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Blood flow velocity in the popliteal vein using transverse oscillation ultrasound 横振荡超声测定腘静脉血流速度
Pub Date : 2016-04-01 DOI: 10.1117/12.2216725
Thor Bechsgaard, K. Hansen, A. Brandt, S. Holbek, L. Lönn, C. Strandberg, N. Bækgaard, M. B. Nielsen, J. Jensen
Chronic venous disease is a common condition leading to varicose veins, leg edema, post-thrombotic syndrome and venous ulcerations. Ultrasound (US) is the main modality for examination of venous disease. Color Doppler and occasionally spectral Doppler US (SDUS) are used for evaluation of the venous flow. Peak velocities measured by SDUS are rarely used in a clinical setting for evaluating chronic venous disease due to inadequate reproducibility mainly caused by the angle dependency of the estimate. However, estimations of blood velocities are of importance in characterizing venous disease. Transverse Oscillation US (TOUS), a non-invasive angle independent method, has been implemented on a commercial scanner. TOUS's advantage compared to SDUS is a more elaborate visualization of complex flow. The aim of this study was to evaluate, whether TOUS perform equal to SDUS for recording velocities in the veins of the lower limbs. Four volunteers were recruited for the study. A standardized flow was provoked with a cuff compression-decompression system placed around the lower leg. The average peak velocity in the popliteal vein of the four volunteers was 151.5 cm/s for SDUS and 105.9 cm/s for TOUS (p <0.001). The average of the peak velocity standard deviations (SD) were 17.0 cm/s for SDUS and 13.1 cm/s for TOUS (p <0.005). The study indicates that TOUS estimates lower peak velocity with improved SD when compared to SDUS. TOUS may be a tool for evaluation of venous disease providing quantitative measures for the evaluation of venous blood flow.
慢性静脉疾病是导致静脉曲张、腿部水肿、血栓形成后综合征和静脉溃疡的常见疾病。超声(US)是检查静脉疾病的主要方式。彩色多普勒和偶尔频谱多普勒超声(SDUS)用于评估静脉流量。SDUS测量的峰值速度很少用于临床评估慢性静脉疾病,主要是由于估计的角度依赖性导致的可重复性不足。然而,血液流速的估计是重要的特征静脉疾病。横向振荡US (TOUS)是一种无创角度无关的方法,已在商用扫描仪上实现。与SDUS相比,TOUS的优势在于更精细地可视化复杂的流程。本研究的目的是评估TOUS在记录下肢静脉速度方面是否与SDUS表现相同。这项研究招募了四名志愿者。在小腿周围放置一个袖带压缩-减压系统,引发了标准化的血流。4名志愿者腘静脉平均峰值速度SDUS组为151.5 cm/s, TOUS组为105.9 cm/s (p <0.001)。SDUS和TOUS的平均峰值速度标准差(SD)分别为17.0 cm/s和13.1 cm/s (p <0.005)。研究表明,与SDUS相比,TOUS在改进SD的情况下估计的峰值速度更低。TOUS可能是一种评估静脉疾病的工具,为评估静脉血流量提供定量措施。
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引用次数: 8
Experimental characterization, comparison and image quality assessment of two ultrasound contrast agents: Optison and Definity 两种超声造影剂的实验表征、比较和图像质量评估:选择性和清晰度
Pub Date : 2016-04-01 DOI: 10.1117/12.2217741
Amy C. Hughes, S. Day, C. Linte, K. Schwarz
Microbubble-based contrast agents are commonly used in ultrasound imaging to help differentiate the blood pool from the endocardial wall. It is essential to use an agent which produces high image intensity relative to the surrounding tissue, commonly referred to contrast effect. When exposed to ultrasound waves, microbubbles produce an intense backscatter signal in addition to the contrast produced by the fluctuating size of the microbubbles. However, over time, the microbubble concentration depletes, leading to reduced visual enhancement. The retention time associated with contrast effect varies according to the frequency and power level of the ultrasound wave, as well as the contrast agent used. The primary objective of this study was to investigate and identify the most appropriate image acquisition parameters that render optimal contrast effect for two intravenous contrast agents, Optison™ and Definity™. Several controlled in vitro experiments were conducted using an experimental apparatus that featured a perfused tissue-emulating phantom. A continuous flow of contrast agent was imaged using ultrasound at different frequencies and power levels, while a pulse wave Doppler device was used to monitor the concentration of the contrast agent solution. The contrast effect was determined based on the image intensity inside the flow pipe mimicking the blood-pool relative to the intensity of the surrounding phantom material mimicking cardiac tissue. To identify the combination of parameters that yielded optimal visualization for each contrast agent tested, the contrast effect was assessed at different microbubble concentrations and different ultrasound imaging frequencies and transmission power levels.
