RESUMO
Modern computed tomography systems allow volume imaging of the heart. Up to now, approximately two-dimensional (2D) and 3D algorithms based on filtered backprojection are used for the reconstruction. These algorithms become more sensitive to artifacts when the cone angle of the x-ray beam increases as it is the current trend of computed tomography (CT) technology. In this paper, we investigate the potential of iterative reconstruction based on the algebraic reconstruction technique (ART) for helical cardiac cone-beam CT. Iterative reconstruction has the advantages that it takes the cone angle into account exactly and that it can be combined with retrospective cardiac gating fairly easily. We introduce a modified ART algorithm for cardiac CT reconstruction. We apply it to clinical cardiac data from a 16-slice CT scanner and compare the images to those obtained with a current analytical reconstruction method. In a second part, we investigate the potential of iterative reconstruction for a large area detector with 256 slices. For the clinical cases, iterative reconstruction produces excellent images of diagnostic quality. For the large area detector, iterative reconstruction produces images superior to analytical reconstruction in terms of cone-beam artifacts.
Assuntos
Miocárdio/patologia , Intensificação de Imagem Radiográfica/métodos , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Tomografia Computadorizada por Raios X/métodos , Algoritmos , Volume Cardíaco , Humanos , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional , Modelos Estatísticos , Modelos Teóricos , Imagens de Fantasmas , Software , Fatores de TempoRESUMO
Retrospectively gated cardiac volume CT imaging has become feasible with the introduction of heart rate adaptive cardiac CT reconstruction algorithms. The development in detector technology and the rapid introduction of multi-row detectors has demanded reconstruction schemes which account for the cone geometry. With the extended cardiac reconstruction (ECR) framework, the idea of approximate helical cone beam CT has been extended to be used with retrospective gating, enabling heart rate adaptive cardiac cone beam reconstruction. In this contribution, the ECR technique is evaluated for systems with an increased number of detector rows, which leads to larger cone angles. A simulation study has been carried out based on a 4D cardiac phantom consisting of a thorax model and a dynamic heart insert. Images have been reconstructed for different detector set-ups. Reconstruction assessment functions have been calculated for the detector set-ups employing different rotation times, relative pitches and heart rates. With the increased volume coverage of large area detector systems, low-pitch scans become feasible without resulting in extensive scan times, inhibiting single breath hold acquisitions. ECR delivers promising image results when being applied to systems with larger cone angles.
Assuntos
Algoritmos , Coração/diagnóstico por imagem , Imageamento Tridimensional/métodos , Intensificação de Imagem Radiográfica/instrumentação , Interpretação de Imagem Radiográfica Assistida por Computador/instrumentação , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Tomografia Computadorizada Espiral/instrumentação , Transdutores , Eletrocardiografia/métodos , Desenho de Equipamento , Análise de Falha de Equipamento , Estudos de Viabilidade , Imageamento Tridimensional/instrumentação , Movimento , Imagens de Fantasmas , Intensificação de Imagem Radiográfica/métodos , Tomografia Computadorizada Espiral/métodosRESUMO
The recent improvements in CT detector and gantry technology in combination with new heart rate adaptive cone beam reconstruction algorithms enable the visualization of the heart in three dimensions at high spatial resolution. However, the finite temporal resolution still impedes the artifact-free reconstruction of the heart at any arbitrary phase of the cardiac cycle. Cardiac phases must be found during which the heart is quasistationary to obtain outmost image quality. It is challenging to find these phases due to intercycle and patient-to-patient variability. Electrocardiogram (ECG) information does not always represent the heart motion with an adequate accuracy. In this publication, a simple and efficient image-based technique is introduced which is able to deliver stable cardiac phases in an automatic and patient-specific way. From low-resolution four-dimensional data sets, the most stable phases are derived by calculating the object similarity between subsequent phases in the cardiac cycle. Patient-specific information about the object motion can be determined and resolved spatially. This information is used to perform optimized high-resolution reconstructions at phases of little motion. Results based on a simulation study and three real patient data sets are presented. The projection data were generated using a 16-slice cone beam CT system in low-pitch helical mode with parallel ECG recording.
