Evidence map›Paper›PMID 35696272›Full record

ArticleMedical physics2022

Impact of an artificial intelligence deep-learning reconstruction algorithm for CT on image quality and potential dose reduction: A phantom study.

Joël Greffier, Salim Si-Mohamed, Julien Frandon, Maeliss Loisy, Fabien de Oliveira, Jean Paul Beregi, Djamel Dabli

Open access · hybridAbstract read
In one paragraph

Article in Medical physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.2field-weighted citation impact, top 3% of its field
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

29 citing papers in PubMed, 46 citations in OpenAlex.

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  18. Radiation Detectors and Sensors in Medical Imaging.Sensors (Basel, Switzerland) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Joël GreffierIMAGINE, UR UM 103, Montpellier University, Department of Medical Imaging, Nîmes University Hospital, Nîmes, France.
Salim Si-MohamedUniversity of Lyon, INSA-Lyon, University Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1206, Villeurbanne, France.
Julien FrandonIMAGINE, UR UM 103, Montpellier University, Department of Medical Imaging, Nîmes University Hospital, Nîmes, France.
Maeliss LoisyIMAGINE, UR UM 103, Montpellier University, Department of Medical Imaging, Nîmes University Hospital, Nîmes, France.
Fabien de OliveiraIMAGINE, UR UM 103, Montpellier University, Department of Medical Imaging, Nîmes University Hospital, Nîmes, France.
Jean Paul BeregiIMAGINE, UR UM 103, Montpellier University, Department of Medical Imaging, Nîmes University Hospital, Nîmes, France.
Djamel DabliIMAGINE, UR UM 103, Montpellier University, Department of Medical Imaging, Nîmes University Hospital, Nîmes, France.
Université de Nîmes · FRUniversité de Montpellier · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, computed tomography (CT) manufacturers have developed deep-learning-based reconstruction algorithms to compensate for the limitations of iterative reconstruction (IR) algorithms, such as image smoothing and the spatial resolution's dependence on contrast and dose levels. PURPOSE: To assess the impact of an artificial intelligence deep-learning reconstruction (AI-DLR) algorithm on image quality and dose reduction compared with a hybrid IR algorithm in chest CT for different clinical indications.

methodsAcquisitions on the CT American College of Radiology (ACR) 464 and CT Torso CTU-41 phantoms were performed at five dose levels (CTDI

resultsFrom Standard to Smoother levels, on average, the noise magnitude decreased (for all dose levels: -66.3% ± 0.5% for mediastinal images and -63.1% ± 0.1% for parenchymal images), the average NPS spatial frequency decreased (for all dose levels: -35.3% ± 2.2% for mediastinal images and -13.3% ± 2.2% for parenchymal images), and the detectability (d') of the three lesions increased. The opposite pattern was found from Standard to Sharper levels. From Smoother to Sharper levels, the spatial resolution increased for the low-contrast polyethylene insert and the opposite for the high-contrast air insert. Compared to the i4 used in clinical practice, d' values were higher using Smoother (mean for all dose levels: 338.7% ± 29.4%), Smooth (103.4% ± 11.2%), and Standard (34.1% ± 6.6%) levels for the LCN on mediastinal images and Smoother (169.5% ± 53.2% for GGO and 136.9% ± 1.6% for HCP) and Smooth (36.4% ± 22.1% and 24.1% ± 0.9%, respectively) levels for parenchymal images. Radiologists considered the images satisfactory for clinical use at these levels, but adaptation to the dose level of the protocol is required.

conclusionWith AI-DLR, the smoothest levels reduced the noise and improved the detectability of chest lesions but increased the image smoothing. The opposite was found with the sharpest levels. The choice of level depends on the dose level and type of image: mediastinal or parenchymal.

Indexed as

Deep LearningRadiographic Image Interpretation, Computer-AssistedAlgorithmsArtificial IntelligenceDrug TaperingHumansPhantoms, ImagingRadiation DosageTomography, X-Ray Computedartificial Intelligencedeep-learning image reconstruction algorithmmultidetector computed tomographytask-based image quality assessment

Identifiers

PMID35696272
PMCPMC9544990
OpenAlexW4282560379

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.