Reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumor

Abstract The purpose of the study was to investigate the application of virtual monoenergetic images (VMIs) in reducing metal artifacts in rabbit VX2 liver cancer models treated with microwave ablation (MWA) therapy. A total of 31 VX2 liver cancer models that accepted CT-guided percutaneous microwav...

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Main Authors: Guorong Wang, Qinzong Gao, Zhiwei Wang, Xiaomei Lu, Shenghui Yu, Zhengyu Jin
Format: Article
Language:English
Published: Nature Portfolio 2021-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-88853-w
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author Guorong Wang
Qinzong Gao
Zhiwei Wang
Xiaomei Lu
Shenghui Yu
Zhengyu Jin
author_facet Guorong Wang
Qinzong Gao
Zhiwei Wang
Xiaomei Lu
Shenghui Yu
Zhengyu Jin
author_sort Guorong Wang
collection DOAJ
description Abstract The purpose of the study was to investigate the application of virtual monoenergetic images (VMIs) in reducing metal artifacts in rabbit VX2 liver cancer models treated with microwave ablation (MWA) therapy. A total of 31 VX2 liver cancer models that accepted CT-guided percutaneous microwave ablation were analyzed. Conventional images (CIs) with the most severe metallic artifacts and their corresponding energy levels from 40 to 200 keV with 10 keV increment of VMIs were reconstructed for further analysis. Objective image analysis was assessed by recording the attenuation (HU) and standard deviation of the most severe hyper/hypodense artifacts as well as artifact-impaired liver parenchyma tissue. Two radiologists visually evaluated the extent of artifact reduction, assessed data obtained by a diagnostic evaluation of liver tissues, and appraised the appearance of new artifacts according to the grade score. Statistical analysis was performed to compare the difference between CIs and each energy level of VMIs. For subjective assessment, reductions in hyperdense and hypodense artifacts were observed at 170–200 keV and 160–200 keV, respectively. The outcomes of the diagnostic evaluation of adjacent liver tissue were statistically higher at 140–200 keV for VMIs than for CIs. In terms of objective evaluation results, VMIs at 90–200 keV reduced the corrected attenuation of hyperdense and of artifact-impaired liver parenchyma compared with CIs (P < 0.001). When VMIs at 80–200 keV decreased the hypodense artifacts (P < 0.001). Therefore, we concluded that VMIs at 170–200 keV can obviously decrease the microwave ablation needle-related metal artifacts objectively and subjectively in rabbit VX2 liver cancer models.
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spelling doaj.art-0e6a39baa8a34e5e9201950a90ee7f0b2022-12-21T22:55:00ZengNature PortfolioScientific Reports2045-23222021-04-011111910.1038/s41598-021-88853-wReduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumorGuorong Wang0Qinzong Gao1Zhiwei Wang2Xiaomei Lu3Shenghui Yu4Zhengyu Jin5Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical SciencesDepartment of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical SciencesDepartment of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical SciencesCT Clinical Science, Philips HealthcareCT Clinical Science, Philips HealthcareDepartment of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical SciencesAbstract The purpose of the study was to investigate the application of virtual monoenergetic images (VMIs) in reducing metal artifacts in rabbit VX2 liver cancer models treated with microwave ablation (MWA) therapy. A total of 31 VX2 liver cancer models that accepted CT-guided percutaneous microwave ablation were analyzed. Conventional images (CIs) with the most severe metallic artifacts and their corresponding energy levels from 40 to 200 keV with 10 keV increment of VMIs were reconstructed for further analysis. Objective image analysis was assessed by recording the attenuation (HU) and standard deviation of the most severe hyper/hypodense artifacts as well as artifact-impaired liver parenchyma tissue. Two radiologists visually evaluated the extent of artifact reduction, assessed data obtained by a diagnostic evaluation of liver tissues, and appraised the appearance of new artifacts according to the grade score. Statistical analysis was performed to compare the difference between CIs and each energy level of VMIs. For subjective assessment, reductions in hyperdense and hypodense artifacts were observed at 170–200 keV and 160–200 keV, respectively. The outcomes of the diagnostic evaluation of adjacent liver tissue were statistically higher at 140–200 keV for VMIs than for CIs. In terms of objective evaluation results, VMIs at 90–200 keV reduced the corrected attenuation of hyperdense and of artifact-impaired liver parenchyma compared with CIs (P < 0.001). When VMIs at 80–200 keV decreased the hypodense artifacts (P < 0.001). Therefore, we concluded that VMIs at 170–200 keV can obviously decrease the microwave ablation needle-related metal artifacts objectively and subjectively in rabbit VX2 liver cancer models.https://doi.org/10.1038/s41598-021-88853-w
spellingShingle Guorong Wang
Qinzong Gao
Zhiwei Wang
Xiaomei Lu
Shenghui Yu
Zhengyu Jin
Reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumor
Scientific Reports
title Reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumor
title_full Reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumor
title_fullStr Reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumor
title_full_unstemmed Reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumor
title_short Reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual-layer detector spectral CT in a rabbit model with VX2 tumor
title_sort reduction of microwave ablation needle related metallic artifacts using virtual monoenergetic images from dual layer detector spectral ct in a rabbit model with vx2 tumor
url https://doi.org/10.1038/s41598-021-88853-w
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