A method to measure slice sensitivity profiles of CT images under low-contrast and high-noise conditions.

Noise reduction features of iterative reconstruction (IR) methods in computed tomography might accompany the sacrifice of the longitudinal resolution, or slice sensitivity profile (SSP), at low contrast-to-noise ratio (CNR) conditions. To assess the benefit of IR methods correctly, the difference of SSP between IR methods and filtered-backprojection (FBP) must be taken into account. Therefore, SSP measurement under low-CNR conditions is necessary. Although edge methods are predominantly used, their performance under low-CNR conditions appears to be not fully established. We developed a method that is compatible with extremely low-CNR conditions. Thin plastic disk-shaped sheets embedded in acrylic resin were used as low-contrast test objects. The lowest peak contrast used was approximately 17 [HU]. We assessed the performance of our method by using FBP images. We identified a source of measurement instability aside from noise: the measured thin-slice SSP is dependent on the orbital phase of helical scan, presumably because of cone-beam artifacts. This impediment to high accuracy is manageable using phase-controlled scans. We confirmed that table position repeatability is much better than the value of the specifications, and therefore the ensemble-averaged images of multiple scans can be used for SSP measurement. Accurate measurement of SSP under extremely low-CNR conditions is possible, even when the test object is visually indiscernible from the noisy background. Low-contrast SSP behavior is elucidated for IR methods (AIDR-3D, FIRST, and AiSR-V) by using this measurement method.

Tilted-wire method for measuring resolution properties of CT images under extremely low-contrast and high-noise conditions.

Edge methods are predominantly used for modulation transfer function (MTF) measurements in computed tomography (CT) images reconstructed using iterative methods. However, edge methods employ a relatively large and distinct test object, which is intended to simulate relatively large and distinct clinical organs. If one wants to assess the image quality of a small low-contrast object that is visually indistinct against a noisy background, a small and indistinct test object is desired. Another concern is that information related to the signal amount is discarded during MTF measurements. Choosing a weak impulse as the ultimately small test object, we have developed a tilted-wire method, which is a type of point spread function (PSF) method compatible with extremely low contrast-to-noise ratio (CNR) conditions. The signal amount is measured as the PSF volume. We used two commercial CT systems to evaluate the measurement accuracy of the tilted-wire method. When ensemble-averaged images are used, one can measure the MTF even when the wire is indiscernible from noise. The measurement error under such conditions is a few percent for both the MTF and signal amount. We also applied the tilted-wire method to two hybrid iterative reconstruction methods, namely AIDR-3D and ASiR. The results show that the MTF of ASiR is completely CNR-dependent, but that of AIDR-3D is noise-dependent. The signal amount obtained with ASiR is unchanged from that obtained through filtered back-projection (FBP). The signal amount obtained with AIDR-3D is less than that obtained through FBP, depending on the noise level.