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Purpose <p>To investigate vessel delineation and image quality of ultra-high-resolution (UHR) CT angiography (CTA) reconstructed using deep learning reconstruction (DLR) optimised for brain CTA (DLR-brain) in moyamoya disease (MMD), compared with DLR optimised for body CT (DLR-body) and hybrid iterative reconstruction (Hybrid-IR).</p> Materials and methods <p>This retrospective study included 50 patients with suspected or diagnosed MMD who underwent UHR brain CTA. All images were reconstructed using DLR-brain, DLR-body, and Hybrid-IR. Quantitative analysis focussed on moyamoya perforator vessels in the basal ganglia and periventricular anastomosis. For these small vessels, edge sharpness, peak CT number, vessel contrast, full width at half maximum (FWHM), and image noise were measured and compared. Qualitative analysis was performed by visual assessment to compare vessel delineation and image quality.</p> Results <p>DLR-brain significantly improved edge sharpness, peak CT number, vessel contrast, and FWHM, and significantly reduced image noise compared with DLR-body and Hybrid-IR (<i>P</i> &lt; 0.05). DLR-brain significantly outperformed the other algorithms in the visual assessment (<i>P</i> &lt; 0.001).</p> Conclusion <p>DLR-brain provided superior visualisation of small intracranial vessels compared with DLR-body and Hybrid-IR in UHR brain CTA.</p>

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Deep learning reconstruction for improved image quality of ultra-high-resolution brain CT angiography: application in moyamoya disease

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月29日

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  • Yongping Ma,
  • Satoshi Nakajima,
  • Yasutaka Fushimi,
  • Takeshi Funaki,
  • Sayo Otani,
  • Miyuki Takiya,
  • Akira Matsuda,
  • Satoshi Kozawa,
  • Yasuhiro Fukushima,
  • Sachi Okuchi,
  • Akihiko Sakata,
  • Takayuki Yamamoto,
  • Ryo Sakamoto,
  • Hideo Chihara,
  • Yohei Mineharu,
  • Yoshiki Arakawa,
  • Yuji Nakamoto

摘要

Purpose

To investigate vessel delineation and image quality of ultra-high-resolution (UHR) CT angiography (CTA) reconstructed using deep learning reconstruction (DLR) optimised for brain CTA (DLR-brain) in moyamoya disease (MMD), compared with DLR optimised for body CT (DLR-body) and hybrid iterative reconstruction (Hybrid-IR).

Materials and methods

This retrospective study included 50 patients with suspected or diagnosed MMD who underwent UHR brain CTA. All images were reconstructed using DLR-brain, DLR-body, and Hybrid-IR. Quantitative analysis focussed on moyamoya perforator vessels in the basal ganglia and periventricular anastomosis. For these small vessels, edge sharpness, peak CT number, vessel contrast, full width at half maximum (FWHM), and image noise were measured and compared. Qualitative analysis was performed by visual assessment to compare vessel delineation and image quality.

Results

DLR-brain significantly improved edge sharpness, peak CT number, vessel contrast, and FWHM, and significantly reduced image noise compared with DLR-body and Hybrid-IR (P < 0.05). DLR-brain significantly outperformed the other algorithms in the visual assessment (P < 0.001).

Conclusion

DLR-brain provided superior visualisation of small intracranial vessels compared with DLR-body and Hybrid-IR in UHR brain CTA.