Assuntos
Algoritmos , Coração/diagnóstico por imagem , Imageamento Tridimensional/métodos , Reconhecimento Automatizado de Padrão/métodos , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Técnica de Subtração , Tomografia Computadorizada Espiral/métodos , Artefatos , Eletrocardiografia/métodos , Coração/fisiologia , Humanos , Movimento , Intensificação de Imagem Radiográfica/métodos , Reprodutibilidade dos Testes , Estudos Retrospectivos , Sensibilidade e EspecificidadeRESUMO
Cone beam computed tomography scanners in combination with heart rate adaptive reconstruction schemes have the potential to enable cardiac volumetric computed tomography (CT) imaging for a larger number of patients and applications. In this publication, an adaptive scheme for the automatic and patient-specific reconstruction optimization is introduced to improve the temporal resolution and image quality. The optimization method permits the automatic determination of the required amount of gated helical cone beam projection data for the reconstruction volume. It furthermore allows one to optimize subvolume reconstruction yielding an increased temporal resolution. In addition, methods for the assessment of the temporal resolution are given which enable a quantitative documentation of the reconstruction improvements. Results are presented for patient data sets acquired in low pitch helical mode using a 16-slice cone beam CT system with parallel ECG recording.
Assuntos
Algoritmos , Ecocardiografia Tridimensional/métodos , Imageamento Tridimensional/métodos , Intensificação de Imagem Radiográfica/métodos , Humanos , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
In modern computer tomography (CT) systems, the fast rotating gantry and the increased detector width enable 3D imaging of the heart. Cardiac volume CT has a high potential for non-invasive coronary angiography with high spatial resolution and short scan time. Due to the increased detector width, true cone beam reconstruction methods are needed instead of adapted 2D reconstruction schemes. In this paper, the extended cardiac reconstruction method is introduced. It integrates the idea of retrospectively gated cardiac reconstruction for helical data acquisition into a cone beam reconstruction framework. It leads to an efficient and flexible algorithmic scheme for the reconstruction of single- and multi-phase cardiac volume datasets. The method automatically adapts the number of cardiac cycles used for the reconstruction. The cone beam geometry is fully taken into account during the reconstruction process. Within this paper, results are presented on patient datasets which have been acquired using a 16-slice cone beam CT system.
Assuntos
Eletrocardiografia/métodos , Coração/diagnóstico por imagem , Imageamento Tridimensional/métodos , Intensificação de Imagem Radiográfica/métodos , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Tomografia Computadorizada Espiral/métodos , Algoritmos , Humanos , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
The electronic properties of the lithium intercalated layered transition metal dichalcogenide semiconductors ZrS(x)Se(2-x) for x = 0-2 have been calculated by density functional theory (DFT) using the WIEN2k code. The calculations have been carried out by the PBE functional and the TB-MBJ potential as proposed by Tran and Blaha. The calculations have been performed with and without spin-orbit coupling and reveal that the intercalation of lithium causes the conduction bands of LiZrS(x)Se(2-x) to shift by about 2 eV towards lower binding energy. From this, a Fermi level crossing and metallic behavior in the three intercalated compounds result. Moreover, a number of trends can be observed. Due to the contributions of the dichalcogenide p-states in the valence band the inclusion of SO coupling in the calculations lifts the degeneracy at the points Γ and A of the Brillouin zone in the same way as in the parent compounds. With regard to crystal field effects for each compound the splitting is larger at the A point than at the Γ point and the absolute value of the splitting increases with the atomic number of the chalcogenide. In particular, the simple Fermi surface consisting solely of barrels centered along the LML line makes LiZrS(x)Se(2-x) a promising Fermi liquid reference compound.