ISSN 1004-4140
    CN 11-3017/P

    深度学习重建算法联合超高分辨力探测器对颞下颌关节CT图像质量的影响

    Impact of a Deep Learning Reconstruction Algorithm Combined with an Ultra-high Resolution Detector on the Quality of Temporomandibular Joint Computed Tomography Images

    • 摘要: 目的:本研究旨在探索超高分辨力探测器联合深度学习重建算法ClearInfinity(CI)对颞下颌关节CT图像质量的影响。方法:使用NeuViz Epoch Elite CT扫描仪对7具新鲜头颅标本进行成像,应用两种超高分辨力的准直宽度(76×0.156 mm和128×0.3125 mm)。在每种准直宽度下,分别应用滤波反投影(FBP)、自适应迭代重建ClearView(CV)60%和深度学习重建算法CI60%,最终获得6组图像。通过对比噪声比(CNR)、信噪比(SNR)及双盲法主观评分评估图像质量,并进行统计学分析。结果:客观评价中,准直宽度0.156 mm图像的CNR和CNR关节显著高于准直宽度0.3125 mm图像。CI60%图像中的CNR、SNR和SNR关节均显著高于其他算法。主观评价中,准直宽度0.156 mm图像中的髁状突皮质骨和关节窝评分显著高于准直宽度0.3125 mm图像。CI60%图像中髁状突皮质骨、小梁骨、关节隆起和关节窝的主观评分均显著高于其他算法,且两位医师主观评分一致性好(Kappa≥0.75)。结论:0.156 mm超高分辨力探测器联合深度学习算法CI可显著提升颞下颌关节CT图像的分辨力、对比度,减少噪声与伪影,具有良好的临床应用前景。

       

      Abstract: Objective: This study aims to explore the impact of an ultra-high resolution detector combined with a deep learning reconstruction algorithm, ClearInfinity (CI), on the image quality of temporomandibular joint (TMJ) computed tomography (CT) scans. Methods: Seven fresh cadaveric head specimens were scanned using the NeuViz Epoch Elite CT scanner, with two ultra-high resolution collimation widths (76 × 0.156 mm and 128 × 0.3125 mm). For each collimation width, filtered back projection (FBP), adaptive iterative reconstruction ClearView (CV) 60%, and deep learning reconstruction algorithm CI60% were applied, resulting in six sets of images. The image quality was assessed by comparing the contrast-to-noise ratio (CNR), signal-to-noise ratio (SNR), and subjective scores using a double-blind method, followed by a statistical analysis. Results: In the objective evaluation, the CNR of the condyle and joint for the 0.156 mm collimation width images were significantly higher than those for the 0.3125 mm collimation width images. The CNR of the condyle and SNRs of the condyle joint in the CI60% images were significantly higher than those obtained using other algorithms. In the subjective evaluation, the scores for the condylar cortical bone and joint fossa in the 0.156 mm collimation width images were significantly higher than those in the 0.3125 mm collimation width images. The subjective scores for condylar cortical bone, trabecular bone, joint eminence, and joint fossa in the CI60% images were significantly higher than those obtained using other algorithms, and the inter-rater consistency was good (Kappa≥0.75). Conclusion: The 0.156 mm ultra-high resolution detector combined with the deep learning algorithm CI could significantly improve the resolution and contrast of TMJ CT images, reduce noise and artifacts, and show promising clinical application prospects.

       

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