Half-scan Reconstruction Research Articles

Image Quality, Motion Artifacts, and Reconstruction Timing of 64-Slice Coronary Computed Tomography Angiography With 0.33-Second Rotation Speed

We sought to evaluate the impact of patients' heart rate (HR) on coronary CTA image quality (IQ) and motion artifacts using a 64-slice scanner with 0.33/360 degrees rotation. Coronary CTA data sets of 32 patients (HR <or= 65 beats per minute [bpm], n = 15; HR > 65 bpm to <or=75 bpm, n = 10; HR > 75 bpm, n = 7) examined on a 64-slice scanner (Sensation 64, Siemens Medical Solutions, Forchheim, Germany) with 0.33s/360 degrees gantry rotation speed were analyzed. All patients had suspicion of coronary artery disease. Data acquisition was performed using 64 x 0.6-mm collimation, and contrast enhancement was provided by injection of 80 mL of iopromide (5 mL/s + NaCl). Images were reconstructed throughout the RR interval using half-scan and dual-segment reconstruction. IQ was rated by 2 observers using a 3-point scale from excellent (1) to nondiagnostic (3) for coronary segments. Quality was correlated to the HR, time point of optimal IQ analyzed, and the benefit of dual-segment reconstruction evaluated. Overall mean IQ was 1.31 +/- 0.32 for all HR, with IQ being 1.08 +/- 0.12 for HR <or= 65 bpm, 1.62 +/- 0.27 for HR > 65 bpm <or= 75 bpm and 1.36 +/- 0.31 for HR > 75 bpm (P = 0.0003). Dual-segment reconstruction did not significantly improve IQ in any HR group (P = NS). Mean IQ was significantly better for LAD than for RCA (P < 0.0001) and LCX (P < 0.01). A total of 3.5% (11/318) of coronary artery segments were rated nondiagnostic by at least one reader based on motion artifacts. Although in HR < 65 bpm, the best IQ was predominately in diastole (93%), in HR > 75 bpm, the best IQ shifted to systole in most cases (86%). Temporal resolution at 0.33-second rotation allows for diagnostic IQ within a wide range of HR using half-scan reconstruction. With increasing HR the time point of best IQ shifts from mid-diastole to systole.

Multisegment and Halfscan Reconstruction of 16-Slice Computed Tomography for Assessment of Regional and Global Left Ventricular Myocardial Function

We sought to prospectively compare multisegment and halfscan reconstruction of 16-slice computed tomography (CT) for the assessment of regional and global left ventricular myocardial function with magnetic resonance imaging (MRI) as the reference standard. Forty-two patients underwent CT with 16 x 0.5-mm detector collimation. Electrocardiogram-gated reconstructions were generated with multisegment reconstruction (using up to 4 segments correlated with the raw data of up to 4 heartbeats) and standard halfscan reconstruction. Steady-state free-precession cine MRI was acquired within 24 hours. More normal myocardial segments were identified correctly with multisegment (95%, 620/656) compared with halfscan reconstruction (88%, 582/656) of CT (P < 0.001). Also, the accuracy (92% [657/714] vs. 87% [620/714]) and rate of nondiagnostic segments (0% vs. 5% [33/714]) were significantly better when using multisegment reconstruction (P < 0.001). The image quality with multisegment reconstruction was significantly superior to that achieved with halfscan reconstruction (P < 0.001). In the assessment of global left ventricular function, multisegment and halfscan reconstruction of CT showed high correlations for all parameters with MRI, whereas Bland-Altman analysis revealed smaller limits of agreement for assessment of myocardial mass with multisegment reconstruction (P = 0.025), but no significant differences between both reconstruction techniques in the measurement of left ventricular volumes as compared with MRI. Multisegment reconstruction of 16-detector row CT improves image quality and assessment of regional wall motion compared with standard halfscan reconstruction.

