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Dual-energy computed tomography for evaluation of breast cancer: value of virtual monoenergetic images reconstructed with a noise-reduced monoenergetic reconstruction algorithm

Purpose To evaluate the image quality and lesion visibility of virtual monoenergetic images (VMIs) reconstructed using a new monoenergetic reconstruction algorithm (nMERA) for evaluation of breast cancer. Materials and methods Forty-two patients with 46 breast cancers who underwent 4-phasic breast c...

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Published in:Japanese journal of radiology 2020-02, Vol.38 (2), p.154-164
Main Authors: Okada, Kanako, Matsuda, Megumi, Tsuda, Takaharu, Kido, Teruhito, Murata, Akihiro, Nishiyama, Hikaru, Nishiyama, Kanako, Yamasawa, Haruna, Kamei, Yoshiaki, Kurata, Mie, Fukushima, Mana, Kitazawa, Riko, Mochizuki, Teruhito
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cited_by cdi_FETCH-LOGICAL-c454t-f00ddb1e2f7f5240462e389ca0d5954f8efaf88e3ea6f93ae22d8561495c7feb3
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container_title Japanese journal of radiology
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creator Okada, Kanako
Matsuda, Megumi
Tsuda, Takaharu
Kido, Teruhito
Murata, Akihiro
Nishiyama, Hikaru
Nishiyama, Kanako
Yamasawa, Haruna
Kamei, Yoshiaki
Kurata, Mie
Fukushima, Mana
Kitazawa, Riko
Mochizuki, Teruhito
description Purpose To evaluate the image quality and lesion visibility of virtual monoenergetic images (VMIs) reconstructed using a new monoenergetic reconstruction algorithm (nMERA) for evaluation of breast cancer. Materials and methods Forty-two patients with 46 breast cancers who underwent 4-phasic breast contrast-enhanced computed tomography (CT) using dual-energy CT (DECT) were enrolled. We selected the peak enhancement phase of the lesion in each patient. The selected phase images were generated by 120-kVp-equivalent linear blended (M120) and monoenergetic reconstructions from 40 to 80 keV using the standard reconstruction algorithm (sMERA: 40, 50, 60, 70, 80) and nMERA (40 +, 50 +, 60 +, 70 +, 80 +). The contrast-to-noise ratio (CNR) was calculated and objectively analyzed. Two independent readers subjectively scored tumor visibility and image quality each on a 5-point scale. Results The CNR at 40 + and tumor visibility scores at 40 + and 50 + were significantly higher than those on M120. The CNR at 50 + was not significantly different from that on M120. However, the overall image quality score at 40 + was significantly lower than that at 50 + and on M120 (40 + vs M120, P  
doi_str_mv 10.1007/s11604-019-00897-1
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Materials and methods Forty-two patients with 46 breast cancers who underwent 4-phasic breast contrast-enhanced computed tomography (CT) using dual-energy CT (DECT) were enrolled. We selected the peak enhancement phase of the lesion in each patient. The selected phase images were generated by 120-kVp-equivalent linear blended (M120) and monoenergetic reconstructions from 40 to 80 keV using the standard reconstruction algorithm (sMERA: 40, 50, 60, 70, 80) and nMERA (40 +, 50 +, 60 +, 70 +, 80 +). The contrast-to-noise ratio (CNR) was calculated and objectively analyzed. Two independent readers subjectively scored tumor visibility and image quality each on a 5-point scale. Results The CNR at 40 + and tumor visibility scores at 40 + and 50 + were significantly higher than those on M120. The CNR at 50 + was not significantly different from that on M120. However, the overall image quality score at 40 + was significantly lower than that at 50 + and on M120 (40 + vs M120, P  &lt; 0.0001 and 40 + vs 50 +, P  = 0.0001). Conclusions VMI reconstructed with nMERA at 50 keV is preferable for evaluation of patients with breast cancer.