Evidence map›Paper›PMID 36583696›Full record

ArticleJournal of applied clinical medical physics2023

Evaluation of deep-learning image reconstruction for chest CT examinations at two different dose levels.

Angelica Svalkvist, Erika Fagman, Jenny Vikgren, Sara Ku, Micael Oliveira Diniz, Rauni Rossi Norrlund, Åse A Johnsson

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Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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.

Angelica SvalkvistDepartment of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden.
Erika FagmanDepartment of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Jenny VikgrenDepartment of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Sara KuDepartment of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Micael Oliveira DinizDepartment of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Rauni Rossi NorrlundDepartment of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Åse A JohnssonDepartment of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Funding

The Swedish state under the agreement between the Swedish government and the country councils, the ALF-agreement ALFGBG-877491The Swedish state under the agreement between the Swedish government and the country councils, the ALF-agreement ALFGBG-960671
6 · The paper itself

Abstract

aimsThe aims of the present study were to, for both a full-dose protocol and an ultra-low dose (ULD) protocol, compare the image quality of chest CT examinations reconstructed using TrueFidelity (Standard kernel) with corresponding examinations reconstructed using ASIR-V (Lung kernel) and to evaluate if post-processing using an edge-enhancement filter affects the noise level, spatial resolution and subjective image quality of clinical images reconstructed using TrueFidelity.

methodsA total of 25 patients were examined with both a full-dose protocol and an ULD protocol using a GE Revolution APEX CT system (GE Healthcare, Milwaukee, USA). Three different reconstructions were included in the study: ASIR-V 40%, DLIR-H, and DLIR-H with additional post-processing using an edge-enhancement filter (DLIR-H + E2). Five observers assessed image quality in two separate visual grading characteristics (VGC) studies. The results from the studies were statistically analyzed using VGC Analyzer. Quantitative evaluations were based on determination of two-dimensional power spectrum (PS), contrast-to-noise ratio (CNR), and spatial resolution in the reconstructed patient images.

resultsFor both protocols, examinations reconstructed using TrueFidelity were statistically rated equal to or significantly higher than examinations reconstructed using ASIR-V 40%, but the ULD protocol benefitted more from TrueFidelity. In general, no differences in observer ratings were found between DLIR-H and DLIR-H + E2. For the three investigated image reconstruction methods, ASIR-V 40% showed highest noise and spatial resolution and DLIR-H the lowest, while the CNR was highest in DLIR-H and lowest in ASIR-V 40%.

conclusionThe use of TrueFidelity for image reconstruction resulted in higher ratings on subjective image quality than ASIR-V 40%. The benefit of using TrueFidelity was larger for the ULD protocol than for the full-dose protocol. Post-processing of the TrueFidelity images using an edge-enhancement filter resulted in higher image noise and spatial resolution but did not affect the subjective image quality.

Indexed as

Deep LearningAlgorithmsHumansImage Processing, Computer-AssistedRadiation DosageRadiographic Image Interpretation, Computer-AssistedTomography, X-Ray Computedchestcomputed tomographydeep-learning image reconstructionpost-processingultra-low dose

Identifiers

PMID36583696
PMCPMC10018655

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