Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructions

Abstract To assess the image quality parameters of dual-energy computed tomography angiography (DECTA) 40-, and 60 keV virtual monoenergetic images (VMIs) combined with deep learning-based image reconstruction model (DLM) and iterative reconstructions (IR). CT scans of 28 post EVAR patients were enr...

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Main Authors: Wojciech Kazimierczak, Natalia Kazimierczak, Justyna Wilamowska, Olaf Wojtowicz, Ewa Nowak, Zbigniew Serafin
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-54502-1
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author Wojciech Kazimierczak
Natalia Kazimierczak
Justyna Wilamowska
Olaf Wojtowicz
Ewa Nowak
Zbigniew Serafin
author_facet Wojciech Kazimierczak
Natalia Kazimierczak
Justyna Wilamowska
Olaf Wojtowicz
Ewa Nowak
Zbigniew Serafin
author_sort Wojciech Kazimierczak
collection DOAJ
description Abstract To assess the image quality parameters of dual-energy computed tomography angiography (DECTA) 40-, and 60 keV virtual monoenergetic images (VMIs) combined with deep learning-based image reconstruction model (DLM) and iterative reconstructions (IR). CT scans of 28 post EVAR patients were enrolled. The 60 s delayed phase of DECTA was evaluated. Objective [noise, contrast-to-noise ratio (CNR), signal-to-noise ratio (SNR)] and subjective (overall image quality and endoleak conspicuity – 3 blinded readers assessment) image quality analyses were performed. The following reconstructions were evaluated: VMI 40, 60 keV VMI; IR VMI 40, 60 keV; DLM VMI 40, 60 keV. The noise level of the DLM VMI images was approximately 50% lower than that of VMI reconstruction. The highest CNR and SNR values were measured in VMI DLM images. The mean CNR in endoleak in 40 keV was accounted for as 1.83 ± 1.2; 2.07 ± 2.02; 3.6 ± 3.26 in VMI, VMI IR, and VMI DLM, respectively. The DLM algorithm significantly reduced noise and increased lesion conspicuity, resulting in higher objective and subjective image quality compared to other reconstruction techniques. The application of DLM algorithms to low-energy VMIs significantly enhances the diagnostic value of DECTA in evaluating endoleaks. DLM reconstructions surpass traditional VMIs and IR in terms of image quality.
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spelling doaj.art-9dccf82fd69f43488364572047d714052024-03-05T19:03:37ZengNature PortfolioScientific Reports2045-23222024-02-0114111110.1038/s41598-024-54502-1Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructionsWojciech Kazimierczak0Natalia Kazimierczak1Justyna Wilamowska2Olaf Wojtowicz3Ewa Nowak4Zbigniew Serafin5Collegium Medicum, Nicolaus Copernicus University in TorunKazimierczak Private Medical PracticeCollegium Medicum, Nicolaus Copernicus University in TorunCollegium Medicum, Nicolaus Copernicus University in TorunUniversity Hospital No 1 in BydgoszczCollegium Medicum, Nicolaus Copernicus University in TorunAbstract To assess the image quality parameters of dual-energy computed tomography angiography (DECTA) 40-, and 60 keV virtual monoenergetic images (VMIs) combined with deep learning-based image reconstruction model (DLM) and iterative reconstructions (IR). CT scans of 28 post EVAR patients were enrolled. The 60 s delayed phase of DECTA was evaluated. Objective [noise, contrast-to-noise ratio (CNR), signal-to-noise ratio (SNR)] and subjective (overall image quality and endoleak conspicuity – 3 blinded readers assessment) image quality analyses were performed. The following reconstructions were evaluated: VMI 40, 60 keV VMI; IR VMI 40, 60 keV; DLM VMI 40, 60 keV. The noise level of the DLM VMI images was approximately 50% lower than that of VMI reconstruction. The highest CNR and SNR values were measured in VMI DLM images. The mean CNR in endoleak in 40 keV was accounted for as 1.83 ± 1.2; 2.07 ± 2.02; 3.6 ± 3.26 in VMI, VMI IR, and VMI DLM, respectively. The DLM algorithm significantly reduced noise and increased lesion conspicuity, resulting in higher objective and subjective image quality compared to other reconstruction techniques. The application of DLM algorithms to low-energy VMIs significantly enhances the diagnostic value of DECTA in evaluating endoleaks. DLM reconstructions surpass traditional VMIs and IR in terms of image quality.https://doi.org/10.1038/s41598-024-54502-1Abdominal aortic aneurysmsEndoleakEndovascular aneurysm repairDual-energy computed tomography angiographyVirtual monoenergetic imagesImage reconstruction, deep learning model
spellingShingle Wojciech Kazimierczak
Natalia Kazimierczak
Justyna Wilamowska
Olaf Wojtowicz
Ewa Nowak
Zbigniew Serafin
Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructions
Scientific Reports
Abdominal aortic aneurysms
Endoleak
Endovascular aneurysm repair
Dual-energy computed tomography angiography
Virtual monoenergetic images
Image reconstruction, deep learning model
title Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructions
title_full Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructions
title_fullStr Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructions
title_full_unstemmed Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructions
title_short Enhanced visualization in endoleak detection through iterative and AI-noise optimized spectral reconstructions
title_sort enhanced visualization in endoleak detection through iterative and ai noise optimized spectral reconstructions
topic Abdominal aortic aneurysms
Endoleak
Endovascular aneurysm repair
Dual-energy computed tomography angiography
Virtual monoenergetic images
Image reconstruction, deep learning model
url https://doi.org/10.1038/s41598-024-54502-1
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AT justynawilamowska enhancedvisualizationinendoleakdetectionthroughiterativeandainoiseoptimizedspectralreconstructions
AT olafwojtowicz enhancedvisualizationinendoleakdetectionthroughiterativeandainoiseoptimizedspectralreconstructions
AT ewanowak enhancedvisualizationinendoleakdetectionthroughiterativeandainoiseoptimizedspectralreconstructions
AT zbigniewserafin enhancedvisualizationinendoleakdetectionthroughiterativeandainoiseoptimizedspectralreconstructions