Deep Learning Reconstruction in Abdominopelvic Contrast-Enhanced CT for The Evaluation of Hemorrhages.

Purpose To investigate the effects of deep learning reconstruction on depicting arteries and providing suitable images for the evaluation of hemorrhages with abdominopelvic contrast-enhanced computed tomography (CT) compared with hybrid iterative reconstruction. Methods This retrospective study incl...

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Publicado en:Radiologic Technology Vol. 96; no. 2; pp. 99 - 107
Autores principales: Akira Katayama, Koichiro Yasaka, Hiroshi Hirakawa, Yuta Ohtake, Osamu Abe
Formato: diagnostic images research tables/charts Journal Article
Publicado: American Society of Radiologic Technologists Nov/Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2024
      vid: 96
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      pub: American Society of Radiologic Technologists
      place: Alburquerque, New Mexico
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        atl: Deep Learning Reconstruction in Abdominopelvic Contrast-Enhanced CT for The Evaluation of Hemorrhages.
      aug:
        au:
          Akira Katayama
          Koichiro Yasaka
          Hiroshi Hirakawa
          Yuta Ohtake
          Osamu Abe
        affil: University of Tokyo
      sug:
        subj:
          Hemorrhage Radiography
          Tomography, X-Ray Computed
          Image Processing, Computer Assisted Evaluation
          Contrast Media Diagnostic Use
          Deep Learning Utilization
          Abdomen
          Pelvis
          Human
          Female
          Male
          Adult
          Middle Age
          Aged
          Retrospective Design
          Picture Archiving and Communication Systems
          Algorithms
          Radiologists
          Paired T-Tests
          Wilcoxon Signed Rank Test
          Interrater Reliability
          kappa Statistic
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Purpose To investigate the effects of deep learning reconstruction on depicting arteries and providing suitable images for the evaluation of hemorrhages with abdominopelvic contrast-enhanced computed tomography (CT) compared with hybrid iterative reconstruction. Methods This retrospective study included 16 patients (mean age: 54.2 ± 22.1 years; 8 men and 8 women) with acute hemorrhage who underwent contrast-enhanced CT. Unenhanced axial, arterial phase axial, arterial phase coronal, and delayed phase axial images were reconstructed with deep learning reconstruction, hybrid iterative reconstruction, and filtered back projection, which was used as a control in qualitative analyses. Circular and line regions of interest were placed on the aorta and superior mesenteric artery (SMA), respectively, in quantitative analyses. Using a blind process, 2 radiologists independently evaluated image noise, depiction of arteries, and suitability for the evaluation of hemorrhage in qualitative image analyses. Results Image noise in deep learning reconstruction was significantly reduced compared with hybrid iterative reconstruction in the quantitative (P < .001) and qualitative analyses (Reader 1, P ≤ .001 for all series; Reader 2, P = .002, .001, and < .001). The slope at the half maximum in deep learning reconstruction (123.8 ± 63.2 HU/mm) significantly improved compared with hybrid iterative reconstruction (105.3 ± 51.0 HU/mm) in the CT attenuation profile of the SMA (P < .001). Qualitative analyses revealed a significantly improved depiction of arteries (Reader 1, P < .001 for all series; Reader 2, P = .037, .008, and < .001) and suitability for evaluating acute hemorrhage in the arterial phase image (Reader 1, P < .001 for both series; Reader 2, P = .041 and .004) with deep learning reconstruction compared with hybrid iterative reconstruction. Discussion Deep learning reconstruction provided images with a significantly better depiction of arteries and more suitable quality arterial phase images for the evaluation of abdominopelvic hemorrhage compared with hybrid iterative reconstruction. Conclusion Deep learning reconstruction is better for reconstructing abdominopelvic contrast-enhanced CT images when evaluating hemorrhages; however, a prospective study including a large number of patients is needed to strengthen the findings of this study.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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