Analysis of software methods for metal computed tomography artifact reduction: experimental research

X‑ray density of biological tissues is an important diagnostic parameter. Metal structures in the CT scanning area distort it, creating artifacts. Thus, hip joint endoprostheses (HJE) often complicate visualization of nearby soft tissue structures of the pelvic organs, which can interfere with the q...

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Main Authors: A. V. Petraikin, Yu. A. Vasilev, Z. R. Artyukova, A. K. Smorchkova, D. S. Semenov, А. А. Baulin, A. A. Alikhanov, R. A. Erizhokov, O. V. Omelyanskaya
Format: Article
Language:Russian
Published: QUASAR, LLC 2024-12-01
Series:Исследования и практика в медицине
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Online Access:https://www.rpmj.ru/rpmj/article/view/1049
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author A. V. Petraikin
Yu. A. Vasilev
Z. R. Artyukova
A. K. Smorchkova
D. S. Semenov
А. А. Baulin
A. A. Alikhanov
R. A. Erizhokov
O. V. Omelyanskaya
author_facet A. V. Petraikin
Yu. A. Vasilev
Z. R. Artyukova
A. K. Smorchkova
D. S. Semenov
А. А. Baulin
A. A. Alikhanov
R. A. Erizhokov
O. V. Omelyanskaya
author_sort A. V. Petraikin
collection DOAJ
description X‑ray density of biological tissues is an important diagnostic parameter. Metal structures in the CT scanning area distort it, creating artifacts. Thus, hip joint endoprostheses (HJE) often complicate visualization of nearby soft tissue structures of the pelvic organs, which can interfere with the qualitative and quantitative analysis of changes when assessing the prevalence of the oncological process in this area. It is possible to correct these distortions using software methods, bringing the Hounsfield units (HU) values closer to the true ones.Purpose of the study. To conduct a visual (qualitative) and quantitative assessment of metal artifacts in CT images using software methods for their reduction.Materials and methods. A phantom was used for quantitative assessment: a plexiglass cylinder with a HJE in the center and test tubes with potassium hydrophosphate solution around it. The study was performed on a CT scanner with (FBP, iDose, iMR) reconstruction algorithms and O‑MAR technology for artifact suppression. The mean values and standard deviation of HU, the degree of susceptibility to artifacts were measured. Image quality was visually assessed using a five‑point Likert scale.Results. The use of the O‑MAR algorithm does not distort HU in the absence of an HJE and smoothens the HU distribution in its presence. Deviation from the specified values at the level of the HJE neck decreased from 32–36 HU without O‑MAR to ‑1.5 – ‑4.7 HU with O‑MAR. The minimum noise was observed for iMR with O‑MAR at the level of the neck (31.6 HU) and stem (6.2 HU) of the HJE, the maximum – for FBP without O‑MAR (77.0 and 33.2 HU, respectively). The quality assessment was best for iMR with O‑MAR (3 points), the worst for FBP without O‑MAR (1.4 points). It was also shown that O‑MAR forms additional artifacts near the HJE.Conclusion. Metal artifact reduction algorithms do not distort the X‑ray density without an artifact source. In the presence of metal structures, the algorithms reduce HU deviations and improve visualization, but they can form additional artifacts in the form of areas of increased and decreased density, so it is necessary to combine them with reconstruction without artifact reduction. To reduce the noise level, as well as to increase the contrast sensitivity, the use of model iterative reconstruction technology is optimal.
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spelling doaj-art-b31695a914a343e491a5e4f9e90d56b32025-08-20T04:00:14ZrusQUASAR, LLCИсследования и практика в медицине2410-18932024-12-01114738710.17709/2410-1893-2024-11-4-6555Analysis of software methods for metal computed tomography artifact reduction: experimental researchA. V. Petraikin0Yu. A. Vasilev1Z. R. Artyukova2A. K. Smorchkova3D. S. Semenov4А. А. Baulin5A. A. Alikhanov6R. A. Erizhokov7O. V. Omelyanskaya8Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationResearch and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationResearch and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationResearch and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationResearch and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationResearch and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationRussian Children's Clinical Hospital, Branch of the N. I. Pirogov Russian National Research Medical University, the Russian Federation Ministry of Health <p> Moscow, Russian FederationResearch and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationResearch and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department <p> Moscow, Russian FederationX‑ray density of biological tissues is an important diagnostic parameter. Metal structures in the CT scanning area distort it, creating artifacts. Thus, hip joint endoprostheses (HJE) often complicate visualization of nearby soft tissue structures of the pelvic organs, which can interfere with the qualitative and quantitative analysis of changes when assessing the prevalence of the oncological process in this area. It is possible to correct these distortions using software methods, bringing the Hounsfield units (HU) values closer to the true ones.Purpose of the study. To conduct a visual (qualitative) and quantitative assessment of metal artifacts in CT images using software methods for their reduction.Materials and methods. A phantom was used for quantitative assessment: a plexiglass cylinder with a HJE in the center and test tubes with potassium hydrophosphate solution around it. The study was performed on a CT scanner with (FBP, iDose, iMR) reconstruction algorithms and O‑MAR technology for artifact suppression. The mean values and standard deviation of HU, the degree of susceptibility to artifacts were measured. Image quality was visually assessed using a five‑point Likert scale.Results. The use of the O‑MAR algorithm does not distort HU in the absence of an HJE and smoothens the HU distribution in its presence. Deviation from the specified values at the level of the HJE neck decreased from 32–36 HU without O‑MAR to ‑1.5 – ‑4.7 HU with O‑MAR. The minimum noise was observed for iMR with O‑MAR at the level of the neck (31.6 HU) and stem (6.2 HU) of the HJE, the maximum – for FBP without O‑MAR (77.0 and 33.2 HU, respectively). The quality assessment was best for iMR with O‑MAR (3 points), the worst for FBP without O‑MAR (1.4 points). It was also shown that O‑MAR forms additional artifacts near the HJE.Conclusion. Metal artifact reduction algorithms do not distort the X‑ray density without an artifact source. In the presence of metal structures, the algorithms reduce HU deviations and improve visualization, but they can form additional artifacts in the form of areas of increased and decreased density, so it is necessary to combine them with reconstruction without artifact reduction. To reduce the noise level, as well as to increase the contrast sensitivity, the use of model iterative reconstruction technology is optimal.https://www.rpmj.ru/rpmj/article/view/1049computed tomographyiterative model reconstructionmetal artifacts on ct scansmetal artifact reductionphantom studyhip implant
spellingShingle A. V. Petraikin
Yu. A. Vasilev
Z. R. Artyukova
A. K. Smorchkova
D. S. Semenov
А. А. Baulin
A. A. Alikhanov
R. A. Erizhokov
O. V. Omelyanskaya
Analysis of software methods for metal computed tomography artifact reduction: experimental research
Исследования и практика в медицине
computed tomography
iterative model reconstruction
metal artifacts on ct scans
metal artifact reduction
phantom study
hip implant
title Analysis of software methods for metal computed tomography artifact reduction: experimental research
title_full Analysis of software methods for metal computed tomography artifact reduction: experimental research
title_fullStr Analysis of software methods for metal computed tomography artifact reduction: experimental research
title_full_unstemmed Analysis of software methods for metal computed tomography artifact reduction: experimental research
title_short Analysis of software methods for metal computed tomography artifact reduction: experimental research
title_sort analysis of software methods for metal computed tomography artifact reduction experimental research
topic computed tomography
iterative model reconstruction
metal artifacts on ct scans
metal artifact reduction
phantom study
hip implant
url https://www.rpmj.ru/rpmj/article/view/1049
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