基于微泡的造影剂通常用于超声成像,以帮助区分血池和心内膜壁。必须使用一种相对于周围组织产生高图像强度的试剂,通常称为对比效果。当暴露于超声波时,除了微泡大小波动所产生的对比度外,微泡还会产生强烈的反向散射信号。然而,随着时间的推移,微泡浓度减少,导致视觉增强减弱。与造影剂效果相关的停留时间根据超声波的频率和功率水平以及使用的造影剂而变化。本研究的主要目的是研究和确定最合适的图像采集参数,为两种静脉造影剂Optison™和Definity™提供最佳的对比效果。使用具有灌注组织模拟体的实验装置进行了几项体外对照实验。利用不同频率和功率水平的超声对连续流动的造影剂进行成像,同时利用脉冲波多普勒装置监测造影剂溶液的浓度。对比效果是根据流管内模拟血池的图像强度相对于周围模拟心脏组织的幻像材料的强度来确定的。为了确定每种测试造影剂产生最佳可视化效果的参数组合,在不同微泡浓度、不同超声成像频率和透射功率水平下评估造影剂的造影效果。
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引用次数: 0
Volumetric synthetic aperture imaging with a piezoelectric 2D row-column probe 基于压电二维排柱探头的体积合成孔径成像
Pub Date : 2016-04-01 DOI: 10.1117/12.2216074
H. Bouzari, Mathias Engholm, T. Christiansen, C. Beers, A. Lei, M. Stuart, S. Nikolov, E. Thomsen, J. Jensen
The synthetic aperture (SA) technique can be used for achieving real-time volumetric ultrasound imaging using 2-D row-column addressed transducers. This paper investigates SA volumetric imaging performance of an in-house prototyped 3 MHz λ/2-pitch 62+62 element piezoelectric 2-D row-column addressed transducer array. Utilizing single element transmit events, a volume rate of 90 Hz down to 14 cm deep is achieved. Data are obtained using the experimental ultrasound scanner SARUS with a 70 MHz sampling frequency and beamformed using a delay-and-sum (DAS) approach. A signal-to-noise ratio of up to 32 dB is measured on the beamformed images of a tissue mimicking phantom with attenuation of 0.5 dB cm-1 MHz-1, from the surface of the probe to the penetration depth of 300λ. Measured lateral resolution as Full-Width-at-Half-Maximum (FWHM) is between 4λ and 10λ for 18% to 65% of the penetration depth from the surface of the probe. The averaged contrast is 13 dB for the same range. The imaging performance assessment results may represent a reference guide for possible applications of such an array in different medical fields.
