Skip to main content

Advertisement

SpringerLink
Log in

Single-energy metal artifact reduction for helical computed tomography of the pelvis in patients with metal hip prostheses

  • Original Article
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

Purpose

To compare the quality of helical computed tomography (CT) images of the pelvis in patients with metal hip prostheses reconstructed using adaptive iterative dose reduction (AIDR) and AIDR with single-energy metal artifact reduction (SEMAR-A).

Materials and methods

This retrospective study included 28 patients (mean age, 64.6 ± 11.4 years; 6 men and 22 women). CT images were reconstructed using AIDR and SEMAR-A. Two radiologists evaluated the extent of metal artifacts and the depiction of structures in the pelvic region and looked for mass lesions. A radiologist placed a region of interest within the bladder and recorded CT attenuation.

Results

The metal artifacts were significantly reduced in SEMAR-A as compared to AIDR (p < 0.0001). The depictions of the bladder, ureter, prostate/uterus, rectum, and pelvic sidewall were significantly better with SEMAR-A than with AIDR (p < 0.02). All lesions were diagnosed with SEMAR-A, while some were not diagnosed with AIDR. The median and interquartile range (in parentheses) of CT attenuation within the bladder for AIDR were −34.0 (−46.6 to −15.0) Hounsfield units (HU) and were more variable than those seen for SEMAR-A [5.4 (−1.3 to 11.1)] HU (p = 0.033).

Conclusion

In comparison with AIDR, SEMAR-A provided pelvic CT images of significantly better quality for patients with metal hip prostheses.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2a–b
Fig. 3a–b
Fig. 4a–c

Similar content being viewed by others

References

  1. World Health Organization. Good health adds life to years: global brief for World Health Day 2012. http://www.who.int/aging/publications/whd2012_global_brief/en/. Published April 2012. Accessed Dec 2015.

  2. Singh JA. Epidemiology of knee and hip arthroplasty: a systematic review. Open Orthop J. 2011;5:80–5.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Barrett JF, Keat N. Artifacts in CT: recognition and avoidance. Radiographics. 2004;24:1679–91.

    Article  PubMed  Google Scholar 

  4. Kim JK, Park SY, Ahn HJ, Kim CS, Cho KS. Bladder cancer: analysis of multi-detector row helical CT enhancement pattern and accuracy in tumor detection and perivesical staging. Radiology. 2004;231:725–31.

    Article  PubMed  Google Scholar 

  5. Niall O, Russell J, MacGregor R, Duncan H, Mullins J. A comparison of noncontrast computerized tomography with excretory urography in the assessment of acute flank pain. J Urol. 1999;161:534–7.

    Article  CAS  PubMed  Google Scholar 

  6. Ripolles T, Agramunt M, Errando J, Martinez MJ, Coronel B, Morales M. Suspected ureteral colic: plain film and sonography vs unenhanced helical CT. A prospective study in 66 patients. Eur Radiol. 2004;14:129–36.

    Article  PubMed  Google Scholar 

  7. Gray Sears CL, Ward JF, Sears ST, Puckett MF, Kane CJ, Amling CL. Prospective comparison of computerized tomography and excretory urography in the initial evaluation of asymptomatic microhematuria. J Urol. 2002;168:2457–60.

    Article  PubMed  Google Scholar 

  8. Hricak H, Gatsonis C, Chi DS, Amendola MA, Brandt K, Schwartz LH, et al. Role of imaging in pretreatment evaluation of early invasive cervical cancer: results of the intergroup study American College of Radiology Imaging Network 6651–Gynecologic Oncology Group 183. J Clin Oncol. 2005;23:9329–37.

  9. Bipat S, Glas AS, van der Velden J, Zwinderman AH, Bossuyt PM, Stoker J. Computed tomography and magnetic resonance imaging in staging of uterine cervical carcinoma: a systematic review. Gynecol Oncol. 2003;91:59–66.

    Article  PubMed  Google Scholar 

  10. Cho KC, Morehouse HT, Alterman DD, Thornhill BA. Sigmoid diverticulitis: diagnostic role of CT—comparison with barium enema studies. Radiology. 1990;176:111–5.

    Article  CAS  PubMed  Google Scholar 

  11. Werner A, Diehl SJ, Farag-Soliman M, Duber C. Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients. Eur Radiol. 2003;13:2596–603.

    Article  CAS  PubMed  Google Scholar 

  12. Kwok H, Bissett IP, Hill GL. Preoperative staging of rectal cancer. Int J Colorectal Dis. 2000;15:9–20.

    Article  CAS  PubMed  Google Scholar 

  13. Desch CE, Benson AB 3rd, Somerfield MR, Flynn PJ, Krause C, Loprinzi CL, et al. Colorectal cancer surveillance: 2005 update of an American Society of Clinical Oncology practice guideline. J Clin Oncol. 2005;23:8512–9.

    Article  PubMed  Google Scholar 

  14. Jacquet P, Jelinek JS, Steves MA, Sugarbaker PH. Evaluation of computed tomography in patients with peritoneal carcinomatosis. Cancer. 1993;72:1631–6.

    Article  CAS  PubMed  Google Scholar 

  15. Coupal TM, Mallinson PI, McLaughlin P, Nicolaou S, Munk PL, Ouellette H. Peering through the glare: using dual-energy CT to overcome the problem of metal artifacts in bone radiology. Skelet Radiol. 2014;43:567–75.

    Article  Google Scholar 

  16. Bamberg F, Dierks A, Nikolaou K, Reiser MF, Becker CR, Johnson TR. Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol. 2011;21:1424–9.

    Article  PubMed  Google Scholar 

  17. Gondim Teixeira PA, Meyer JB, Baumann C, Raymond A, Sirveaux F, Coudane H, et al. Total hip prosthesis CT with single-energy projection-based metallic artifact reduction: impact on the visualization of specific periprosthetic soft tissue structures. Skelet Radiol. 2014;43:1237–46.

    Article  Google Scholar 

  18. Funama Y, