Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CT

Abstract Aim of this study was to assess the impact of virtual monoenergetic images (VMI) on dental implant artifacts in photon-counting detector computed tomography (PCD-CT) compared to standard reconstructed polychromatic images (PI). 30 scans with extensive (≥ 5 dental implants) dental implant-as...

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Main Authors: Yannik C. Layer, Narine Mesropyan, Patrick A. Kupczyk, Julian A. Luetkens, Alexander Isaak, Tatjana Dell, Benjamin P. Ernst, Ulrike I. Attenberger, Daniel Kuetting
Format: Article
Language:English
Published: Nature Portfolio 2024-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-50926-3
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author Yannik C. Layer
Narine Mesropyan
Patrick A. Kupczyk
Julian A. Luetkens
Alexander Isaak
Tatjana Dell
Benjamin P. Ernst
Ulrike I. Attenberger
Daniel Kuetting
author_facet Yannik C. Layer
Narine Mesropyan
Patrick A. Kupczyk
Julian A. Luetkens
Alexander Isaak
Tatjana Dell
Benjamin P. Ernst
Ulrike I. Attenberger
Daniel Kuetting
author_sort Yannik C. Layer
collection DOAJ
description Abstract Aim of this study was to assess the impact of virtual monoenergetic images (VMI) on dental implant artifacts in photon-counting detector computed tomography (PCD-CT) compared to standard reconstructed polychromatic images (PI). 30 scans with extensive (≥ 5 dental implants) dental implant-associated artifacts were retrospectively analyzed. Scans were acquired during clinical routine on a PCD-CT. VMI were reconstructed for 100–190 keV (10 keV steps) and compared to PI. Artifact extent and assessment of adjacent soft tissue were rated using a 5-point Likert grading scale for qualitative assessment. Quantitative assessment was performed using ROIs in most pronounced hypodense and hyperdense artifacts, artifact-impaired soft tissue, artifact-free fat and muscle tissue. A corrected attenuation was calculated as difference between artifact-impaired tissue and tissue without artifacts. Qualitative assessment of soft palate and cheeks improved for all VMI compared to PI (Median PI: 1 (Range: 1–3) and 1 (1–3); e.g. VMI130 keV 2 (1–5); p < 0.0001 and 2 (1–4); p < 0.0001). In quantitative assessment, VMI130 keV showed best results with a corrected attenuation closest to 0 (PI: 30.48 ± 98.16; VMI130 keV: − 0.55 ± 73.38; p = 0.0026). Overall, photon-counting deducted VMI reduce the extent of dental implant-associated artifacts. VMI of 130 keV showed best results and are recommended to support head and neck CT scans.
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spelling doaj.art-7dbe397570cd4f5d979a5b70a6fee1cf2024-01-07T12:25:02ZengNature PortfolioScientific Reports2045-23222024-01-0114111010.1038/s41598-023-50926-3Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CTYannik C. Layer0Narine Mesropyan1Patrick A. Kupczyk2Julian A. Luetkens3Alexander Isaak4Tatjana Dell5Benjamin P. Ernst6Ulrike I. Attenberger7Daniel Kuetting8Department of Diagnostic and Interventional Radiology, University Hospital BonnDepartment of Diagnostic and Interventional Radiology, University Hospital BonnDepartment of Diagnostic and Interventional Radiology, University Hospital BonnDepartment of Diagnostic and Interventional Radiology, University Hospital BonnDepartment of Diagnostic and Interventional Radiology, University Hospital BonnDepartment of Diagnostic and Interventional Radiology, University Hospital BonnDepartment of Otorhinolaryngology, University Hospital BonnDepartment of Diagnostic and Interventional Radiology, University Hospital BonnDepartment of Diagnostic and Interventional Radiology, University Hospital BonnAbstract Aim of this study was to assess the impact of virtual monoenergetic images (VMI) on dental implant artifacts in photon-counting detector computed tomography (PCD-CT) compared to standard reconstructed polychromatic images (PI). 30 scans with extensive (≥ 5 dental implants) dental implant-associated artifacts were retrospectively analyzed. Scans were acquired during clinical routine on a PCD-CT. VMI were reconstructed for 100–190 keV (10 keV steps) and compared to PI. Artifact extent and assessment of adjacent soft tissue were rated using a 5-point Likert grading scale for qualitative assessment. Quantitative assessment was performed using ROIs in most pronounced hypodense and hyperdense artifacts, artifact-impaired soft tissue, artifact-free fat and muscle tissue. A corrected attenuation was calculated as difference between artifact-impaired tissue and tissue without artifacts. Qualitative assessment of soft palate and cheeks improved for all VMI compared to PI (Median PI: 1 (Range: 1–3) and 1 (1–3); e.g. VMI130 keV 2 (1–5); p < 0.0001 and 2 (1–4); p < 0.0001). In quantitative assessment, VMI130 keV showed best results with a corrected attenuation closest to 0 (PI: 30.48 ± 98.16; VMI130 keV: − 0.55 ± 73.38; p = 0.0026). Overall, photon-counting deducted VMI reduce the extent of dental implant-associated artifacts. VMI of 130 keV showed best results and are recommended to support head and neck CT scans.https://doi.org/10.1038/s41598-023-50926-3
spellingShingle Yannik C. Layer
Narine Mesropyan
Patrick A. Kupczyk
Julian A. Luetkens
Alexander Isaak
Tatjana Dell
Benjamin P. Ernst
Ulrike I. Attenberger
Daniel Kuetting
Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CT
Scientific Reports
title Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CT
title_full Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CT
title_fullStr Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CT
title_full_unstemmed Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CT
title_short Use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon-counting detector CT
title_sort use of virtual monoenergetic images for reduction of extensive dental implant associated artifacts in photon counting detector ct
url https://doi.org/10.1038/s41598-023-50926-3
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