{"title":"A Study on Stoke Volume and Ejection Fraction Change according to Threshold Setting of Heart Volumetry","authors":"Han-na Yoo, Eun-Ju Lee, Yeong-Ran Kim, S. Park","doi":"10.31320/jksct.2022.24.2.11","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.2.11","url":null,"abstract":"This study was based on the threshold-based volume cut method designed to measure the volume of the heart most accurately. The purpose of this study was to find out the changes in stroke volume (SV) and ejection fraction (EF) values according to the threshold change. Among the patients under the age of 15 who underwent the heart volumetric computed tomography (CT) examination in this hospital for one year from January to December 2020, 68 patients under the age of 15 were targeted. The SV and the EF according to the threshold value weight were calculated and compared through the data. The volume of the ventricle measured by applying weights from the existing threshold value became smaller as the ratio of the applied value increased from 10%. When 100% of the volume value was applied, the SV value of left ventricle calculated based on the value showed an average change of 43%, and the SV value of right ventricle showed an average change of 40.1%. EF showed a significant difference in all EF change values (EF 10% to EF 100%) in addition to the EF value obtained by the determined threshold. The setting of the threshold value that precedes the post-processing of cardiac volume CT has a great influence on the result value. As a result, diagnosis and treatment directions may vary, so it is considered that accurate segmentation criteria are needed.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127794663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jang-Woo Jo, H. Chae, Choong-Beom Seo, Eun-Hee Seo, Chang-min Dae, Tae-Eun Kim
{"title":"A Study on Image Quality and Dose of Coronary CT Angiography with ECG Window Acquisition Range Unit Conversion","authors":"Jang-Woo Jo, H. Chae, Choong-Beom Seo, Eun-Hee Seo, Chang-min Dae, Tae-Eun Kim","doi":"10.31320/jksct.2022.24.2.21","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.2.21","url":null,"abstract":"The purpose of this study was to evaluate radiation dose and image quality compared to those of the relative delay scan when using an absolute delay scan after converting the ECG window acquisition unit in coronary CT angiography. We used chest phantom and ECG simulator through the phantom study. Patient study was conducted on 90 sinus rhythm patients and 76 atrial fibrillation patients. The absolute delay scan was performed after unit conversion based on the average heart rate. After setting the region of interest, quantitative evaluation of image quality was made, qualitative evaluation was made by two observers. The dose was evaluated using the CTDIvol and DLP. There were no significant differences in quantitative values in terms of the phantom study. At an irregular heart rate 79, the CTDIvol of the experimental group decreased by 18% compared to the control group, the DLP decreased by 17.4% compared to the control group.(P<0.05) As a result of patient study, there were no significant differences in quantitative values in terms of the patient study. The CTDIvol of the artrial fibrillation experimental group decreased by 33% compared to the control group, the DLP decreased by 30% compared to the control group.(P<0.05) As a result, when examining coronary CT angiography of patients with atrial fibrillation, it will help reduce the patient’s dose without affecting the image quality if the scan range is set after converting the ECG window acquisition unit to milliseconds based on the average heart rate.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127134313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative Evaluation of CT Angiography Images Applied with CE-BOOST","authors":"Gi-Jin Kwon, Soo-Yeong Lee, Seul-Bi Lee, Sang-Hyeon Jeon, Seong-Su Shin, Sang-Heon Jang, P. Jeon","doi":"10.31320/jksct.2022.24.2.43","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.2.43","url":null,"abstract":"With the rapid development of image processing technology using Deep Learning Reconstruction (DLR), Contrast Enhancement Boost Technique (CE-Boost) was developed using a subtraction technique for contrast-enhanced images. In this study, CE-Boost was applied to CT angiography (CTA) to conduct quantitative evaluation. Lower extremity, neck and abdominal angiography images from 60 people quantitatively analyzed the difference between conventional enhanced image and CE-Boost image quality by measuring signal to noise ratio (SNR), noise and contrast to noise ratio (CNR) values. When CE-Boost technology was applied to CTA, Noise was reduced and SNR and CNR values were increased by more than 50% compared to conventional images. CE-Boost reduces noise, increases SNR and CNR values in CTA, and helps improve overall image quality.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114396390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mun-Seong Kwon, H. Yu, Chang-Seop Oh, Min Lee, Yong-Sik Bang, Hyeon-Seok Han
{"title":"Usefulness Assessment of Virtual Monochromatic Image using Dual Layer Detector CT in Head & Neck Computed Tomography","authors":"Mun-Seong Kwon, H. Yu, Chang-Seop Oh, Min Lee, Yong-Sik Bang, Hyeon-Seok Han","doi":"10.31320/jksct.2022.24.2.1","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.2.1","url":null,"abstract":"Among the many functions of dual-energy computed tomography (CT), virtual monochromatic images provide various diagnostic values compared to conventional iterative reconstruction images, such as increasing visualization of intravascular iodine or reducing beam hardening artifact according to monochromatic image level. The optimal monochromatic image level for diagnosis differs for each applied anatomical site, In the neck CT protocol, we intend to find the optimal level of virtual monochromatic images for diagnosis through quantitative methods. We retrospectively studied 33 patients performed on dual layer detector type IQon Spectral CT (Philips, Amsterdam, Netherlands). The evaluation site was designated as the common carotid artery, internal jugular vein, sternocleidomastoid muscle, submandibular glands, and thyroid glands. As an indicator of image evaluation, the contrast-to-noise ratio (CNR) formula set against the background of sternocleido-mastoid muscle and signal-to-noise ratio (SNR) was used. The IMR and iDose iterative reconstruction images and the monochromatic Images 40 keV to 100 keV with the images at intervals of 10 keV were compared. After the normality test of the data was performed to check whether there was a significant difference in the mean of the comparative images, the Friedman test, a nonparametric response sample test, was performed, and all data were significantly different from each other. As a result of the experiment, SNR and CNR were measured the highest in the monochromatic 40 keV image of all evaluation sites except the sternocleido-mastoid muscle. Monochromatic 40 keV image is expected to help diagnose by providing better image quality and higher contrast in quantitative terms than the iterative reconstruction images used in existing clinical trials, and provides the possibility of reducing the amount of contrast medium used in the study.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123313135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Woong-Jin Keum, Moo-geon Kim, Ju-Wan Hong, Yung-kyoon Kim
{"title":"A Study on Spatial Resolution according to Composition Material of ACR phantom in MDCT","authors":"Woong-Jin Keum, Moo-geon Kim, Ju-Wan Hong, Yung-kyoon Kim","doi":"10.31320/jksct.2022.24.2.35","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.2.35","url":null,"abstract":"The modulation transfer function (MTF) is well known as a crucial parameter in quality assurance of computed tomography (CT) scanners that provides detailed information of both contrast and resolution of CT images. In this study, modulation transfer function (MTF) of multi-detector computed tomography (MDCT) was evaluated by changing the substance of phantom and the measurement parameters. The analysis of MTF gives following results: 1) Bone (the highest contrast material) and air (the lowest contrast material) exhibited variance by 0.030 lp/cm at MTF(50%). 2) In addition, slice thickness of 1.25-mm and 10.0-mm exhibited 0.110 lp/cm and 0.065 lp/cm at MTF(50%), respectively. 3) MTF (50%) showed 50.31% difference depending on the image reconstruction algorithm. Especially, bone algorithm showed higher MTF (50%) than standard algorithm by 26.69%. 4) In addition, the Full (360°) mode linear interpolation showed higher MTF (50%) than the Plus (540°) mode by 10.71%. For a accurate measurement of MTF while performing CT quality control, a phantom module which consists of diverse substance is required. Also, the optimal image which reflecting the size and shape of lesion can be obtained with a suitable scanning factor for diagnosis.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130260046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yupum Kim, Eun Young Choi, Sang-Heon Jeong, H. Jung, Yong-Sik Bang
