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Dreesen, H. J. H. ; Stroszczynski, C. ; Lell, M. M.

Optimizing Coronary Computed Tomography Angiography Using a Novel Deep Learning-Based Algorithm

Dreesen, H. J. H. , Stroszczynski, C. and Lell, M. M. (2024) Optimizing Coronary Computed Tomography Angiography Using a Novel Deep Learning-Based Algorithm. Journal of Imaging Informatics in Medicine.

Date of publication of this fulltext: 12 Mar 2024 07:47
Article
DOI to cite this document: 10.5283/epub.57883


Abstract

Coronary computed tomography angiography (CCTA) is an essential part of the diagnosis of chronic coronary syndrome (CCS) in patients with low-to-intermediate pre-test probability. The minimum technical requirement is 64-row multidetector CT (64-MDCT), which is still frequently used, although it is prone to motion artifacts because of its limited temporal resolution and z-coverage. In this study, ...

Coronary computed tomography angiography (CCTA) is an essential part of the diagnosis of chronic coronary syndrome (CCS) in patients with low-to-intermediate pre-test probability. The minimum technical requirement is 64-row multidetector CT (64-MDCT), which is still frequently used, although it is prone to motion artifacts because of its limited temporal resolution and z-coverage. In this study, we evaluate the potential of a deep-learning-based motion correction algorithm (MCA) to eliminate these motion artifacts. 124 64-MDCT-acquired CCTA examinations with at least minor motion artifacts were included. Images were reconstructed using a conventional reconstruction algorithm (CA) and a MCA. Image quality (IQ), according to a 5-point Likert score, was evaluated per-segment, per-artery, and per-patient and was correlated with potentially disturbing factors (heart rate (HR), intra-cycle HR changes, BMI, age, and sex). Comparison was done by Wilcoxon-Signed-Rank test, and correlation by Spearman’s Rho. Per-patient, insufficient IQ decreased by 5.26%, and sufficient IQ increased by 9.66% with MCA. Per-artery, insufficient IQ of the right coronary artery (RCA) decreased by 18.18%, and sufficient IQ increased by 27.27%. Per-segment, insufficient IQ in segments 1 and 2 decreased by 11.51% and 24.78%, respectively, and sufficient IQ increased by 10.62% and 18.58%, respectively. Total artifacts per-artery decreased in the RCA from 3.11 ± 1.65 to 2.26 ± 1.52. HR dependence of RCA IQ decreased to intermediate correlation in images with MCA reconstruction. The applied MCA improves the IQ of 64-MDCT-acquired images and reduces the influence of HR on IQ, increasing 64-MDCT validity in the diagnosis of CCS.



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Details

Item typeArticle
Journal or Publication TitleJournal of Imaging Informatics in Medicine
Publisher:Springer
Date4 March 2024
InstitutionsMedicine > Lehrstuhl für Röntgendiagnostik
Identification Number
ValueType
10.1007/s10278-024-01033-wDOI
KeywordsCoronary computed tomography angiography · Single-source computed tomography · 64-Detector row computed tomography · Motion artifact reduction · Deep learning-based algorithm · Motion correction algorithm
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-578832
Item ID57883

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