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Performance of four dual-energy CT platforms for abdominal imaging: a task-based image quality assessment based on phantom data

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Abstract

Objectives

To compare the spectral performance of dual-energy CT (DECT) platforms using task-based image quality assessment based on phantom data.

Materials and methods

Two CT phantoms were scanned on four DECT platforms: fast kV-switching CT (KVSCT), split filter CT (SFCT), dual-source CT (DSCT), and dual-layer CT (DLCT). Acquisitions on each phantom were performed using classical parameters of abdomen-pelvic examination and a CTDIvol at 10 mGy. Noise power spectrum (NPS) and task-based transfer function (TTF) were evaluated from 40 to 140 keV of virtual monoenergetic images. A detectability index (d′) was computed to model the detection task of two contrast-enhanced lesions as function of keV.

Results

The noise magnitude decreased from 40 to 70 keV for all DECT platforms, and the highest noise magnitude values were found for KVSCT and SFCT and the lowest for DSCT and DLCT. The average NPS spatial frequency shifted towards lower frequencies as the energy level increased for all DECT platforms, smoothing the image texture. TTF values decreased with the increase of keV deteriorating the spatial resolution. For both simulated lesions, higher detectability (d′ value) was obtained at 40 keV for DLCT, DSCT, and SFCT but at 70 keV for KVSCT. The detectability of both simulated lesions was highest for DLCT and DSCT.

Conclusion

Highest detectability was found for DLCT for the lowest energy levels. The task-based image quality assessment used for the first time for DECT acquisitions showed the benefit of using low keV for the detection of contrast-enhanced lesions.

Key Points

• Detectability of both simulated contrast-enhanced lesions was higher for dual-layer CT for the lowest energy levels.

• The image noise increased and the image texture changed for the lowest energy levels.

• The detectability of both simulated contrast-enhanced lesions was highest at 40 keV for all dual-energy CT platforms except for fast kV-switching platform.

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Abbreviations

CT:

Computed tomography

CTDIvol :

Volume CT dose index

d′:

Detectability index

DECT:

Dual-energy CT

DLCT:

Dual-layer CT

DSCT:

Dual-source CT

HU:

Hounsfield unit

KVSCT:

Fast kV-switching CT

N CT :

CT number

NPS:

Noise power spectrum

SFCT:

Split filter CT

TTF:

Task-based transfer function

VMI:

Virtual monoenergetic image

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Acknowledgments

We are deeply grateful to J. Solomon for support for the use of imQuest software. We also thank F. Mahinc and G. Raymond for their support in the study. We thank S. Kabani for her help in editing the manuscript.

Funding

The authors state that this work has not received any funding.

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Correspondence to J. Greffier.

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The scientific guarantor of this publication is Jean Paul Beregi.

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The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article.

Statistics and biometry

No complex statistical methods were necessary for this paper.

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Written informed consent was not required for this phantom study.

Ethical approval

Institutional Review Board approval was not required for this phantom study.

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Greffier, J., Si-Mohamed, S., Dabli, D. et al. Performance of four dual-energy CT platforms for abdominal imaging: a task-based image quality assessment based on phantom data. Eur Radiol 31, 5324–5334 (2021). https://doi.org/10.1007/s00330-020-07671-2

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  • DOI: https://doi.org/10.1007/s00330-020-07671-2

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