Application of a Novel Metal Artifact Correction Algorithm in Flat-Panel CT After Coil Embolization of Brain Aneurysms: Intraindividual Comparison.
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Application of a Novel Metal Artifact Correction Algorithm in Flat-Panel CT After Coil Embolization of Brain Aneurysms: Intraindividual Comparison. / Buhk, J-H; Groth, M; Sehner, S; Fiehler, J; Schmidt, N O; Grzyska, U.
In: ROFO-FORTSCHR RONTG, Vol. 185, No. 9, 9, 2013, p. 824-829.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Application of a Novel Metal Artifact Correction Algorithm in Flat-Panel CT After Coil Embolization of Brain Aneurysms: Intraindividual Comparison.
AU - Buhk, J-H
AU - Groth, M
AU - Sehner, S
AU - Fiehler, J
AU - Schmidt, N O
AU - Grzyska, U
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2013
Y1 - 2013
N2 - PURPOSE: To evaluate a novel algorithm for correcting beam hardening artifacts caused by metal implants in computed tomography performed on a C-arm angiography system equipped with a flat panel (FP-CT).MATERIALS AND METHODS: 16 datasets of cerebral FP-CT acquisitions after coil embolization of brain aneurysms in the context of acute subarachnoid hemorrhage have been reconstructed by applying a soft tissue kernel with and without a novel reconstruction filter for metal artifact correction. Image reading was performed in multiplanar reformations (MPR) in average mode on a dedicated radiological workplace in comparison to the preinterventional native multisection CT (MS-CT) scan serving as the anatomic gold standard. Two independent radiologists performed image scoring following a defined scale in direct comparison of the image data with and without artifact correction. For statistical analysis, a random intercept model was calculated.RESULTS: The inter-rater agreement was very high (ICC = 86.3 %). The soft tissue image quality and visualization of the CSF spaces at the level of the implants was substantially improved. The additional metal artifact correction algorithm did not induce impairment of the subjective image quality in any other brain regions.CONCLUSION: Adding metal artifact correction to FP-CT in an acute postinterventional setting helps to visualize the close vicinity of the aneurysm at a generally consistent image quality.
AB - PURPOSE: To evaluate a novel algorithm for correcting beam hardening artifacts caused by metal implants in computed tomography performed on a C-arm angiography system equipped with a flat panel (FP-CT).MATERIALS AND METHODS: 16 datasets of cerebral FP-CT acquisitions after coil embolization of brain aneurysms in the context of acute subarachnoid hemorrhage have been reconstructed by applying a soft tissue kernel with and without a novel reconstruction filter for metal artifact correction. Image reading was performed in multiplanar reformations (MPR) in average mode on a dedicated radiological workplace in comparison to the preinterventional native multisection CT (MS-CT) scan serving as the anatomic gold standard. Two independent radiologists performed image scoring following a defined scale in direct comparison of the image data with and without artifact correction. For statistical analysis, a random intercept model was calculated.RESULTS: The inter-rater agreement was very high (ICC = 86.3 %). The soft tissue image quality and visualization of the CSF spaces at the level of the implants was substantially improved. The additional metal artifact correction algorithm did not induce impairment of the subjective image quality in any other brain regions.CONCLUSION: Adding metal artifact correction to FP-CT in an acute postinterventional setting helps to visualize the close vicinity of the aneurysm at a generally consistent image quality.
KW - Acute Disease
KW - Adult
KW - Aged
KW - Algorithms
KW - Artifacts
KW - Cerebral Angiography
KW - Embolization, Therapeutic
KW - Female
KW - Humans
KW - Image Enhancement
KW - Image Processing, Computer-Assisted
KW - Intracranial Aneurysm
KW - Male
KW - Metals
KW - Middle Aged
KW - Multidetector Computed Tomography
KW - Observer Variation
KW - Prostheses and Implants
KW - Sensitivity and Specificity
KW - Subarachnoid Hemorrhage
KW - Tomography, X-Ray Computed
U2 - 10.1055/s-0033-1350117
DO - 10.1055/s-0033-1350117
M3 - SCORING: Journal article
C2 - 23857073
VL - 185
SP - 824
EP - 829
JO - ROFO-FORTSCHR RONTG
JF - ROFO-FORTSCHR RONTG
SN - 1438-9029
IS - 9
M1 - 9
ER -