PT  - JOURNAL ARTICLE
AU  - M.M. Lell
AU  - H. Ditt
AU  - C. Panknin
AU  - J.W. Sayre
AU  - S.G. Ruehm
AU  - E. Klotz
AU  - B.F. Tomandl
AU  - J.P. Villablanca
TI  - Bone-Subtraction CT Angiography: Evaluation of Two Different Fully Automated Image-Registration Procedures for Interscan Motion Compensation
AID  - 10.3174/ajnr.A0558
DP  - 2007 Aug 01
TA  - American Journal of Neuroradiology
PG  - 1362--1368
VI  - 28
IP  - 7
4099  - http://www.ajnr.org/content/28/7/1362.short
4100  - http://www.ajnr.org/content/28/7/1362.full
SO  - Am. J. Neuroradiol.2007 Aug 01; 28
AB  - BACKGROUND AND PURPOSE: Bone-subtraction techniques have been shown to enhance CT angiography (CTA) interpretation, but motion can lead to incomplete bone removal. The aim of this study was to evaluate 2 novel registration techniques to compensate for patient motion.MATERIALS AND METHODS: Fifty-four patients underwent bone-subtraction CTA (BSCTA) for the evaluation of the neck vessels with 64-section CT. We tested 3 different registration procedures: pure rigid registration (BSCTA), slab-based registration (SB-BSCTA), and a partially rigid registration (PR-BSCTA) approach. Subtraction quality for the assessment of different vascular segments was evaluated by 2 examiners in a blinded fashion. The Cohen kappa test was applied for interobserver variability, and the Wilcoxon signed rank test, for differences between the procedures. Motion between the corresponding datasets was measured and plotted against image-quality scores.RESULTS: Algorithms with motion compensation revealed higher image-quality scores (SB-BSCTA, mean 4.31; PR-BSCTA, mean 4.43) than pure rigid registration (BSCTA, mean 3.88). PR-BSCTA was rated superior to SB-BSCTA for the evaluation of the cervical internal and external carotid arteries (P < .001), whereas there was no significant difference for the other vessels (P = .157–.655). Both algorithms were clearly superior to pure rigid registration for all vessels except the basilar and ophthalmic artery. Interobserver agreement was high (κ = 0.46–0.98).CONCLUSION: Bone-subtraction algorithms with motion compensation provided higher image-quality scores than pure rigid registration methods, especially in cases with complex motion. PR-BSCTA was rated superior to SB-BSCTA in the visualization of the internal and external carotid arteries.