植田 高弘

OBJECTIVE: The purpose of this study was to compare radiation dose reduction capability for accurate liver tumor measurements of a computer-aided volumetry (CADv) software for filtered back projection (FBP), hybrid-type iterative reconstruction (IR), mode-based iterative reconstruction (MBIR), and deep learning reconstruction (DLR) at a phantom study. METHODS: A commercially available anthropomorphic abdominal phantom was scanned five times with a 320-detector row CT at 600 mA, 400 mA, 200 mA, and 100 mA and reconstructed by four methods. Signal-to-noise ratios (SNRs) of all lesions within the arterial and portal-venous phase inserts were calculated, and SNR of the lesion phantom was compared with that of all reconstruction methods by means of Tukey's honestly significant difference (HSD) test. Then, tumor volume (V) of each nodule was automatically measured using commercially available CADv software. To compare dose reduction capability for each reconstruction method at both phases, mean differences between measured V and standard references were compared by Tukey's honestly significant difference test among the four different reconstruction methods on CT obtained at each of the four tube currents. RESULTS: With each of the tube currents, SNRs for MBIR and DLR were significantly higher than those for FBP and hybrid-type IR (p < 0.05). At the arterial phase, the mean difference in V for the CT protocol obtained at 600 or 100 mA and reconstructed with DLR was significantly smaller than that for others (p < 0.05). At the portal-venous phase, the mean differences in V for the CT protocol obtained at 100 mA and reconstructed with hybrid-type IR, MBIR, and DLR were significantly smaller than that for FBP (p < 0.05). CONCLUSIONS: Findings of our phantom study show that reconstruction method had influence on CADv merits for abdominal CT with not only standard but also reduced dose examinations and that DLR can potentially yield better image quality and CADv measurements than FBP, hybrid-type IR, or MBIR in this setting.

PURPOSE: The purpose of this study was to determine the capability of proton density with fat fraction (PD-FFQ) imaging to help assess hematopoietic ability and diagnose aplastic anemia in adults. METHODS: Between January 2021 and March 2023, patients diagnosed with aplastic anemia (AA: n = 14) or myelodysplastic syndrome (MDS: n = 14) were examined by whole-body PD-FFQ imaging, and 14 of 126 age and gender matched patients who had undergone the same PD-FFQ imaging were selected as control group. All proton density fat fraction (PDFF) index evaluations were then performed by using regions of interest (ROIs). Pearson's correlation was used to determine the relationship between blood test results and each quantitative index, and ROC-based positive test and discrimination analyses to compare capability to differentiate the AA from the non-AA group. Finally, sensitivity, specificity and accuracy of all quantitative indexes were compared by means of McNemar's test. RESULTS: Mean PDFF, standard deviation (SD) and percentage of coefficient of variation (%CV) for vertebrae showed significant correlation with blood test results (-0.52 ≤ r ≤ -0.34, p < 0.05). Specificity (SP) and accuracy (AC) of %CV of PDFF in vertebrae were significantly higher than those of mean PDFF in vertebrae and the posterior superior iliac spine (SP: p = 0.0002, AC: p = 0.0001) and SD of PDFF in vertebrae (SP: p = 0.008, AC: p = 0.008). Moreover, AC of SD of PDFF in vertebrae was significantly higher than that of mean PDFF in vertebrae and the posterior superior iliac spine (p = 0.03). CONCLUSION: Whole-body PD-FFQ imaging is useful for hematopoietic ability assessment and diagnosis of aplastic anemia in adults.

BACKGROUND: We aimed to determine the capabilities of compressed sensing (CS) and deep learning reconstruction (DLR) with those of conventional parallel imaging (PI) for improving image quality while reducing examination time on female pelvic 1.5-T magnetic resonance imaging (MRI). METHODS: Fifty-two consecutive female patients with various pelvic diseases underwent MRI with T1- and T2-weighted sequences using CS and PI. All CS data was reconstructed with and without DLR. Signal-to-noise ratio (SNR) of muscle and contrast-to-noise ratio (CNR) between fat tissue and iliac muscle on T1-weighted images (T1WI) and between myometrium and straight muscle on T2-weighted images (T2WI) were determined through region-of-interest measurements. Overall image quality (OIQ) and diagnostic confidence level (DCL) were evaluated on 5-point scales. SNRs and CNRs were compared using Tukey's test, and qualitative indexes using the Wilcoxon signed-rank test. RESULTS: SNRs of T1WI and T2WI obtained using CS with DLR were higher than those using CS without DLR or conventional PI (p < 0.010). CNRs of T1WI and T2WI obtained using CS with DLR were higher than those using CS without DLR or conventional PI (p < 0.003). OIQ of T1WI and T2WI obtained using CS with DLR were higher than that using CS without DLR or conventional PI (p < 0.001). DCL of T2WI obtained using CS with DLR was higher than that using conventional PI or CS without DLR (p < 0.001). CONCLUSION: CS with DLR provided better image quality and shorter examination time than those obtainable with PI for female pelvic 1.5-T MRI. RELEVANCE STATEMENT: CS with DLR can be considered effective for attaining better image quality and shorter examination time for female pelvic MRI at 1.5 T compared with those obtainable with PI. KEY POINTS: Patients underwent MRI with T1- and T2-weighted sequences using CS and PI. All CS data was reconstructed with and without DLR. CS with DLR allowed for examination times significantly shorter than those of PI and provided significantly higher signal- and CNRs, as well as OIQ.