{"title":"Effectiveness of Tube Voltage Selection of 70 kV in Abdominal Dual Energy CT Protocol","authors":"Yupum Kim, Eun Young Choi, Sang-Heon Jeong, H. Jung, Yong-Sik Bang","doi":"10.31320/jksct.2022.24.1.15","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.1.15","url":null,"abstract":"Recently, CT equipment has a dose modulation function that adjusts the dose to the patient. But, the dose is proportional to the tube voltage and changes with the square of the tube current. Therefore, reducing tube voltage rather than tube current has a greater effect on reducing radiation exposure. High tube voltage is used to improve image noise and contrast resolution. When high tube voltage is used, the surface dose is reduced, but the overall exposure dose is increased. So, the dose should be appropriately adjusted to the patient. Accordingly, research and attempts to obtain high-quality images with a small dose are continuously being conducted, the development of detectors and software performance are improving. Due to the improvement of CT equipment, 70 kV can be used for dual scan. In this study, the 70 kV, and 80 kV, 90 kV, 100 kV used in the conventional CT examination were compared and evaluated at the same dose. The study was conducted using ACR Phantom and KAGAKU Abdomen Phantom. CT number(HU), Noise, SNR, and CNR of each image were compared by quantitative evaluation, and CT number and noise level were evaluated by qualitative evaluation. As a result of comparison, using 70 kV obtained equivalent or better noise, CT number, SNR, and CNR than 80 kV, 90 kV, and 100 kV with the same CTDIvol. In conclusion, it is considered that diagnostically excellent image can be obtained with a small exposure dose by dual scan using 70 kV.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"268 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123111574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Yu, Han Kim, Changseok Oh, Min Lee, Yong-Sik Bang
{"title":"Comparison of Accuracy of Coronary Artery Calcium Score between Artificial Intelligence and Manual Method","authors":"H. Yu, Han Kim, Changseok Oh, Min Lee, Yong-Sik Bang","doi":"10.31320/jksct.2022.24.1.9","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.1.9","url":null,"abstract":"Agaston Score used as indicator of quantative coronary artery calcification is calculated manually by Human being. The accuracy of the values measured using artificial intelligence programs and the manual measurement method, which is an existing conventional method, was compared. The comparison of the average value of the results of 136 people using the initial version showed a statistically significant difference, and the results of 156 people using the upgraded version showed no statistically significant difference. In the case of initial version of the program, the accuracy of the division of the anatomical structure was poor, resulting in a difference in the result values. After that, in the case of the group using the improved version, the problem was improved, resulting in no statistically significant difference. It was possible to confirm accuracy and the possibility of development of deep learning based AI.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124782715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sung Kwan Kim, H. Chae, Choong-Beom Seo, Eun-Hee Seo, Chang-min Dae, Tae Eun Kim
{"title":"A Study on the Correlation of Left Atrial Volume Change according to Left Ventricular Contraction in Atrial Fibrillation","authors":"Sung Kwan Kim, H. Chae, Choong-Beom Seo, Eun-Hee Seo, Chang-min Dae, Tae Eun Kim","doi":"10.31320/jksct.2022.24.1.23","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.1.23","url":null,"abstract":"The purpose of this study was to increase accuracy and success rate of radiofrequency catheter ablation by analysis of left atrial volume change relative to left ventricular volume change and left atrial diameter change relative to left atrial volume change. 20 patients with normal heart rhythm were set as the control group, and 20 patients with diagnosed atrial fibrillation were set as the experimental group. The cardiac cycle was divided into 10 stages ranging from 0% to 90%, and left ventricular volume, left atrial volume, left atrial diameter, pulmonary vein diameter were measured for each group. the correlation between the left ventricular volume and the left atrial volume was analyzed, and the correlation between the left atrial volume and left atrial diameter was analyzed. The diameter of the pulmonary veins was measured. As a result of analyzing the correlation between left ventricular volume and left atrial volume through Spearman correlation, the control group showed a negative correlation.