合成孔径(SA)技术可用于实现实时体积超声成像使用二维行列寻址换能器。本文研究了一种自制的3mhz λ/2-螺距62+62单元压电二维行列寻址传感器阵列的SA体积成像性能。利用单元件传输事件,可以实现90 Hz的体积速率,深度可达14厘米。数据使用实验超声扫描仪SARUS获得,采样频率为70 MHz,波束形成采用延迟和(DAS)方法。在从探头表面到穿透深度为300λ的衰减为0.5 dB cm-1 MHz-1的组织模拟幻影的波束形成图像上测量了高达32 dB的信噪比。测量的横向分辨率为半最大全宽度(FWHM),在距离探头表面18%至65%的穿透深度范围内,分辨率在4λ至10λ之间。在相同的范围内,平均对比度为13 dB。成像性能评估结果可为该阵列在不同医学领域的可能应用提供参考指南。
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引用次数: 7
Differential diagnosis of thyroid nodules with virtual touch tissue imaging of ARFI elastography ARFI弹性成像的虚拟触摸组织成像对甲状腺结节的鉴别诊断
Pub Date : 2016-04-01 DOI: 10.1117/12.2216190
Tao Li, Pei Zhou, Mingyue Ding, Yongwei Mi, Yiyong Li, Ji Zhang
The aim of this study was to evaluate the diagnostic performance of virtual touch tissue imaging (VTI) based on ARFI elastography technique for differentiating malignant from benign thyroid nodules. One hundred pathologically proven thyroid nodules (80 benign, 20 malignant) in 76 participants were recruited in this study. The likelihood of malignancy in the light of VTI features was scored into 6 levels by one experienced sonogist who was blinded to pathological results. In addition, the mean gray value within the thyroid nodule (mGVTN) derived from VTI image was calculated for quantitative analysis. Receiver-operating characteristic curve (ROC) analyses were performed to assess the diagnostic performance of VTI score and mGVTN. The frequency of malignant nodules (11/20) classified between VTI levels 4 to 6 was more than that of benign nodules (6/80) (p <0.001). The mGVTN of malignant nodules (45±23) was significantly lower than that of benign nodules (115±58) (p <0.001), where the range of mGVTN was from 0 to 255. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of VTI score were 55.0%, 92.5%, 85.0%, 64.7% and 89.2%, respectively. For mGVTN, those values were 70.0%, 90.0%, 86.0%, 63.6% and 92.3%, respectively. In conclusion, the VTI image seemed to be an effective tool in the differential diagnosis of thyroid nodules. The diagnosis performance of mGVTN was almost consistent with that of VTI score, which indicated that the mGVTN as a quantitative parameter might facilitate doctors diagnosing malignant thyroid nodules by VTI.
本研究的目的是评估基于ARFI弹性成像技术的虚拟触摸组织成像(VTI)对甲状腺结节良恶性鉴别的诊断性能。本研究招募了76名参与者的100个病理证实的甲状腺结节(80个良性,20个恶性)。根据VTI特征,恶性肿瘤的可能性由一位经验丰富的超声医师评分为6个级别,他对病理结果一无所知。此外,计算由VTI图像得到的甲状腺结节内平均灰度值(mGVTN)进行定量分析。采用受试者工作特征曲线(ROC)分析评价VTI评分和mGVTN的诊断价值。VTI分级在4 ~ 6级的恶性结节(11/20)多于良性结节(6/80)(p <0.001)。恶性结节的mGVTN(45±23)明显低于良性结节(115±58)(p <0.001),其mGVTN范围为0 ~ 255。VTI评分的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为55.0%、92.5%、85.0%、64.7%和89.2%。对于mGVTN,这些值分别为70.0%、90.0%、86.0%、63.6%和92.3%。综上所述,VTI图像似乎是甲状腺结节鉴别诊断的有效工具。mGVTN的诊断效果与VTI评分的诊断效果基本一致,说明mGVTN作为定量参数可能有助于医生利用VTI诊断甲状腺恶性结节。
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引用次数: 0
Ultrasound breast imaging using frequency domain reverse time migration 超声乳房成像的频域逆时偏移
Pub Date : 2016-04-01 DOI: 10.1117/12.2218366
O. Roy, M. Zuberi, R. Pratt, N. Duric
Conventional ultrasonography reconstruction techniques, such as B-mode, are based on a simple wave propagation model derived from a high frequency approximation. Therefore, to minimize model mismatch, the central frequency of the input pulse is typically chosen between 3 and 15 megahertz. Despite the increase in theoretical resolution, operating at higher frequencies comes at the cost of lower signal-to-noise ratio. This ultimately degrades the image contrast and overall quality at higher imaging depths. To address this issue, we investigate a reflection imaging technique, known as reverse time migration, which uses a more accurate propagation model for reconstruction. We present preliminary simulation results as well as physical phantom image reconstructions obtained using data acquired with a breast imaging ultrasound tomography prototype. The original reconstructions are filtered to remove low-wavenumber artifacts that arise due to the inclusion of the direct arrivals. We demonstrate the advantage of using an accurate sound speed model in the reverse time migration process. We also explain how the increase in computational complexity can be mitigated using a frequency domain approach and a parallel computing platform.
