiR techniques. • Two out of three readers preferred a vendor-agnostic deep learning post-processing algorithm in comparison to vendor-specific deep learning algorithm and ASiR techniques. • A vendor-specific deep learning reconstruction algorithm yielded the least image noise, but showed significantly more frequent specific distortion artifacts and increased skewness of attenuation compared to a vendor-agnostic algorithm.

Indexed as

Deep LearningAlgorithmsHumansRadiation DosageRadiographic Image Interpretation, Computer-AssistedThoraxTomography, X-Ray ComputedDeep learningImage enhancementImage processing, computer-assistedMultidetector computed tomographyRadiation dosage

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.