Coronary artery bypass graft (CABG) patency: Assessment with high-resolution submillimeter 16-slice multidetector-row computed tomography (MDCT) versus coronary angiography

Purpose To investigate the ability of 16-slice multidetector-row computed tomography (MDCT) to visualize coronary artery bypass graft (CABG) patency and to detect bypass stenoses. Materials and methods Thirty-two patients with 94 grafts (20 mammary artery grafts, 74 venous grafts) were investigated by 16-slice MDCT using a scan protocol with 12 × 0.75 mm slice collimation (pitch 0.3), 420 ms rotation time and simultaneous electrocardiogram (ECG)-registration. One hundred milliliters iodinated contrast agent were injected with a delay according to the individually determined contrast agent transit time. Patients with heart rates above 60 bpm received oral beta-blockade. Cross-sectional images with a slice width of 1.0 mm (0.5 mm increment) were reconstructed using an ECG-gated half-scan reconstruction or a multisegment reconstruction algorithm depending on the heart rate. Bypass grafts were evaluated concerning patency and presence of stenoses ≥50% diameter reduction on cross-sectional images, multiplanar reformations and maximum intensity projections by two independent observers. Results were compared to coronary bypass angiography. Results Sixteen-slice MDCT results were compared to those of invasive coronary angiography concerning absence or presence of bypass graft occlusion or relevant stenosis ≥50% lumen reduction. Coronary CT angiography (CTA) permitted detection of bypass occlusion with 100% sensitivity (28/28) and 98% specificity (64/65). Seventy-eight percent (observer 1) and 84% (observer 2) of all patent grafts were found to be evaluable concerning presence or absence of stenosis. In 34 of 40 (observer 1) and 38 of 43 (observer 2) bypass grafts, high-grade stenoses were correctly ruled out (specificity 85% versus 88%, sensitivity 80% and 82%). Yet, if all patients with either unevaluable grafts/graft anastomosis or relevant graft stenosis were excluded, only 8/32 patients (25%) had fully diagnostic “negative” graft-CTA. According to Kappa statistics, agreement between the observers was 1.0 and 0.93 concerning occlusion and relevant stenosis, respectively. Conclusion Sixteen-slice coronary CTA with sub-millimeter spatial resolution and premedication with oral beta-blockade permits non-invasive assessment of coronary artery bypass grafts with decreasing numbers of unevaluable graft segments. However, patient-based analysis reveals that only a relatively small number of patients (“negative” and completely evaluable graft-CTA) truly profits from noninvasive work-up and could be spared invasive angiography.

Reduction of Half-Scan Shading Artifact Based on Full-Scan Correction 1

Temporal studies (such as blood perfusion) commonly are used to measure function. Radiation dosage is a primary limiting factor for these scans. Half-scan reconstruction can decrease dosage and improve temporal resolution, but is not viable for quantitative studies because of shading artifact. We propose a method for identifying the artifact and minimizing its effect. It is possible to measure the shading artifact by producing both a full-scan and a half-scan reconstruction from the same projection data. A correlation was shown between the subset of data used for reconstruction and per-pixel variation. Furthermore, this variation can be parameterized by only the center angle of the projection data. By performing a single full-scan acquisition, it is possible to generate many half-scan reconstructions and measure the artifact; then future half-scan acquisitions can be corrected. The artifact is caused by the inhomogeneity in the object being scanned. Before correction, the root mean square error between the half-scan reconstruction and the full-scan is 41.0. After correction, the error is decreased to 10.7, or 26% of the original value. We present a method that can measure and correct for object-dependent half-scan shading artifact. This can enable half-scan reconstruction for use in quantitative temporal studies.