(P<0.001) The experimental group were not correlated.(P=0.075) As a result of analyzing the correlation between the left atrial volume and the left atrial diameter, both groups showed a positive correlation.(P<0.001) As a result of analyzing the diameter of the pulmonary vein by Wilcoxon signed-rank test, both groups showed a significant difference in the maximum diameter and the minimum diameter.(P<0.001) Because the volume and diameter of the left atrium in patients with atrial fibrillation change irregularly, the radiologist check all cardiac cycle and reconstruct to increase the accuracy and success rate of radiofrequency catheter ablation.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125264452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Usability Assessment of the Self-Produced Table for the Quality Control of Mobile CT","authors":"D. Jang, S. Choi, Dan-Bi Lee","doi":"10.31320/jksct.2022.24.1.1","DOIUrl":"https://doi.org/10.31320/jksct.2022.24.1.1","url":null,"abstract":"Since there are no tables customized for mobile CT examinations, it is difficult to place the AAPM phantom to the isocenter during the quality control. This produced a phantom table for the quality control of Mobile CT, assessing its utility through conducting a quantitative evaluation through CNR value comparison between with and without the use of the table on low contrast resolution images among 20 phantom images evaluation, along with a qualitative assessment conducted on the scale of 1 to 5 by 5 quality control operators. \u0000The obtained average CNR values from low contrast resolution images in the order of the table being used and not used are -0.01069 ± 0.00149 vs -0.01485 ± 0.00208, -0.01277 ± 0.00131 vs -0.01526 ± 0.00215, -0.01419 ± 0.00144 vs -0.01671 ± 0.00277, -0.01651 ± 0.00140 vs -0.01836 ± 0.00199, -0.01542 ± 0.0188 vs -0.01836 ± 0.00199 from A-row, -0.01132 ± 0.00134 vs -0.01300 ± 0.00222, -0.1202 ± 0.00129 vs -0.01369 ± 0.00145, -0.001391 ± 0.00163 vs -0.01460 ± 0.00139, -0.01607 ± 0.00185 vs -0.01683 ± 0.00182, -0.01502 ± 0.00170 vs -0.01656 ± 0.00125 from B-row, indicating higher absolute values of CNR when the table is being used than not being used, which corresponds to more suitable images. Furthermore, the average score of all items in qualitative assessment has increased from 3.64 to 4.24, suggesting statistically significant margin of increase especially on the items of efficiency and the quality of images. In conclusion, placing the phantom on a more accurate isocenter through the exploitation of the table produced through this research provides phantom images with higher quality along with the decrease of unnecessary efforts from the operators.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124577566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of 3D Printing Material and Thickness on CT Image Quality and Shielding","authors":"Dae-Yeon Ryu, Sang Hyub Park","doi":"10.31320/jksct.2021.24.1.37","DOIUrl":"https://doi.org/10.31320/jksct.2021.24.1.37","url":null,"abstract":"In order to proceed with an accurate CT examination and to prevent unnecessary exposure during CT examination, the need for an appropriate fixing device and shielding device is required. In this study, 3D printing technology, a next-generation technology, is applied to radiation science to investigate the effect on CT images and shielding effects through filaments that can be easily obtained using a general 3D printer of the melt-stacking modeling method. Using a 3D printer, a phantom made of four materials: PLA (Poly Lactic Acid), Bronze, Carbon, and eSteel was produced cylindrical shape. Statistical analysis was performed using a non-parametric test method, and the significance level (α) was set to 0.05 (5%). As a result of the measurement, the PLA filament material had the least effect on the CT image quality. After placing the dosimeter inside the phantom, when the shielding rate was measured for each material through scanning, the eSteel material had the highest shielding rate and showed a shielding rate equivalent to or higher than that of the lead shielding device currently used in clinical practice.","PeriodicalId":272693,"journal":{"name":"Korean Society of Computed Tomographic Technology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130007929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}