用深硅光子计数CT定量肝脏脂肪:一项硅成像研究。

Radiology advances Pub Date : 2025-09-02 eCollection Date: 2025-09-01 DOI:10.1093/radadv/umaf031
Raj Kumar Panta, Zhye Yin, Fredrik Grönberg, Benjamin Wildman-Tobriner, Mridul Bhattarai, Ehsan Abadi, Paul Segars, Ehsan Samei
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引用次数: 0

摘要

背景:准确的肝脏脂肪定量对脂肪肝的早期诊断和有效治疗至关重要。目的:探讨目前正在开发的深硅基光子计数CT (dSi-PCCT)在计算机成像研究中使用人体模型进行肝脏脂肪定量的潜在临床应用。材料和方法:si - pcct是一种尖端的光子计数CT (GE HealthCare),在全球安装了几套研究系统,经IRB批准用于动物和人类志愿者成像,以支持FDA的审批。我们开发了一个dSi-PCCT模拟器,并对其成像性能进行了基准测试。我们使用腹部CT方案,对脂肪分数(FF)范围为0%至100%的计算Gammex幻影以及肝脏FF范围为1%至50%的五个XCAT人体模型进行了成像。利用材料分解(MD)技术对得到的谱图进行处理。我们从XCAT模型的单能量图像中计算了基于hu的质子密度脂肪分数(PDFF),并将其与md衍生的FF进行了比较。两个数据集的md衍生的FF根据数字定义的地面真值进行评估。结果:在Gammex和XCAT模型中,我们观察到md衍生的、基于hu的PDFF和基真FF之间有很强的相关性(r2 = 0.98)。Gammex与XCAT人体模型的FF定量精度无统计学差异(P = 0.52)。Gammex和XCAT的均方根误差分别为4.7%和2.7%。Bland-Altman分析进一步证实了基础真实值与md推导的FF之间的良好一致性,Gammex的FF差异在-6.9%至7%之间,XCAT的FF差异在-3.0%至37.6%之间。结论:dSi-PCCT可以在多个对象的大范围内准确定量肝脏脂肪。这些发现表明,dSi-PCCT在准确评估肝脏脂肪方面的潜在效用应该在体内进行探索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Liver fat quantification using deep silicon photon-counting CT: an <i>in silico</i> imaging study.

Liver fat quantification using deep silicon photon-counting CT: an <i>in silico</i> imaging study.

Liver fat quantification using deep silicon photon-counting CT: an <i>in silico</i> imaging study.

Liver fat quantification using deep silicon photon-counting CT: an in silico imaging study.

Background: Accurate liver fat quantification is essential for early diagnosis and effective management of fatty liver disease.

Purpose: To investigate the potential clinical utility of a deep silicon-based photon-counting CT (dSi-PCCT), currently in development, for liver fat quantification using human models in an in silico imaging study.

Materials and methods: dSi-PCCT is a cutting-edge photon-counting CT (GE HealthCare), with several investigational systems installed globally, used under IRB approval for imaging animals and human volunteers to support FDA clearance. We developed a dSi-PCCT simulator and benchmarked its imaging performance with respect to a prototype. We imaged a computational Gammex phantom with fat fractions (FF) ranging from 0% to 100%, along with five XCAT human models with liver FF ranging from 1% to 50%, using an abdominal CT protocol. The resulting spectral sinograms were processed using a material decomposition (MD) technique. We calculated HU-based Proton Density Fat Fraction (PDFF) from single-energy images in XCAT models and compared it against the MD-derived FF. The MD-derived FF of both datasets was assessed against the digitally defined ground truth values.

Results: We observed a strong correlation (R 2 = 0.98) between MD-derived, HU-based PDFF, and ground-truth FF in a Gammex and XCAT models. There was no statistically significant difference (P = .52) in FF quantification accuracy between Gammex and the XCAT human models. The root mean square errors were 4.7% for Gammex and 2.7% for XCAT. Bland-Altman analysis further confirmed good agreement between the ground truth and MD-derived FF, with differences in FF ranging from -6.9% to 7% for Gammex and -3.0% to 37.6% for XCAT.

Conclusion: The results indicate that dSi-PCCT could enable accurate liver fat quantification across a wide range of FFs in multiple objects. These findings suggest that the potential utility of dSi-PCCT for accurate liver fat assessment should be explored in vivo.

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