传统的超声重建技术,如b模式,是基于一个简单的波传播模型,从高频近似推导。因此,为了最小化模型不匹配,输入脉冲的中心频率通常选择在3到15兆赫之间。尽管理论分辨率有所提高,但在更高频率下工作的代价是较低的信噪比。这最终会降低较高成像深度下的图像对比度和整体质量。为了解决这个问题,我们研究了一种反射成像技术,称为逆时偏移,它使用更精确的传播模型进行重建。我们提出了初步的模拟结果,以及利用乳房成像超声断层扫描原型获得的数据获得的物理幻象图像重建。对原始重建进行过滤,以去除由于包含直接到达而产生的低波数伪影。我们证明了在逆时偏移过程中使用精确声速模型的优势。我们还解释了如何使用频域方法和并行计算平台来减轻计算复杂性的增加。
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引用次数: 9
Quantitative head ultrasound measurements to determine thresholds for preterm neonates requiring interventional therapies following intraventricular hemorrhage 定量头部超声测量以确定脑室内出血后需要介入治疗的早产儿的阈值
Pub Date : 2016-04-01 DOI: 10.1117/12.2216870
J. Kishimoto, A. Fenster, F. Salehi, W. Romano, David S. C. Lee, S. de Ribaupierre
Dilation of the cerebral ventricles is a common condition in preterm neonates with intraventricular hemorrhage (IVH). This post hemorrhagic ventricle dilation (PHVD) can lead to lifelong neurological impairment through ischemic injury due to increased intracranial pressure and without treatment, can lead to death. Clinically, 2D ultrasound (US) through the fontanelles ('soft spots') of the patients are serially acquired to monitor the progression of the ventricle dilation. These images are used to determine when interventional therapies such as needle aspiration of the built up cerebrospinal fluid (CSF) ('ventricle tap', VT) might be indicated for a patient; however, quantitative measurements of the growth of the ventricles are often not performed. There is no consensus on when a neonate with PHVD should have an intervention and often interventions are performed after the potential for brain damage is quite high. Previously we have developed and validated a 3D US system to monitor the progression of ventricle volumes (VV) in IVH patients. We will describe the potential utility of quantitative 2D and 3D US to monitor and manage PHVD in neonates. Specifically, we will look to determine image-based measurement thresholds for patients who will require VT in comparison to patients with PHVD who resolve without intervention. Additionally, since many patients who have an initial VT will require subsequent interventions, we look at the potential for US to determine which PHVD patients will require additional VT after the initial one has been performed.
脑室扩张是早产儿脑室内出血(IVH)的常见情况。这种出血性脑室扩张(PHVD)可通过颅内压升高引起的缺血性损伤导致终身神经功能损害,如果不进行治疗,可导致死亡。临床上,通过连续获得患者囟门(“软点”)的二维超声(US)来监测心室扩张的进展。这些图像用于确定何时需要对患者进行介入治疗,如针吸积聚的脑脊液(“脑室穿刺”,VT);然而,通常不进行心室生长的定量测量。对于PHVD的新生儿何时应该进行干预尚无共识,通常在脑损伤的可能性很高之后进行干预。之前,我们已经开发并验证了一种3D US系统来监测IVH患者心室容积(VV)的进展。我们将描述定量2D和3D US在监测和管理新生儿PHVD方面的潜在效用。具体来说,我们将考虑确定需要VT的患者与不经干预而消退的PHVD患者的基于图像的测量阈值。此外,由于许多有初始VT的患者将需要后续的干预,我们研究了美国的潜力,以确定哪些PHVD患者在初始VT后需要额外的VT。
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引用次数: 4
Novel approaches to address spectral distortions in photon counting x-ray CT using artificial neural networks 利用人工神经网络解决光子计数x射线CT光谱畸变的新方法
Pub Date : 2016-04-01 DOI: 10.1117/12.2217037
M. Touch, D. Clark, W. Barber, C. Badea
Spectral CT using a photon-counting x-ray detector (PCXD) can potentially increase accuracy of measuring tissue composition. However, PCXD spectral measurements suffer from distortion due to charge sharing, pulse pileup, and Kescape energy loss. This study proposes two novel artificial neural network (ANN)-based algorithms: one to model and compensate for the distortion, and another one to directly correct for the distortion. The ANN-based distortion model was obtained by training to learn the distortion from a set of projections with a calibration scan. The ANN distortion was then applied in the forward statistical model to compensate for distortion in the projection decomposition. ANN was also used to learn to correct distortions directly in projections. The resulting corrected projections were used for reconstructing the image, denoising via joint bilateral filtration, and decomposition into three-material basis functions: Compton scattering, the photoelectric effect, and iodine. The ANN-based distortion model proved to be more robust to noise and worked better compared to using an imperfect parametric distortion model. In the presence of noise, the mean relative errors in iodine concentration estimation were 11.82% (ANN distortion model) and 16.72% (parametric model). With distortion correction, the mean relative error in iodine concentration estimation was improved by 50% over direct decomposition from distorted data. With our joint bilateral filtration, the resulting material image quality and iodine detectability as defined by the contrast-to-noise ratio were greatly enhanced allowing iodine concentrations as low as 2 mg/ml to be detected. Future work will be dedicated to experimental evaluation of our ANN-based methods using 3D-printed phantoms.