</description><identifier>ISSN: 1867-1071</identifier><identifier>EISSN: 1867-108X</identifier><identifier>DOI: 10.1007/s11604-019-00897-1</identifier><identifier>PMID: 31686294</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Algorithms ; Breast cancer ; Computed tomography ; Image enhancement ; Image quality ; Image reconstruction ; Imaging ; Lesions ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Noise ; Nuclear Medicine ; Original Article ; Radiology ; Radiotherapy ; Tomography ; Tumors</subject><ispartof>Japanese journal of radiology, 2020-02, Vol.38 (2), p.154-164</ispartof><rights>Japan Radiological Society 2019</rights><rights>Japanese Journal of Radiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-f00ddb1e2f7f5240462e389ca0d5954f8efaf88e3ea6f93ae22d8561495c7feb3</citedby><cites>FETCH-LOGICAL-c454t-f00ddb1e2f7f5240462e389ca0d5954f8efaf88e3ea6f93ae22d8561495c7feb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31686294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okada, Kanako</creatorcontrib><creatorcontrib>Matsuda, Megumi</creatorcontrib><creatorcontrib>Tsuda, Takaharu</creatorcontrib><creatorcontrib>Kido, Teruhito</creatorcontrib><creatorcontrib>Murata, Akihiro</creatorcontrib><creatorcontrib>Nishiyama, Hikaru</creatorcontrib><creatorcontrib>Nishiyama, Kanako</creatorcontrib><creatorcontrib>Yamasawa, Haruna</creatorcontrib><creatorcontrib>Kamei, Yoshiaki</creatorcontrib><creatorcontrib>Kurata, Mie</creatorcontrib><creatorcontrib>Fukushima, Mana</creatorcontrib><creatorcontrib>Kitazawa, Riko</creatorcontrib><creatorcontrib>Mochizuki, Teruhito</creatorcontrib><title>Dual-energy computed tomography for evaluation of breast cancer: value of virtual monoenergetic images reconstructed with a noise-reduced monoenergetic reconstruction algorithm</title><title>Japanese journal of radiology</title><addtitle>Jpn J Radiol</addtitle><addtitle>Jpn J Radiol</addtitle><description>Purpose To evaluate the image quality and lesion visibility of virtual monoenergetic images (VMIs) reconstructed using a new monoenergetic reconstruction algorithm (nMERA) for evaluation of breast cancer. Materials and methods Forty-two patients with 46 breast cancers who underwent 4-phasic breast contrast-enhanced computed tomography (CT) using dual-energy CT (DECT) were enrolled. We selected the peak enhancement phase of the lesion in each patient. The selected phase images were generated by 120-kVp-equivalent linear blended (M120) and monoenergetic reconstructions from 40 to 80 keV using the standard reconstruction algorithm (sMERA: 40, 50, 60, 70, 80) and nMERA (40 +, 50 +, 60 +, 70 +, 80 +). The contrast-to-noise ratio (CNR) was calculated and objectively analyzed. Two independent readers subjectively scored tumor visibility and image quality each on a 5-point scale. Results The CNR at 40 + and tumor visibility scores at 40 + and 50 + were significantly higher than those on M120. The CNR at 50 + was not significantly different from that on M120. However, the overall image quality score at 40 + was significantly lower than that at 50 + and on M120 (40 + vs M120, P  &lt; 0.0001 and 40 + vs 50 +, P  = 0.0001). 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Materials and methods Forty-two patients with 46 breast cancers who underwent 4-phasic breast contrast-enhanced computed tomography (CT) using dual-energy CT (DECT) were enrolled. We selected the peak enhancement phase of the lesion in each patient. The selected phase images were generated by 120-kVp-equivalent linear blended (M120) and monoenergetic reconstructions from 40 to 80 keV using the standard reconstruction algorithm (sMERA: 40, 50, 60, 70, 80) and nMERA (40 +, 50 +, 60 +, 70 +, 80 +). The contrast-to-noise ratio (CNR) was calculated and objectively analyzed. Two independent readers subjectively scored tumor visibility and image quality each on a 5-point scale. Results The CNR at 40 + and tumor visibility scores at 40 + and 50 + were significantly higher than those on M120. The CNR at 50 + was not significantly different from that on M120. However, the overall image quality score at 40 + was significantly lower than that at 50 + and on M120 (40 + vs M120, P  &lt; 0.0001 and 40 + vs 50 +, P  = 0.0001). Conclusions VMI reconstructed with nMERA at 50 keV is preferable for evaluation of patients with breast cancer.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>31686294</pmid><doi>10.1007/s11604-019-00897-1</doi><tpages>11</tpages></addata></record>
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subjects Algorithms
Breast cancer
Computed tomography
Image enhancement
Image quality
Image reconstruction
Imaging
Lesions
Medical imaging
Medicine
Medicine & Public Health
Noise
Nuclear Medicine
Original Article
Radiology
Radiotherapy
Tomography
Tumors
title Dual-energy computed tomography for evaluation of breast cancer: value of virtual monoenergetic images reconstructed with a noise-reduced monoenergetic reconstruction algorithm
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