Utility of Second-generation Single-energy Metal Artifact Reduction in Helical Lung Computed Tomography for Patients with Pulmonary Arteriovenous Malformation After Coil Embolization

Overview

Journal Jpn J Radiol

Publisher Springer

Specialty Radiology

Date 2018 Feb 12

PMID 29429141

Citations 4

Authors

Yudai Asano

Akihiro Tada

Takayoshi Shinya

Yoshihisa Masaoka

Toshihiro Iguchi

Shuhei Sato

Susumu Kanazawa

Affiliations

Soon will be listed here.

Abstract

Purpose: The quality of images acquired using single-energy metal artifact reduction (SEMAR) on helical lung computed tomography (CT) in patients with pulmonary arteriovenous malformation (PAVM) after coil embolization was retrospectively evaluated.

Materials And Methods: CT images were reconstructed with and without SEMAR. Twenty-seven lesions [20 patients (2 males, 18 females), mean age 61.2 ± 11.0 years; number of embolization coils, 9.8 ± 5.0] on contrast-enhanced CT and 18 lesions of non-enhanced lung CT concurrently performed were evaluated. Regions of interest were positioned around the coils and mean standard deviation value was compared as noise index. Two radiologists visually evaluated metallic coil artifacts using a four-point scale: 4 = minimal; 3 = mild; 2 = strong; 1 = extensive.

Results: Noise index was significantly improved with SEMAR versus without SEMAR (median [interquartile range]; 194.4 [161.6-211.9] Hounsfield units [HU] vs. 243.9 [220.4-286.0] HU; p < 0.001). Visual score was significantly improved with SEMAR versus without SEMAR (Reader 1, 3 [3] vs.1 [1]; Reader 2, 3 [3] vs.1 [1]; p < 0.001). Significant differences were similarly demonstrated on lung CT (p < 0.001).

Conclusion: SEMAR provided clear chest CT images in patients who underwent PAVM coil embolization.

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