Abstract:
OBJECTIVES:To investigate the feasibility of a newly developed noise reduction technique at coronary CT angiography (CTA) that uses multi-phase data-averaging and non-rigid image registration. METHODS:Sixty-five patients underwent coronary CTA with prospective ECG-triggering. The range of the phase window was set at 70-80% of the R-R interval. First, three sets of consecutive volume data at 70%, 75% and 80% of the R-R interval were prepared. Second, we applied non-rigid registration to align the 70% and 80% images to the 75% image. Finally, we performed weighted averaging of the three images and generated a de-noised image. The image noise and contrast-to-noise ratio (CNR) in the proximal coronary arteries between the conventional 75% and the de-noised images were compared. Two radiologists evaluated the image quality using a 5-point scale (1, poor; 5, excellent). RESULTS:On de-noised images, mean image noise was significantly lower than on conventional 75% images (18.3 HU ± 2.6 vs. 23.0 HU ± 3.3, P < 0.01) and the CNR was significantly higher (P < 0.01). The mean image quality score for conventional 75% and de-noised images was 3.9 and 4.4, respectively (P < 0.01). CONCLUSIONS:Our method reduces image noise and improves image quality at coronary CTA. KEY POINTS:• We introduce a new method for image noise reduction at cardiac CT. • Multiple data acquisitions of an object and their averaging yield lower noise. • Our method uses multi-phase images reconstructed from unused redundant imaging data. • It reduces image noise by averaging multi-phase images transformed by non-rigid registration. • This method achieves a 20% image noise reduction at cardiac CT.
journal_name
Eur Radioljournal_title
European radiologyauthors
Tatsugami F,Higaki T,Nakamura Y,Yamagami T,Date S,Fujioka C,Kiguchi M,Kihara Y,Awai Kdoi
10.1007/s00330-014-3381-9subject
Has Abstractpub_date
2015-01-01 00:00:00pages
41-8issue
1eissn
0938-7994issn
1432-1084journal_volume
25pub_type
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