Metal artefact reduction for accurate tumour delineation in radiotherapy

<h4>Background and purpose</h4> <p>Two techniques for metal artefact reduction for computed tomography were studied in order to identify their impact on tumour delineation in radiotherapy.</p> <h4>Materials and methods</h4> <p>Using specially designed phant...

Full description

Bibliographic Details
Main Authors: Kovacs, D, Rechner, L, Appelt, A, Berthelsen, A, Costa, J, Friborg, J, Persson, G, Bangsgaard, J, Specht, L, Aznar, M
Format: Journal article
Language:English
Published: Elsevier 2017
_version_ 1797065398608199680
author Kovacs, D
Rechner, L
Appelt, A
Berthelsen, A
Costa, J
Friborg, J
Persson, G
Bangsgaard, J
Specht, L
Aznar, M
author_facet Kovacs, D
Rechner, L
Appelt, A
Berthelsen, A
Costa, J
Friborg, J
Persson, G
Bangsgaard, J
Specht, L
Aznar, M
author_sort Kovacs, D
collection OXFORD
description <h4>Background and purpose</h4> <p>Two techniques for metal artefact reduction for computed tomography were studied in order to identify their impact on tumour delineation in radiotherapy.</p> <h4>Materials and methods</h4> <p>Using specially designed phantoms containing metal implants (dental, spine and hip) as well as patient images, we investigated the impact of two methods for metal artefact reduction on (A) the size and severity of metal artefacts and the accuracy of Hounsfield Unit (HU) representation, (B) the visual impact of metal artefacts on image quality and (C) delineation accuracy. A metal artefact reduction algorithm (MAR) and two types of dual energy virtual monochromatic (DECT VM) reconstructions were used separately and in combination to identify the optimal technique for each implant site.</p> <h4>Results</h4> <p>The artefact area and severity was reduced (by 48–76% and 58–79%, MAR and DECT VM respectively) and accurate Hounsfield-value representation was increased by 22–82%. For each energy, the observers preferred MAR over non-MAR reconstructions (p &lt; 0.01 for dental and hip cases, p &lt; 0.05 for the spine case). In addition, DECT VM was preferred for spine implants (p &lt; 0.01). In all cases, techniques that improved target delineation significantly (p &lt; 0.05) were identified.</p> <h4>Conclusions</h4> <p>DECT VM and MAR techniques improve delineation accuracy and the optimal of reconstruction technique depends on the type of metal implant.</p>
first_indexed 2024-03-06T21:28:05Z
format Journal article
id oxford-uuid:43c3942d-f588-4c8b-b093-93e7e13df6cf
institution University of Oxford
language English
last_indexed 2024-03-06T21:28:05Z
publishDate 2017
publisher Elsevier
record_format dspace
spelling oxford-uuid:43c3942d-f588-4c8b-b093-93e7e13df6cf2022-03-26T14:57:27ZMetal artefact reduction for accurate tumour delineation in radiotherapyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:43c3942d-f588-4c8b-b093-93e7e13df6cfEnglishSymplectic Elements at OxfordElsevier2017Kovacs, DRechner, LAppelt, ABerthelsen, ACosta, JFriborg, JPersson, GBangsgaard, JSpecht, LAznar, M <h4>Background and purpose</h4> <p>Two techniques for metal artefact reduction for computed tomography were studied in order to identify their impact on tumour delineation in radiotherapy.</p> <h4>Materials and methods</h4> <p>Using specially designed phantoms containing metal implants (dental, spine and hip) as well as patient images, we investigated the impact of two methods for metal artefact reduction on (A) the size and severity of metal artefacts and the accuracy of Hounsfield Unit (HU) representation, (B) the visual impact of metal artefacts on image quality and (C) delineation accuracy. A metal artefact reduction algorithm (MAR) and two types of dual energy virtual monochromatic (DECT VM) reconstructions were used separately and in combination to identify the optimal technique for each implant site.</p> <h4>Results</h4> <p>The artefact area and severity was reduced (by 48–76% and 58–79%, MAR and DECT VM respectively) and accurate Hounsfield-value representation was increased by 22–82%. For each energy, the observers preferred MAR over non-MAR reconstructions (p &lt; 0.01 for dental and hip cases, p &lt; 0.05 for the spine case). In addition, DECT VM was preferred for spine implants (p &lt; 0.01). In all cases, techniques that improved target delineation significantly (p &lt; 0.05) were identified.</p> <h4>Conclusions</h4> <p>DECT VM and MAR techniques improve delineation accuracy and the optimal of reconstruction technique depends on the type of metal implant.</p>
spellingShingle Kovacs, D
Rechner, L
Appelt, A
Berthelsen, A
Costa, J
Friborg, J
Persson, G
Bangsgaard, J
Specht, L
Aznar, M
Metal artefact reduction for accurate tumour delineation in radiotherapy
title Metal artefact reduction for accurate tumour delineation in radiotherapy
title_full Metal artefact reduction for accurate tumour delineation in radiotherapy
title_fullStr Metal artefact reduction for accurate tumour delineation in radiotherapy
title_full_unstemmed Metal artefact reduction for accurate tumour delineation in radiotherapy
title_short Metal artefact reduction for accurate tumour delineation in radiotherapy
title_sort metal artefact reduction for accurate tumour delineation in radiotherapy
work_keys_str_mv AT kovacsd metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT rechnerl metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT appelta metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT berthelsena metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT costaj metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT friborgj metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT perssong metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT bangsgaardj metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT spechtl metalartefactreductionforaccuratetumourdelineationinradiotherapy
AT aznarm metalartefactreductionforaccuratetumourdelineationinradiotherapy