使用光子计数x射线探测器(PCXD)的光谱CT可以潜在地提高测量组织成分的准确性。然而,由于电荷共享、脉冲堆积和Kescape能量损失,PCXD光谱测量受到畸变的影响。本文提出了两种新的基于人工神经网络(ANN)的算法:一种是对失真进行建模和补偿,另一种是直接对失真进行校正。通过训练得到基于人工神经网络的畸变模型,通过校准扫描从一组投影中学习畸变。在正演统计模型中应用人工神经网络畸变来补偿投影分解中的畸变。人工神经网络也被用来学习直接纠正投影中的扭曲。校正后的投影用于重建图像,通过联合双边滤波去噪,并分解为康普顿散射、光电效应和碘三种物质基函数。事实证明,与使用不完善的参数失真模型相比,基于人工神经网络的失真模型对噪声的鲁棒性更强,效果更好。在噪声存在的情况下,人工神经网络模型估计碘浓度的平均相对误差为11.82%,参数模型为16.72%。经过畸变校正后,碘浓度估计的平均相对误差比从畸变数据直接分解的平均相对误差提高了50%。通过我们的联合双边过滤,所得的材料图像质量和碘的可检测性(由对比噪声比定义)大大增强,允许检测低至2 mg/ml的碘浓度。未来的工作将致力于使用3d打印的模型对我们基于人工神经网络的方法进行实验评估。
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引用次数: 3
Development of estimation system of knee extension strength using image features in ultrasound images of rectus femoris 基于股直肌超声图像特征的膝关节伸展强度估计系统的开发
Pub Date : 2016-04-01 DOI: 10.1117/12.2214843
Hiroki Murakami, Tsuneo Watanabe, D. Fukuoka, N. Terabayashi, T. Hara, C. Muramatsu, H. Fujita
The word "Locomotive syndrome" has been proposed to describe the state of requiring care by musculoskeletal disorders and its high-risk condition. Reduction of the knee extension strength is cited as one of the risk factors, and the accurate measurement of the strength is needed for the evaluation. The measurement of knee extension strength using a dynamometer is one of the most direct and quantitative methods. This study aims to develop a system for measuring the knee extension strength using the ultrasound images of the rectus femoris muscles obtained with non-invasive ultrasonic diagnostic equipment. First, we extract the muscle area from the ultrasound images and determine the image features, such as the thickness of the muscle. We combine these features and physical features, such as the patient’s height, and build a regression model of the knee extension strength from training data. We have developed a system for estimating the knee extension strength by applying the regression model to the features obtained from test data. Using the test data of 168 cases, correlation coefficient value between the measured values and estimated values was 0.82. This result suggests that this system can estimate knee extension strength with high accuracy.