Comparison of helical and cine acquisitions for 4D-CT imaging with multislice CT

We proposed a data sufficiency condition (DSC) for four-dimensional-CT (4D-CT) imaging on a multislice CT scanner, designed a pitch factor for a helical 4D-CT, and compared the acquisition time, slice sensitivity profile (SSP), effective dose, ability to cope with an irregular breathing cycle, and gating technique (retrospective or prospective) of the helical 4D-CT and the cine 4D-CT on the General Electric (GE) LightSpeed RT (4-slice), Plus (4-slice), Ultra (8-slice) and 16 (16-slice) multislice CT scanners. To satisfy the DSC, a helical or cine 4D-CT acquisition has to collect data at each location for the duration of a breathing cycle plus the duration of data acquisition for an image reconstruction. The conditions for the comparison were 20 cm coverage in the cranial-caudal direction, a 4 s breathing cycle, and half-scan reconstruction. We found that the helical 4D-CT has the advantage of a shorter scan time that is 10% shorter than that of the cine 4D-CT, and the disadvantages of 1.8 times broadening of SSP and requires an additional breathing cycle of scanning to ensure an adequate sampling at the start and end locations. The cine 4D-CT has the advantages of maintaining the same SSP as slice collimation (e.g., 8 x 2.5 mm slice collimation generates 2.5 mm SSP in the cine 4D-CT as opposed to 4.5 mm in the helical 4D-CT) and a lower dose by 4% on the 8- and 16-slice systems, and 8% on the 4-slice system. The advantage of faster scanning in the helical 4D-CT will diminish if a repeat scan at the location of a breathing irregularity becomes necessary. The cine 4D-CT performs better than the helical 4D-CT in the repeat scan because it can scan faster and is more dose efficient.

Grangeat-type helical half-scan computerized tomography algorithm for reconstruction of a short object.

Currently, cone-beam computerized tomography (CT) and micro-CT scanners are under rapid development for major biomedical applications. Half-scan cone-beam image reconstruction algorithms assume only part of a scanning turn, and are advantageous in terms of temporal resolution and image artifacts. While the existing half-scan cone-beam algorithms are in the Feldkamp framework, we have published a half-scan algorithm in the Grangeat framework for a circular trajectory [Med. Phys. 30, 689-700 (2003)]. In this paper, we extend our previous work to a helical case without data truncation. We modify the Grangeat's formula for utilization and estimation of Radon data. Specifically, we categorize each characteristic point in the Radon space into singly, doubly, triply sampled, and shadow regions, respectively. A smooth weighting strategy is designed to compensate for data redundancy and inconsistency. In the helical half-scan case, the concepts of projected trajectories and transition points on meridian planes are introduced to guide the design of weighting functions. Then, the shadow region is recovered via linear interpolation after smooth weighting. The Shepp-Logan phantom is used to verify the correctness of the formulation, and demonstrate the merits of the Grangeat-type half-scan algorithm. Our Grangeat-type helical half-scan algorithm is not only valuable for quantitative and/or dynamic biomedical applications of CT and micro-CT, but also serves as an intermediate step towards solving the long object problem.

Enhancing the image quality of high‐resolution MR angiography

AbstractIn MR angiography, which is effective for screening of aneurysms, investigation for the quality of high‐resolution angiography method using the combination of asymmetric measurement with half scan reconstruction are presented. In addition to avoiding the flow void by the asymmetric measurement, it was found that there were improvements of: (1) blood contrast by isolation of small vessels and static regions; (2) blood continuation by interpolation in 3‐dimensional space; and (3) relative S/N of small vessels with the increasing resolution. Experimental results show that good contrast image is obtained by this method with no penalty of scanning time.

Comments on "A cone-beam filtered backprojection reconstruction algorithm for cardiac single photon emission computed tomography" by G. T. Gullberg and G. L. Zeng

In the above-titled work by G. T. Gullberg and G. L. Zeng (ibid., vol.11, no.1, p.91-101, 1992), a fan-beam reconstruction formula of a noncircular scanning locus was derived and extended for half-scan cone-beam reconstruction. However, the reconstruction formula is not exact mathematically unless a necessary condition is satisfied. In this correspondence, the commenters derive this necessary condition and provide a geometrical explanation of the condition.