Reduction of Metal Artifact with Dual-Energy CT: Virtual Monospectral Imaging with Fast Kilovoltage Switching and Metal Artifact Reduction Software

Autor: Jean-Michel Sverzut, Raphaël Campagna, Antoine Feydy, Eric Pessis, Henri Guerini, Jean-Luc Drapé
Rok vydání: 2015
Předmět:
Zdroj: Seminars in Musculoskeletal Radiology. 19:446-455
ISSN: 1098-898X
1089-7860
DOI: 10.1055/s-0035-1569256
Popis: Imaging of patients with metal implants is a common activity for radiologists, and overcoming metal artifacts during computed tomography (CT) is still a challenge. Virtual monochromatic spectral (VMS) imaging with dual-energy CT has been reported to reduce beam-hardening metal artifact effectively. Dual-energy CT allows the synthesis of VMS images. Monochromatic images depict how the imaged object would look if the X-ray source produced X-ray photons at only a single-energy level. For this reason, VMS imaging improve image quality by reducing beam-hardening artifacts. Additional metal artifact reduction postprocessing such as metal artifact reduction software can be applied to improve the visualization of the bone-prosthesis interface, periprosthetic areas, and soft tissue near and far from the metal implant. This article summarizes how virtual monochromatic images are synthesized from dual-energy CT, and it describes and illustrates our clinical experience with a single-source dual-energy scanner with fast kilovoltage switching to reduce beam hardening in patients with metal implants.
Databáze: OpenAIRE