ISSN 1004-4140
    CN 11-3017/P

    双能锥束CT在人体前臂与口腔模体中定量性能与金属伪影抑制研究

    Quantitative Performance and Metal Artifact Reduction of Dual-Energy Cone Beam CT in Human Forearm and Dental Phantom

    • 摘要: 传统单能锥形束计算机断层扫描(CT)成像只能提供结构信息,定量计算性能较差。如果待扫描物体内部有金属植入物等高密度物质,单能锥束CT重建图中会存在明显的金属伪影,影响临床诊断。本文使用两个双能锥束CT系统扫描人体前臂和带有金属植入物的口腔模体,利用单源序列扫描和千伏切换的方式实现能谱锥束CT成像。通过对比单能锥束CT重建图像和能谱锥束CT重建图像验证了能谱锥束CT具有良好的定量计算性能和金属伪影抑制效果。在人体前臂模型不同浓度的羟基磷灰石(HA)区域,能谱CT成像骨密度定量计算误差均可达1%以内。在高能量下的虚拟单能图像中,金属伪影导致的不均匀性偏差从接近600 亨斯菲尔德单位(HU)降至20HU以内。本工作证明了能谱锥束CT在定量计算和金属伪影抑制中的良好性能,可为后续临床应用提供参考。

       

      Abstract: Traditional single-energy cone-beam computed tomography (CT) imaging could provide only structural information and retains poor quantitative calculation performance. If the scanned object contains high-density materials (e.g., metal implants), significant metal artifacts would appear in the single-energy cone-beam CT reconstructed images, affecting clinical diagnosis. In this study, we used two dual-energy cone-beam CT systems to scan a human forearm and a dental phantom with metal implants, achieving spectral cone-beam CT imaging through single-source sequential scanning and kilovoltage switching. By comparing the single-energy cone-beam CT reconstructed images with the spectral cone-beam CT reconstructed images, we verified that spectral cone-beam CT exhibits good quantitative calculation performance and metal artifact reduction effects. In regions of the human forearm model with different hydroxyapatite (HA) concentrations, spectral CT imaging bone density quantitative calculation error could remain within 1 %. In virtual monoenergetic images at high energy levels, the metal artifact-induced non-uniformity could be reduced from nearly 600 Hounsfield Units (HU) to within 20 HU. This study demonstrates the excellent performance of spectral cone-beam CT in quantitative calculation and metal artifact reduction, providing a reference for subsequent clinical applications.

       

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