Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction

AbstractObjectives To compare metal artifacts and evaluation of metal artifact reduction algorithms during probe positioning in computed tomography (CT)-guided microwave ablation (MWA), cryoablation (CRYO), and radiofrequency ablation (RFA).Materials and methods Using CT guidance, individual MWA, CR...

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Main Authors: T. D. Do, A. Haas, D. F. Vollherbst, F. Pan, C. Melzig, J. Jesser, P. L. Pereira, H. U. Kauczor, S. Skornitzke, C. M. Sommer
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:International Journal of Hyperthermia
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/02656736.2023.2205071
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author T. D. Do
A. Haas
D. F. Vollherbst
F. Pan
C. Melzig
J. Jesser
P. L. Pereira
H. U. Kauczor
S. Skornitzke
C. M. Sommer
author_facet T. D. Do
A. Haas
D. F. Vollherbst
F. Pan
C. Melzig
J. Jesser
P. L. Pereira
H. U. Kauczor
S. Skornitzke
C. M. Sommer
author_sort T. D. Do
collection DOAJ
description AbstractObjectives To compare metal artifacts and evaluation of metal artifact reduction algorithms during probe positioning in computed tomography (CT)-guided microwave ablation (MWA), cryoablation (CRYO), and radiofrequency ablation (RFA).Materials and methods Using CT guidance, individual MWA, CRYO, and RFA ablation probes were placed into the livers of 15 pigs. CT imaging was then performed to determine the probe’s position within the test subject’s liver. Filtered back projection (B30f) and iterative reconstructions (I30-1) were both used with and without dedicated iterative metal artifact reduction (iMAR) to generate images from the initial data sets. Semi-automatic segmentation-based quantitative evaluation was conducted to estimate artifact percentage within the liver, while qualitative evaluation of metal artifact extent and overall image quality was performed by two observers using a 5-point Likert scale: 1-none, 2-mild, 3-moderate, 4-severe, 5-non-diagnostic.Results Among MWA, RFA, and CRYO, compared with non-iMAR in B30f reconstruction, the largest extent of artifact volume percentages were observed for CRYO (11.5–17.9%), followed by MWA (4.7–6.6%) and lastly in RFA (5.5–6.2%). iMAR significantly reduces metal artifacts for CRYO and MWA quantitatively (p = 0.0020; p = 0.0036, respectively) and qualitatively (p = 0.0001, p = 0.0005), but not for RFA. No significant reduction in metal artifact percentage was seen after applying iterative reconstructions (p > 0.05). Noise, contrast-to-noise-ratio, or overall image quality did not differ between probe types, irrespective of the application of iterative reconstruction and iMAR.Conclusion A dedicated metal artifact algorithm may decrease metal artifacts and improves image quality significantly for MWA and CRYO probes. Their application alongside with dedicated metal artifact algorithm should be considered during CT-guided positioning.
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spelling doaj.art-301cc443344e49e0ad628ccc6e8d4d352023-12-28T04:15:43ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572023-12-0140110.1080/02656736.2023.2205071Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reductionT. D. Do0A. Haas1D. F. Vollherbst2F. Pan3C. Melzig4J. Jesser5P. L. Pereira6H. U. Kauczor7S. Skornitzke8C. M. Sommer9Clinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, GermanyClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, GermanyDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, GermanyClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, GermanyClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, GermanyDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, GermanyCenter for Radiology, Minimally-invasive Therapies and Nuclear Medicine, SLK Kliniken Heilbronn GmbH, Heilbronn, GermanyClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, GermanyClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, GermanyClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, GermanyAbstractObjectives To compare metal artifacts and evaluation of metal artifact reduction algorithms during probe positioning in computed tomography (CT)-guided microwave ablation (MWA), cryoablation (CRYO), and radiofrequency ablation (RFA).Materials and methods Using CT guidance, individual MWA, CRYO, and RFA ablation probes were placed into the livers of 15 pigs. CT imaging was then performed to determine the probe’s position within the test subject’s liver. Filtered back projection (B30f) and iterative reconstructions (I30-1) were both used with and without dedicated iterative metal artifact reduction (iMAR) to generate images from the initial data sets. Semi-automatic segmentation-based quantitative evaluation was conducted to estimate artifact percentage within the liver, while qualitative evaluation of metal artifact extent and overall image quality was performed by two observers using a 5-point Likert scale: 1-none, 2-mild, 3-moderate, 4-severe, 5-non-diagnostic.Results Among MWA, RFA, and CRYO, compared with non-iMAR in B30f reconstruction, the largest extent of artifact volume percentages were observed for CRYO (11.5–17.9%), followed by MWA (4.7–6.6%) and lastly in RFA (5.5–6.2%). iMAR significantly reduces metal artifacts for CRYO and MWA quantitatively (p = 0.0020; p = 0.0036, respectively) and qualitatively (p = 0.0001, p = 0.0005), but not for RFA. No significant reduction in metal artifact percentage was seen after applying iterative reconstructions (p > 0.05). Noise, contrast-to-noise-ratio, or overall image quality did not differ between probe types, irrespective of the application of iterative reconstruction and iMAR.Conclusion A dedicated metal artifact algorithm may decrease metal artifacts and improves image quality significantly for MWA and CRYO probes. Their application alongside with dedicated metal artifact algorithm should be considered during CT-guided positioning.https://www.tandfonline.com/doi/10.1080/02656736.2023.2205071Metal artifact reductioncomputed tomographyimage qualitymicrowave ablationradiofrequency ablationcryoablation
spellingShingle T. D. Do
A. Haas
D. F. Vollherbst
F. Pan
C. Melzig
J. Jesser
P. L. Pereira
H. U. Kauczor
S. Skornitzke
C. M. Sommer
Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction
International Journal of Hyperthermia
Metal artifact reduction
computed tomography
image quality
microwave ablation
radiofrequency ablation
cryoablation
title Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction
title_full Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction
title_fullStr Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction
title_full_unstemmed Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction
title_short Semi-automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction
title_sort semi automatic artifact quantification in thermal ablation probe and algorithms for the evaluation of metal artifact reduction
topic Metal artifact reduction
computed tomography
image quality
microwave ablation
radiofrequency ablation
cryoablation
url https://www.tandfonline.com/doi/10.1080/02656736.2023.2205071
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