Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study

The aim of this study was to investigate the use of de-blooming algorithm in coronary CT angiography (CCTA) for optimal evaluation of calcified plaques. Calcified plaques were simulated on a coronary vessel phantom and a cardiac motion phantom. Two convolution kernels, standard (STND) and high-defin...

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Main Authors: Li, P., Xu, L., Yang, L., Wang, R., Hsieh, J., Sun, Zhonghua, Fan, Z., Leipsic, J.
Format: Journal Article
Published: Nature Publishing Group 2018
Online Access:http://hdl.handle.net/20.500.11937/67860
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author Li, P.
Xu, L.
Yang, L.
Wang, R.
Hsieh, J.
Sun, Zhonghua
Fan, Z.
Leipsic, J.
author_facet Li, P.
Xu, L.
Yang, L.
Wang, R.
Hsieh, J.
Sun, Zhonghua
Fan, Z.
Leipsic, J.
author_sort Li, P.
building Curtin Institutional Repository
collection Online Access
description The aim of this study was to investigate the use of de-blooming algorithm in coronary CT angiography (CCTA) for optimal evaluation of calcified plaques. Calcified plaques were simulated on a coronary vessel phantom and a cardiac motion phantom. Two convolution kernels, standard (STND) and high-definition standard (HD STND), were used for imaging reconstruction. A dedicated de-blooming algorithm was used for imaging processing. We found a smaller bias towards measurement of stenosis using the deblooming algorithm (STND: bias 24.6% vs 15.0%, range 10.2% to 39.0% vs 4.0% to 25.9%; HD STND: bias 17.9% vs 11.0%, range 8.9% to 30.6% vs 0.5% to 21.5%). With use of de-blooming algorithm, specificity for diagnosing significant stenosis increased from 45.8% to 75.0% (STND), from 62.5% to 83.3% (HD STND); while positive predictive value (PPV) increased from 69.8% to 83.3% (STND), from 76.9% to 88.2% (HD STND). In the patient group, reduction in calcification volume was 48.1 ± 10.3%, reduction in coronary diameter stenosis over calcified plaque was 52.4 ± 24.2%. Our results suggest that the novel de-blooming algorithm could effectively decrease the blooming artifacts caused by coronary calcified plaques, and consequently improve diagnostic accuracy of CCTA in assessing coronary stenosis.
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spelling curtin-20.500.11937-678602020-04-30T01:54:36Z Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study Li, P. Xu, L. Yang, L. Wang, R. Hsieh, J. Sun, Zhonghua Fan, Z. Leipsic, J. The aim of this study was to investigate the use of de-blooming algorithm in coronary CT angiography (CCTA) for optimal evaluation of calcified plaques. Calcified plaques were simulated on a coronary vessel phantom and a cardiac motion phantom. Two convolution kernels, standard (STND) and high-definition standard (HD STND), were used for imaging reconstruction. A dedicated de-blooming algorithm was used for imaging processing. We found a smaller bias towards measurement of stenosis using the deblooming algorithm (STND: bias 24.6% vs 15.0%, range 10.2% to 39.0% vs 4.0% to 25.9%; HD STND: bias 17.9% vs 11.0%, range 8.9% to 30.6% vs 0.5% to 21.5%). With use of de-blooming algorithm, specificity for diagnosing significant stenosis increased from 45.8% to 75.0% (STND), from 62.5% to 83.3% (HD STND); while positive predictive value (PPV) increased from 69.8% to 83.3% (STND), from 76.9% to 88.2% (HD STND). In the patient group, reduction in calcification volume was 48.1 ± 10.3%, reduction in coronary diameter stenosis over calcified plaque was 52.4 ± 24.2%. Our results suggest that the novel de-blooming algorithm could effectively decrease the blooming artifacts caused by coronary calcified plaques, and consequently improve diagnostic accuracy of CCTA in assessing coronary stenosis. 2018 Journal Article http://hdl.handle.net/20.500.11937/67860 10.1038/s41598-018-25352-5 http://creativecommons.org/licenses/by/4.0/ Nature Publishing Group fulltext
spellingShingle Li, P.
Xu, L.
Yang, L.
Wang, R.
Hsieh, J.
Sun, Zhonghua
Fan, Z.
Leipsic, J.
Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study
title Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study
title_full Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study
title_fullStr Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study
title_full_unstemmed Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study
title_short Blooming Artifact Reduction in Coronary Artery Calcification by A New De-blooming Algorithm: Initial Study
title_sort blooming artifact reduction in coronary artery calcification by a new de-blooming algorithm: initial study
url http://hdl.handle.net/20.500.11937/67860