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KMID : 1103720210820061477
Journal of the Korean Society of Radiology
2021 Volume.82 No. 6 p.1477 ~ p.1492
Adaptive Image Rescaling for Weakly Contrast-Enhanced Lesions in Dedicated Breast CT: A Phantom Study
Kim Bit-Byeol

Kim Ho-Kyung
Kim Jin-Sung
Ki Yong-Kan
Joo Ji-Hyeon
Jeon Ho-Sang
Park Dahl
Kim Won-Taek
Nam Ji-Ho
Kim Dong-Hyeon
Abstract
Purpose: Dedicated breast CT is an emerging volumetric X-ray imaging modality for diagnosis that does not require any painful breast compression. To improve the detection rate of weakly enhanced lesions, an adaptive image rescaling (AIR) technique was proposed.

Materials and Methods: Two disks containing five identical holes and five holes of different diameters were scanned using 60/100 kVp to obtain single-energy CT (SECT), dual-energy CT (DECT), and AIR images. A piece of pork was also scanned as a subclinical trial. The image quality was evaluated using image contrast and contrast-to-noise ratio (CNR). The difference of imaging performances was confirmed using student's t test.

Results: Total mean image contrast of AIR (0.70) reached 74.5% of that of DECT (0.94) and was higher than that of SECT (0.22) by 318.2%. Total mean CNR of AIR (5.08) was 35.5% of that of SECT (14.30) and was higher than that of DECT (2.28) by 222.8%. A similar trend was observed in the subclinical study.

Conclusion: The results demonstrated superior image contrast of AIR over SECT, and its higher overall image quality compared to DECT with half the exposure. Therefore, AIR seems to have the potential to improve the detectability of lesions with dedicated breast CT.
KEYWORD
Breast Cancer, Computed Tomography, X-Ray, Contrast Agent, Image Quality Enhancement
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