Evidence map›Paper›PMID 41081228›Full record

ArticleQuantitative imaging in medicine and surgery2025

The application value of deep learning-based reconstruction combined with segmented contrast injection in "one-stop" cardio-cerebrovascular computed tomography angiography.

Qiushuang Zhang, Hangge Pan, Jianrong Ding, Jingli Pan, Aiyun Sun

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Article in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 citing papers in PubMed.

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5 · Who and what money

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5 authors.

Qiushuang Zhang *Department of Radiology, Taizhou Hospital of Zhejiang Province, Linhai, China.
Hangge Pan *Department of Radiology, Taizhou Hospital of Zhejiang Province, Linhai, China.
Jianrong DingDepartment of Radiology, Taizhou Hospital of Zhejiang Province, Linhai, China.
Jingli PanDepartment of Radiology, Taizhou Hospital of Zhejiang Province, Linhai, China.
Aiyun SunCT Imaging Research Center, GE HealthCare China, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: "One-stop" cardio-cerebrovascular computed tomography angiography (C&C-CTA) has become a current mainstay of craniocervical and coronary arteries screening, but concerns remain regarding the radiation safety and contrast nephropathy issues associated with CTA examinations. This study aimed to investigate the feasibility of reducing radiation dose, contrast dose, and injection rate using C&C-CTA based on deep learning image reconstruction (DLIR) algorithms. Methods: A total of 150 patients were prospectively enrolled and divided into 3 groups (A, B, and C) with 50 patients in each group. In group A, C&C-CTA was performed with a tube voltage of 80 kVp, a contrast injection protocol with segmented contrast injection, and high-strength DLIR. In groups B and C, craniocervical and coronary CTA were performed with 100 kVp and 50% adaptive statistical iterative reconstruction-V (ASIR-V), respectively. Radiation dose, contrast dose, injection rate, and subjective and objective image quality were quantified and compared. Results: Compared with group B, group A showed higher computed tomography (CT) Hounsfield unit (HU) values for the craniocervical arteries (all P<0.001). In contrast, when compared with group C, group A had lower CT HU values for the coronary artery roots (P=0.02), yet no statistically significant difference was observed in the values for other vessels (both P>0.05). The signal-to-noise ratios (SNRs) were not statistically different in vertebral artery, internal carotid artery (ICA) C4 segment (A Conclusions: Compared to scanning the coronary and craniocervical artery individually, C&C-CTA based on DLIR can reduce the radiation dose, contrast dose, and injection rate without compromising image quality.

Indexed as

Computed tomography angiography (CTA)deep learning image reconstruction (DLIR)low tube voltageradiation dosesegmented contrast injection

Identifiers

PMID41081228
PMCPMC12514647

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