Evidence map›Paper›PMID 38361137›Full record

ArticleAnnals of biomedical engineering2024

Clinical Super-Resolution Computed Tomography of Bone Microstructure: Application in Musculoskeletal and Dental Imaging.

Santeri J O Rytky, Aleksei Tiulpin, Mikko A J Finnilä, Sakari S Karhula, Annina Sipola, Väinö Kurttila, Maarit Valkealahti, Petri Lehenkari, Antti Joukainen, Heikki Kröger and 3 more

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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

13 authors.

Santeri J O RytkyResearch Unit of Health Sciences and Technology, University of Oulu, POB 5000, 90014, Oulu, Finland. santeri.rytky@oulu.fi.ORCID https://orcid.org/0000-0002-9237-1356
Aleksei TiulpinResearch Unit of Health Sciences and Technology, University of Oulu, POB 5000, 90014, Oulu, Finland.ORCID https://orcid.org/0000-0002-7852-4141
Mikko A J FinniläResearch Unit of Health Sciences and Technology, University of Oulu, POB 5000, 90014, Oulu, Finland.ORCID https://orcid.org/0000-0002-3348-5759
Sakari S KarhulaResearch Unit of Health Sciences and Technology, University of Oulu, POB 5000, 90014, Oulu, Finland.ORCID https://orcid.org/0000-0003-3401-4198
Annina SipolaDepartment of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.ORCID https://orcid.org/0000-0002-7122-2335
Väinö KurttilaDepartment of Oral and Maxillofacial Surgery, Oulu University Hospital, Oulu, Finland.
Maarit ValkealahtiDepartment of Surgery and Intensive Care, Oulu University Hospital, Oulu, Finland.ORCID https://orcid.org/0000-0003-2135-6922
Petri LehenkariDepartment of Surgery and Intensive Care, Oulu University Hospital, Oulu, Finland.ORCID https://orcid.org/0000-0002-0055-5183
Antti JoukainenDepartment of Orthopaedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0002-1428-5700
Heikki KrögerDepartment of Orthopaedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0003-4245-8186
Rami K KorhonenDepartment of Applied Physics, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-3486-7855
Simo SaarakkalaResearch Unit of Health Sciences and Technology, University of Oulu, POB 5000, 90014, Oulu, Finland.ORCID https://orcid.org/0000-0003-2850-5484
Jaakko NiinimäkiResearch Unit of Health Sciences and Technology, University of Oulu, POB 5000, 90014, Oulu, Finland.ORCID https://orcid.org/0000-0002-5591-3726

Funding

Academy of Finland 268378Academy of Finland 303786FP7 Ideas: European Research Council 336267Instrumentariumin Tiedesäätiö 200058Suomen Kulttuurirahasto 00200953
6 · The paper itself

Abstract

purposeClinical cone-beam computed tomography (CBCT) devices are limited to imaging features of half a millimeter in size and cannot quantify the tissue microstructure. We demonstrate a robust deep-learning method for enhancing clinical CT images, only requiring a limited set of easy-to-acquire training data.

methodsKnee tissue from five cadavers and six total knee replacement patients, and 14 teeth from eight patients were scanned using laboratory CT as training data for the developed super-resolution (SR) technique. The method was benchmarked against ex vivo test set, 52 osteochondral samples are imaged with clinical and laboratory CT. A quality assurance phantom was imaged with clinical CT to quantify the technical image quality. To visually assess the clinical image quality, musculoskeletal and maxillofacial CBCT studies were enhanced with SR and contrasted to interpolated images. A dental radiologist and surgeon reviewed the maxillofacial images.

resultsThe SR models predicted the bone morphological parameters on the ex vivo test set more accurately than conventional image processing. The phantom analysis confirmed higher spatial resolution on the SR images than interpolation, but image grayscales were modified. Musculoskeletal and maxillofacial CBCT images showed more details on SR than interpolation; however, artifacts were observed near the crown of the teeth. The readers assessed mediocre overall scores for both SR and interpolation. The source code and pretrained networks are publicly available.

conclusionModel training with laboratory modalities could push the resolution limit beyond state-of-the-art clinical musculoskeletal and dental CBCT. A larger maxillofacial training dataset is recommended for dental applications.

Indexed as

Cone-Beam Computed TomographyTomography, X-Ray ComputedHeadHumansImage Processing, Computer-AssistedPhantoms, ImagingComputed tomographyCone-beam computed tomographyDeep learningDental radiologyMusculoskeletal radiologySuper-resolution

Identifiers

PMID38361137
PMCPMC10995025

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LicenceCC BY
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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.