“机车综合征”一词已被提出用来描述肌肉骨骼疾病及其高危状况需要护理的状态。膝关节伸展强度降低被认为是危险因素之一,评估时需要准确测量膝关节伸展强度。使用测功机测量膝关节伸展强度是最直接和定量的方法之一。本研究旨在开发一种利用非侵入性超声诊断设备获得的股直肌超声图像来测量膝关节伸展强度的系统。首先,我们从超声图像中提取肌肉区域,并确定图像特征,如肌肉的厚度。我们将这些特征与患者身高等身体特征结合起来,从训练数据中构建膝关节伸展力量的回归模型。我们开发了一个系统,通过将回归模型应用于从测试数据中获得的特征来估计膝关节伸展强度。使用168例试验数据,实测值与估计值的相关系数值为0.82。结果表明,该系统可以较准确地估计膝关节伸展强度。
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引用次数: 1
Iterative CT reconstruction using coordinate descent with ordered subsets of data 基于有序数据子集的坐标下降迭代CT重建
Pub Date : 2016-04-01 DOI: 10.1117/12.2217558
F. Noo, K. Hahn, H. Schöndube, K. Stierstorfer
Image reconstruction based on iterative minimization of a penalized weighted least-square criteria has become an important topic of research in X-ray computed tomography. This topic is motivated by increasing evidence that such a formalism may enable a significant reduction in dose imparted to the patient while maintaining or improving image quality. One important issue associated with this iterative image reconstruction concept is slow convergence and the associated computational effort. For this reason, there is interest in finding methods that produce approximate versions of the targeted image with a small number of iterations and an acceptable level of discrepancy. We introduce here a novel method to produce such approximations: ordered subsets in combination with iterative coordinate descent. Preliminary results demonstrate that this method can produce, within 10 iterations and using only a constant image as initial condition, satisfactory reconstructions that retain the noise properties of the targeted image.
基于惩罚加权最小二乘准则迭代最小化的图像重建已成为x射线计算机断层扫描研究的一个重要课题。越来越多的证据表明,这种形式可以在保持或改善图像质量的同时显着减少给予患者的剂量,从而激发了本主题。与这种迭代图像重建概念相关的一个重要问题是缓慢的收敛和相关的计算量。由于这个原因,有兴趣寻找方法产生目标图像的近似版本,迭代次数少,差异程度可接受。本文提出了一种新的逼近方法:有序子集与迭代坐标下降相结合。初步结果表明,该方法可以在10次迭代内,仅以恒定图像为初始条件,产生令人满意的重建,并保留目标图像的噪声特性。
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引用次数: 3
Direct reconstruction of enhanced signal in computed tomography perfusion 计算机断层扫描灌注增强信号的直接重建
Pub Date : 2016-04-01 DOI: 10.1117/12.2216998
Bin Li, Qingwen Lyu, Jianhua Ma, Jing Wang
High imaging dose has been a concern in computed tomography perfusion (CTP) as repeated scans are performed at the same location of a patient. On the other hand, signal changes only occur at limited regions in CT acquired at different time points. In this work, we propose a new reconstruction strategy by effectively utilizing the initial phase high-quality CT to reconstruct the later phase CT acquired with a low-dose protocol. In the proposed strategy, initial high-quality CT is considered as a base image and enhanced signal (ES) is reconstructed directly by minimizing the penalized weighted least-square (PWLS) criterion. The proposed PWLS-ES strategy converts the conventional CT reconstruction into a sparse signal reconstruction problem. Digital and anthropomorphic phantom studies were performed to evaluate the performance of the proposed PWLS-ES strategy. Both phantom studies show that the proposed PWLS-ES method outperforms the standard iterative CT reconstruction algorithm based on the same PWLS criterion according to various quantitative metrics including root mean squared error (RMSE) and the universal quality index (UQI).
高成像剂量一直是计算机断层扫描灌注(CTP)的一个问题,因为在患者的同一位置进行重复扫描。另一方面,在不同时间点获取的CT中,信号变化只发生在有限的区域。在这项工作中,我们提出了一种新的重建策略,即有效地利用初始阶段高质量CT来重建以低剂量方案获得的后期CT。该策略将初始高质量CT作为基图像,通过最小化加权最小二乘(PWLS)准则直接重构增强信号。所提出的PWLS-ES策略将传统的CT重构问题转化为稀疏信号重构问题。进行了数字和拟人化幻影研究,以评估所提出的PWLS-ES策略的性能。两项幻像研究均表明,在均方根误差(RMSE)和通用质量指数(UQI)等量化指标上,所提出的PWLS- es方法优于基于相同PWLS标准的标准迭代CT重建算法。
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引用次数: 0
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SPIE Medical Imaging
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