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Research ArticleHEAD & NECK

Temporal Bone CT: Improved Image Quality and Potential for Decreased Radiation Dose Using an Ultra-High-Resolution Scan Mode with an Iterative Reconstruction Algorithm

S. Leng, F.E. Diehn, J.I. Lane, K.K. Koeller, R.J. Witte, R.E. Carter and C.H. McCollough
American Journal of Neuroradiology September 2015, 36 (9) 1599-1603; DOI: https://doi.org/10.3174/ajnr.A4338
S. Leng
aFrom the Departments of Radiology (S.L., F.E.D., J.I.L, K.K.K., R.J.W., C.H.M.)
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F.E. Diehn
aFrom the Departments of Radiology (S.L., F.E.D., J.I.L, K.K.K., R.J.W., C.H.M.)
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J.I. Lane
aFrom the Departments of Radiology (S.L., F.E.D., J.I.L, K.K.K., R.J.W., C.H.M.)
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K.K. Koeller
aFrom the Departments of Radiology (S.L., F.E.D., J.I.L, K.K.K., R.J.W., C.H.M.)
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R.J. Witte
aFrom the Departments of Radiology (S.L., F.E.D., J.I.L, K.K.K., R.J.W., C.H.M.)
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R.E. Carter
bHealth Sciences Research, Division of Biomedical Statistics and Informatics (R.E.C.), Mayo Clinic, Rochester, Minnesota.
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C.H. McCollough
aFrom the Departments of Radiology (S.L., F.E.D., J.I.L, K.K.K., R.J.W., C.H.M.)
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    Fig 1.

    Spatial resolution scores for images in the axial, coronal, and Poschl planes, averaged across individual structures in each imaging plane. The scale assessed UHR-IR images relative to zUHR images: 1 = inferior resolution with degraded visualization, 2 = slightly inferior resolution without affecting visualization; 3 = equivalent, 4 = slightly superior resolution without affecting visualization, 5 = superior resolution with improved visualization. The means are shown as lined bars, with the value above each bar. Statistical significance was determined with the Wilcoxon signed rank test.

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    Fig 2.

    Comparison of spatial resolution of the round window. Representative axial CT images of the round window of the same patient scanned with the zUHR technique (A) and UHR-IR technique (B). The UHR-IR technique produced superior spatial resolution and lower image noise.

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    Fig 3.

    Comparison of the spatial resolution of the incudomallear joint. Representative axial images of the incudomallear joint of the same patient scanned with the zUHR technique (A) and UHR-IR technique (B). The UHR-IR technique produced superior spatial resolution and lower image noise.

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    Fig 4.

    Lower image noise in images acquired with UHR-IR. Image noise was measured at the posterior fossa in axial images from each of the 13 datasets by using the zUHR and UHR-IR techniques.

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    Fig 5.

    Spatial resolution and image noise in images from a representative patient. Axial (A and B) and coronal (C and D) CT images of the same patient scanned with the zUHR technique (A and C) and UHR-IR technique (B and D). Substantial noise reduction was achieved by using the UHR-IR technique.

Tables

  • Figures
  • Spatial resolution scores and P values

    Round WindowIncudomallear JointBasal Turn Spiral LaminaOval WindowScutumIncudostapedial Joint
    Mean score4.054.052.693.713.533.38
    P value<.001<.001.0083.0011.0037.0248
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American Journal of Neuroradiology: 36 (9)
American Journal of Neuroradiology
Vol. 36, Issue 9
1 Sep 2015
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Temporal Bone CT: Improved Image Quality and Potential for Decreased Radiation Dose Using an Ultra-High-Resolution Scan Mode with an Iterative Reconstruction Algorithm
S. Leng, F.E. Diehn, J.I. Lane, K.K. Koeller, R.J. Witte, R.E. Carter, C.H. McCollough
American Journal of Neuroradiology Sep 2015, 36 (9) 1599-1603; DOI: 10.3174/ajnr.A4338

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Temporal Bone CT: Improved Image Quality and Potential for Decreased Radiation Dose Using an Ultra-High-Resolution Scan Mode with an Iterative Reconstruction Algorithm
S. Leng, F.E. Diehn, J.I. Lane, K.K. Koeller, R.J. Witte, R.E. Carter, C.H. McCollough
American Journal of Neuroradiology Sep 2015, 36 (9) 1599-1603; DOI: 10.3174/ajnr.A4338
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