Evidence map›Paper›PMID 42182653›Full record

ArticleJournal of thoracic disease2026

Myocardial extracellular volume fraction in cardiac CT: comparison of deep learning reconstruction and iterative reconstruction.

Hao Wu, Kedi Niu, Lu Liu, Zhuangfei Ma, Dongdong Song, Jing Shen, Jing Yu, Jing Qin, Jianlin Wu

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Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Hao Wu *Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Kedi Niu *Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Lu LiuAffiliated Zhongshan Hospital of Dalian University, Dalian, China.
Zhuangfei MaCanon Medical System (China), Beijing, China.
Dongdong SongAffiliated Zhongshan Hospital of Dalian University, Dalian, China.
Jing ShenAffiliated Zhongshan Hospital of Dalian University, Dalian, China.
Jing YuAffiliated Zhongshan Hospital of Dalian University, Dalian, China.
Jing QinAffiliated Zhongshan Hospital of Dalian University, Dalian, China.
Jianlin WuAffiliated Zhongshan Hospital of Dalian University, Dalian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the expanding clinical application of cardiac computed tomography (CT) for myocardial tissue characterization, the accuracy of extracellular volume fraction (ECV) quantification is critically dependent on image quality. This study aimed to compare the performance of deep learning reconstruction (DLR), hybrid iterative reconstruction (HIR), and model-based iterative reconstruction (MBIR) in terms of image quality and the accuracy of ECV quantification in cardiac CT. Methods: Fifty patients with suspected cardiac disease who underwent both cardiac CT and magnetic resonance imaging (MRI) were prospectively enrolled. Non-contrast and delayed-phase CT images were reconstructed using HIR, MBIR, and DLR algorithms, respectively. Visual image noise, beam-hardening artifacts, and display of myocardium and blood pool were evaluated using a four-point scale. CT value, image noise, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) of six segments of myocardium were measured and calculated. CT-ECV of six segments of myocardium was calculated in subtraction images. Pearson or Spearman correlation and Bland-Altman analysis were used to evaluate the correlation and consistency between CT-ECV and MRI-ECV in six segments of myocardium. Results: DLR significantly decreased image noise and beam-hardening artifacts, increasing SNR and CNR, providing superior visualization of the myocardium and blood pool compared to HIR and MBIR (P<0.001). In ECV quantification, DLR demonstrated a significantly lower mean absolute difference between CT-ECV and MRI-ECV across all six segments of myocardium (P<0.05). Compared with HIR and MBIR, DLR improved the correlation between CT-ECV and MRI-ECV (P<0.001). DLR showed the highest consistency in assessing ECV in all segments of myocardium (bias: -0.183) compared to HIR (bias: 0.390) and MBIR (bias: 0.540). Conclusions: Cardiac CT combined with DLR enhances the myocardial image quality and improves the accuracy of CT-ECV quantification.

Indexed as

cardiac computed tomography (cardiac CT)deep learning reconstruction (DLR)Myocardium extracellular volume fraction (myocardium ECV)

Identifiers

PMID42182653
PMCPMC13190014

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