Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patients

Objective: To evaluate the image quality of low-dose temporal bone computed tomography (CT) in otitis media and mastoiditis patients by using deep learning reconstruction (DLR). Materials and methods: A total of ninety-seven temporal bones from 53 consecutive adult patients who had suspected otitis...

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Main Authors: Tian-Jiao Wang, Yun Wang, Zhu-Hua Zhang, Ming Wang, Man Wang, Tong Su, Ying-Hao Xu, Zhuang-Fei Ma, Jian Wang, Yu Chen, Zheng-Yu Jin
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023100181
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author Tian-Jiao Wang
Yun Wang
Zhu-Hua Zhang
Ming Wang
Man Wang
Tong Su
Ying-Hao Xu
Zhuang-Fei Ma
Jian Wang
Yu Chen
Zheng-Yu Jin
author_facet Tian-Jiao Wang
Yun Wang
Zhu-Hua Zhang
Ming Wang
Man Wang
Tong Su
Ying-Hao Xu
Zhuang-Fei Ma
Jian Wang
Yu Chen
Zheng-Yu Jin
author_sort Tian-Jiao Wang
collection DOAJ
description Objective: To evaluate the image quality of low-dose temporal bone computed tomography (CT) in otitis media and mastoiditis patients by using deep learning reconstruction (DLR). Materials and methods: A total of ninety-seven temporal bones from 53 consecutive adult patients who had suspected otitis media and mastoiditis and underwent temporal bone CT were prospectively enrolled. All patients underwent high resolution CT protocol (group A) and an additional low-dose protocol (group B). In group A, high resolution data were reconstructed by filter back projection (FBP). In group B, low-dose data were reconstructed by DLR mild (B1), DLR standard (B2) and DLR strong (B3). The objective image quality was analyzed by measuring the CT value and image noise on the transverse image and calculating the signal-to-noise ratio (SNR) on incudomallear joint, retroauricular muscle, vestibule and subcutaneous fat. Subjective image quality was analyzed by using a five-point scale to evaluate nine anatomical structures of middle and inner ear. The number of temporal bone lesions which involved in five structures of middle ear were assessed in group A, B1, B2 and B3 images. Results: There were no significant differences in the CT values of the four reconstruction methods at four structures (all p > 0.05). The DLR group B1, B2 and B3 had significantly less image noise and a significantly higher SNR than group A at four structures (all p < 0.001). The group B1 had comparable subjective image quality as group A in nine structures (all p > 0.05), however, the group B3 had lower subjective image quality than group A in modiolus, spiral osseous lamina and stapes (all p < 0.001), the group B2 had lower subjective image quality than group A in modiolus and spiral osseous lamina (both p < 0.05). The number of temporal bone lesions which involved in five structures for group A, B1 and B2 images were no significant difference (all p > 0.05), however, the number of temporal bone lesions which involved in mastoid for group B3 images were significantly more than group A (p < 0.05). The radiation dose of high resolution CT protocol and low-dose protocol were 0.55 mSv and 0.11 mSv, respectively. Conclusion: Compared with high resolution CT protocol, in the low-dose protocol of temporal bone CT, DLR mild and standard could improve the objective image quality, maintain good subjective image quality and satisfy clinical diagnosis of otitis media and mastoiditis patients.
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spelling doaj.art-5338d559dfd64e0a8580eec657a889912024-02-01T06:30:17ZengElsevierHeliyon2405-84402024-01-01101e22810Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patientsTian-Jiao Wang0Yun Wang1Zhu-Hua Zhang2Ming Wang3Man Wang4Tong Su5Ying-Hao Xu6Zhuang-Fei Ma7Jian Wang8Yu Chen9Zheng-Yu Jin10Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, ChinaDepartment of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, ChinaDepartment of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, ChinaDepartment of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, ChinaDepartment of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, ChinaDepartment of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, ChinaCanon Medical Systems (China) CO., LTD., Building 205, Yard NO. A10, JiuXianQiao North Road, Beijing, 100015, ChinaCanon Medical Systems (China) CO., LTD., Building 205, Yard NO. A10, JiuXianQiao North Road, Beijing, 100015, ChinaCanon Medical Systems (China) CO., LTD., Building 205, Yard NO. A10, JiuXianQiao North Road, Beijing, 100015, ChinaDepartment of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China; Corresponding author.Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, No. 1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China; Corresponding author.Objective: To evaluate the image quality of low-dose temporal bone computed tomography (CT) in otitis media and mastoiditis patients by using deep learning reconstruction (DLR). Materials and methods: A total of ninety-seven temporal bones from 53 consecutive adult patients who had suspected otitis media and mastoiditis and underwent temporal bone CT were prospectively enrolled. All patients underwent high resolution CT protocol (group A) and an additional low-dose protocol (group B). In group A, high resolution data were reconstructed by filter back projection (FBP). In group B, low-dose data were reconstructed by DLR mild (B1), DLR standard (B2) and DLR strong (B3). The objective image quality was analyzed by measuring the CT value and image noise on the transverse image and calculating the signal-to-noise ratio (SNR) on incudomallear joint, retroauricular muscle, vestibule and subcutaneous fat. Subjective image quality was analyzed by using a five-point scale to evaluate nine anatomical structures of middle and inner ear. The number of temporal bone lesions which involved in five structures of middle ear were assessed in group A, B1, B2 and B3 images. Results: There were no significant differences in the CT values of the four reconstruction methods at four structures (all p > 0.05). The DLR group B1, B2 and B3 had significantly less image noise and a significantly higher SNR than group A at four structures (all p < 0.001). The group B1 had comparable subjective image quality as group A in nine structures (all p > 0.05), however, the group B3 had lower subjective image quality than group A in modiolus, spiral osseous lamina and stapes (all p < 0.001), the group B2 had lower subjective image quality than group A in modiolus and spiral osseous lamina (both p < 0.05). The number of temporal bone lesions which involved in five structures for group A, B1 and B2 images were no significant difference (all p > 0.05), however, the number of temporal bone lesions which involved in mastoid for group B3 images were significantly more than group A (p < 0.05). The radiation dose of high resolution CT protocol and low-dose protocol were 0.55 mSv and 0.11 mSv, respectively. Conclusion: Compared with high resolution CT protocol, in the low-dose protocol of temporal bone CT, DLR mild and standard could improve the objective image quality, maintain good subjective image quality and satisfy clinical diagnosis of otitis media and mastoiditis patients.http://www.sciencedirect.com/science/article/pii/S2405844023100181Deep learningTemporal boneRadiation dosageMultidetector computed tomographyOtitis mediaMastoiditis
spellingShingle Tian-Jiao Wang
Yun Wang
Zhu-Hua Zhang
Ming Wang
Man Wang
Tong Su
Ying-Hao Xu
Zhuang-Fei Ma
Jian Wang
Yu Chen
Zheng-Yu Jin
Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patients
Heliyon
Deep learning
Temporal bone
Radiation dosage
Multidetector computed tomography
Otitis media
Mastoiditis
title Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patients
title_full Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patients
title_fullStr Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patients
title_full_unstemmed Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patients
title_short Deep learning reconstruction improves the image quality of low-dose temporal bone CT with otitis media and mastoiditis patients
title_sort deep learning reconstruction improves the image quality of low dose temporal bone ct with otitis media and mastoiditis patients
topic Deep learning
Temporal bone
Radiation dosage
Multidetector computed tomography
Otitis media
Mastoiditis
url http://www.sciencedirect.com/science/article/pii/S2405844023100181
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