Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical Context

Computed tomography (CT) is a widely used examination technique that usually requires a compromise between image quality and radiation exposure. Reconstruction algorithms aim to reduce radiation exposure while maintaining comparable image quality. Recently, unsupervised deep learning methods have be...

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Main Authors: Inga Kniep, Robin Mieling, Moritz Gerling, Alexander Schlaefer, Axel Heinemann, Benjamin Ondruschka
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Journal of Imaging
Subjects:
Online Access:https://www.mdpi.com/2313-433X/9/9/170
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author Inga Kniep
Robin Mieling
Moritz Gerling
Alexander Schlaefer
Axel Heinemann
Benjamin Ondruschka
author_facet Inga Kniep
Robin Mieling
Moritz Gerling
Alexander Schlaefer
Axel Heinemann
Benjamin Ondruschka
author_sort Inga Kniep
collection DOAJ
description Computed tomography (CT) is a widely used examination technique that usually requires a compromise between image quality and radiation exposure. Reconstruction algorithms aim to reduce radiation exposure while maintaining comparable image quality. Recently, unsupervised deep learning methods have been proposed for this purpose. In this study, a promising sparse-view reconstruction method (posterior temperature optimized Bayesian inverse model; POTOBIM) is tested for its clinical applicability. For this study, 17 whole-body CTs of deceased were performed. In addition to POTOBIM, reconstruction was performed using filtered back projection (FBP). An evaluation was conducted by simulating sinograms and comparing the reconstruction with the original CT slice for each case. A quantitative analysis was performed using peak signal-to-noise ratio (PSNR) and structural similarity index measure (SSIM). The quality was assessed visually using a modified Ludewig’s scale. In the qualitative evaluation, POTOBIM was rated worse than the reference images in most cases. A partially equivalent image quality could only be achieved with 80 projections per rotation. Quantitatively, POTOBIM does not seem to benefit from more than 60 projections. Although deep learning methods seem suitable to produce better image quality, the investigated algorithm (POTOBIM) is not yet suitable for clinical routine.
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spelling doaj.art-f21489bcaa144d10b8596d446877ccf72023-11-19T11:24:32ZengMDPI AGJournal of Imaging2313-433X2023-08-019917010.3390/jimaging9090170Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical ContextInga Kniep0Robin Mieling1Moritz Gerling2Alexander Schlaefer3Axel Heinemann4Benjamin Ondruschka5Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, GermanyInstitute for Medical Technology and Intelligent Systems, Hamburg University of Technology, 21073 Hamburg, GermanyInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, GermanyInstitute for Medical Technology and Intelligent Systems, Hamburg University of Technology, 21073 Hamburg, GermanyInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, GermanyInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, GermanyComputed tomography (CT) is a widely used examination technique that usually requires a compromise between image quality and radiation exposure. Reconstruction algorithms aim to reduce radiation exposure while maintaining comparable image quality. Recently, unsupervised deep learning methods have been proposed for this purpose. In this study, a promising sparse-view reconstruction method (posterior temperature optimized Bayesian inverse model; POTOBIM) is tested for its clinical applicability. For this study, 17 whole-body CTs of deceased were performed. In addition to POTOBIM, reconstruction was performed using filtered back projection (FBP). An evaluation was conducted by simulating sinograms and comparing the reconstruction with the original CT slice for each case. A quantitative analysis was performed using peak signal-to-noise ratio (PSNR) and structural similarity index measure (SSIM). The quality was assessed visually using a modified Ludewig’s scale. In the qualitative evaluation, POTOBIM was rated worse than the reference images in most cases. A partially equivalent image quality could only be achieved with 80 projections per rotation. Quantitatively, POTOBIM does not seem to benefit from more than 60 projections. Although deep learning methods seem suitable to produce better image quality, the investigated algorithm (POTOBIM) is not yet suitable for clinical routine.https://www.mdpi.com/2313-433X/9/9/170Bayesian deep learningradiation exposuresparse-view CTPOTOBIM
spellingShingle Inga Kniep
Robin Mieling
Moritz Gerling
Alexander Schlaefer
Axel Heinemann
Benjamin Ondruschka
Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical Context
Journal of Imaging
Bayesian deep learning
radiation exposure
sparse-view CT
POTOBIM
title Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical Context
title_full Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical Context
title_fullStr Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical Context
title_full_unstemmed Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical Context
title_short Bayesian Reconstruction Algorithms for Low-Dose Computed Tomography Are Not Yet Suitable in Clinical Context
title_sort bayesian reconstruction algorithms for low dose computed tomography are not yet suitable in clinical context
topic Bayesian deep learning
radiation exposure
sparse-view CT
POTOBIM
url https://www.mdpi.com/2313-433X/9/9/170
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