Evidence map›Paper›PMID 37904089›Full record

ArticleBMC medical imaging2023

Super-resolution deep learning reconstruction at coronary computed tomography angiography to evaluate the coronary arteries and in-stent lumen: an initial experience.

Makoto Orii, Misato Sone, Takeshi Osaki, Yuta Ueyama, Takuya Chiba, Tadashi Sasaki, Kunihiro Yoshioka

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

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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 1 institution in 1 country.

Makoto OriiDepartment of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Japan. kori931@gmail.com.
Misato SoneDepartment of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Japan.
Takeshi OsakiDepartment of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Japan.
Yuta UeyamaCenter for Radiological Science, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Japan.
Takuya ChibaCenter for Radiological Science, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Japan.
Tadashi SasakiCenter for Radiological Science, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Japan.
Kunihiro YoshiokaDepartment of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Japan.
Iwate Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A super-resolution deep learning reconstruction (SR-DLR) algorithm trained using data acquired on the ultrahigh spatial resolution computed tomography (UHRCT) has the potential to provide better image quality of coronary arteries on the whole-heart, single-rotation cardiac coverage on a 320-detector row CT scanner. However, the advantages of SR-DLR at coronary computed tomography angiography (CCTA) have not been fully investigated. The present study aimed to compare the image quality of the coronary arteries and in-stent lumen between SR-DLR and model-based iterative reconstruction (MBIR). We prospectively enrolled 70 patients (median age, 69 years; interquartile range [IQR], 59-75 years; 50 men) who underwent CCTA using a 320-detector row CT scanner between January and August 2022. The image noise in the ascending aorta, left atrium, and septal wall of the ventricle was measured, and the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) in the proximal coronary arteries were calculated. Of the twenty stents, stent strut thickness and luminal diameter were quantitatively evaluated. The image noise on SR-DLR was significantly lower than that on MBIR (median 22.1 HU; IQR, 19.3-24.9 HU vs. 27.4 HU; IQR, 24.2-31.2 HU, p < 0.01), whereas the SNR (median 16.3; IQR, 11.8-21.8 vs. 13.7; IQR, 9.9-18.4, p = 0.01) and CNR (median 24.4; IQR, 15.5-30.2 vs. 19.2; IQR, 14.1-23.2, p < 0.01) on SR-DLR were significantly higher than that on MBIR. Stent struts were significantly thinner (median, 0.68 mm; IQR, 0.61-0.78 mm vs. 0.81 mm; IQR, 0.72-0.96 mm, p < 0.01) and in-stent lumens were significantly larger (median, 1.84 mm; IQR, 1.65-2.26 mm vs. 1.52 mm; IQR, 1.28-2.25 mm, p < 0.01) on SR-DLR than on MBIR. Although further large-scale studies using invasive coronary angiography as the reference standard, comparative studies with UHRCT, and studies in more challenging population for CCTA are needed, this study's initial experience with SR-DLR would improve the utility of CCTA in daily clinical practice due to the better image quality of the coronary arteries and in-stent lumen at CCTA compared with conventional MBIR.

Indexed as

Computed Tomography AngiographyDeep LearningAgedAlgorithmsCoronary AngiographyCoronary VesselsHeart AtriaHumansMaleRadiation DosageRadiographic Image Interpretation, Computer-AssistedStentsTomography, X-Ray ComputedContrast-to-noise ratioCoronary computed tomography angiographyModel-based iterative reconstructionSignal-to-noise ratioSuper-resolution deep learning reconstruction

Identifiers

PMID37904089
PMCPMC10617195
OpenAlexW4388033130

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Registered trials

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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.