1. Comparison of ultrahigh and standard resolution photon-counting CT angiography of the femoral arteries in a continuously perfused in vitro model
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Philipp Gruschwitz, Viktor Hartung, Süleyman Ergün, Dominik Peter, Sven Lichthardt, Henner Huflage, Robin Hendel, Pauline Pannenbecker, Anne Marie Augustin, Andreas Steven Kunz, Philipp Feldle, Thorsten Alexander Bley, and Jan-Peter Grunz
- Subjects
CT angiography ,Femoral arteries ,Photon-counting computed tomography (CT) ,Small pixel effect ,Ultrahigh resolution ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Abstract Background With the emergence of photon-counting CT, ultrahigh-resolution (UHR) imaging can be performed without dose penalty. This study aims to directly compare the image quality of UHR and standard resolution (SR) scan mode in femoral artery angiographies. Methods After establishing continuous extracorporeal perfusion in four fresh-frozen cadaveric specimens, photon-counting CT angiographies were performed with a radiation dose of 5 mGy and tube voltage of 120 kV in both SR and UHR mode. Images were reconstructed with dedicated convolution kernels (soft: Body-vascular (Bv)48; sharp: Bv60; ultrasharp: Bv76). Six radiologists evaluated the image quality by means of a pairwise forced-choice comparison tool. Kendall’s concordance coefficient (W) was calculated to quantify interrater agreement. Image quality was further assessed by measuring intraluminal attenuation and image noise as well as by calculating signal-to-noise ratio (SNR) and contrast-to-noise ratios (CNR). Results UHR yielded lower noise than SR for identical reconstructions with kernels ≥ Bv60 (p
- Published
- 2023
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