Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver Density

Objective: This study aimed to compare the quality of reconstructed images by deep learning image reconstruction (DLIR) and adaptive statistical iterative reconstruction-V (ASIR-V) techniques at different scan doses using a phantom with liver density. Methods: The Gammex computed tomography (CT) pha...

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Main Authors: Zhijie PAN, Ling LIU, Qingyao LI, Tingting QU, Shuai ZHANG, Xueqian XIE
Format: Article
Language:English
Published: Editorial Office of Computerized Tomography Theory and Application 2025-07-01
Series:CT Lilun yu yingyong yanjiu
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Online Access:https://www.cttacn.org.cn/cn/article/doi/10.15953/j.ctta.2024.056
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author Zhijie PAN
Ling LIU
Qingyao LI
Tingting QU
Shuai ZHANG
Xueqian XIE
author_facet Zhijie PAN
Ling LIU
Qingyao LI
Tingting QU
Shuai ZHANG
Xueqian XIE
author_sort Zhijie PAN
collection DOAJ
description Objective: This study aimed to compare the quality of reconstructed images by deep learning image reconstruction (DLIR) and adaptive statistical iterative reconstruction-V (ASIR-V) techniques at different scan doses using a phantom with liver density. Methods: The Gammex computed tomography (CT) phantom with a standard liver-density insert (ρew=1.06) was scanned at six different radiation doses (CTDIvol): 30, 20, 15, 10, 7.5, and 4.5 mGy). Images obtained at each dose were reconstructed using DLIR and ASIR-V. Image quality was analyzed through the imQuest software. The quality of reconstructed images by DLIR at 4.5 mGy (lowest radiation dose) and ASIR-V at 15 mGy (recommended scan dose) were compared using the Bland–Altman method. Results: Across the six doses, DLIR significantly outperformed ASIR-V in key metrics, such as noise, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and detectability index (\begin{document}$d' $\end{document}). Bland–Altman analysis indicated that the quality of reconstructed images by DLIR at 4.5 mGy was significantly better to those by ASIR-V at 15 mGy. The noise level of DLIR images at 4.5 mGy was (17.41±0.32), which is significantly lower than that of ASIR-V at 15 mGy (21.17±0.67). At 4.5 mGy, DLIR SNR, CNR, and d’ were (3.21±0.24), (3.42±0.35), and (8.81±0.63), respectively, which are significantly higher than that of ASIR-V at 15 mGy (2.69±0.14), (2.87±0.11), and (5.61±1.28), respectively. Conclusion: In CT scan of focal liver-density lesions using a phantom, DLIR significantly improved the SNR, CNR, and d’ values and reduced image noise compared to ASIR-V. DLIR was able to achieve better quality image reconstruction at 4.5 mGy than the conventional ASIR-V reconstruction at 15 mGy.
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publishDate 2025-07-01
publisher Editorial Office of Computerized Tomography Theory and Application
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spelling doaj-art-6289ca64f9294d7b8a87f57b623e4e6d2025-08-20T03:16:39ZengEditorial Office of Computerized Tomography Theory and ApplicationCT Lilun yu yingyong yanjiu1004-41402025-07-0134467768510.15953/j.ctta.2024.0562024.056Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver DensityZhijie PAN0Ling LIU1Qingyao LI2Tingting QU3Shuai ZHANG4Xueqian XIE5Department of Radiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080, ChinaGE Healthcare, CT Research Center, Shanghai 210000, ChinaDepartment of Radiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080, ChinaDepartment of Radiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080, ChinaGE Healthcare, CT Research Center, Shanghai 210000, ChinaDepartment of Radiology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080, ChinaObjective: This study aimed to compare the quality of reconstructed images by deep learning image reconstruction (DLIR) and adaptive statistical iterative reconstruction-V (ASIR-V) techniques at different scan doses using a phantom with liver density. Methods: The Gammex computed tomography (CT) phantom with a standard liver-density insert (ρew=1.06) was scanned at six different radiation doses (CTDIvol): 30, 20, 15, 10, 7.5, and 4.5 mGy). Images obtained at each dose were reconstructed using DLIR and ASIR-V. Image quality was analyzed through the imQuest software. The quality of reconstructed images by DLIR at 4.5 mGy (lowest radiation dose) and ASIR-V at 15 mGy (recommended scan dose) were compared using the Bland–Altman method. Results: Across the six doses, DLIR significantly outperformed ASIR-V in key metrics, such as noise, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and detectability index (\begin{document}$d' $\end{document}). Bland–Altman analysis indicated that the quality of reconstructed images by DLIR at 4.5 mGy was significantly better to those by ASIR-V at 15 mGy. The noise level of DLIR images at 4.5 mGy was (17.41±0.32), which is significantly lower than that of ASIR-V at 15 mGy (21.17±0.67). At 4.5 mGy, DLIR SNR, CNR, and d’ were (3.21±0.24), (3.42±0.35), and (8.81±0.63), respectively, which are significantly higher than that of ASIR-V at 15 mGy (2.69±0.14), (2.87±0.11), and (5.61±1.28), respectively. Conclusion: In CT scan of focal liver-density lesions using a phantom, DLIR significantly improved the SNR, CNR, and d’ values and reduced image noise compared to ASIR-V. DLIR was able to achieve better quality image reconstruction at 4.5 mGy than the conventional ASIR-V reconstruction at 15 mGy.https://www.cttacn.org.cn/cn/article/doi/10.15953/j.ctta.2024.056deep learningphantomctradiation dose
spellingShingle Zhijie PAN
Ling LIU
Qingyao LI
Tingting QU
Shuai ZHANG
Xueqian XIE
Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver Density
CT Lilun yu yingyong yanjiu
deep learning
phantom
ct
radiation dose
title Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver Density
title_full Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver Density
title_fullStr Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver Density
title_full_unstemmed Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver Density
title_short Deep Learning Image Reconstruction to Improve Computed Tomography Image Quality of the Phantom with Standard Liver Density
title_sort deep learning image reconstruction to improve computed tomography image quality of the phantom with standard liver density
topic deep learning
phantom
ct
radiation dose
url https://www.cttacn.org.cn/cn/article/doi/10.15953/j.ctta.2024.056
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AT lingliu deeplearningimagereconstructiontoimprovecomputedtomographyimagequalityofthephantomwithstandardliverdensity
AT qingyaoli deeplearningimagereconstructiontoimprovecomputedtomographyimagequalityofthephantomwithstandardliverdensity
AT tingtingqu deeplearningimagereconstructiontoimprovecomputedtomographyimagequalityofthephantomwithstandardliverdensity
AT shuaizhang deeplearningimagereconstructiontoimprovecomputedtomographyimagequalityofthephantomwithstandardliverdensity
AT xueqianxie deeplearningimagereconstructiontoimprovecomputedtomographyimagequalityofthephantomwithstandardliverdensity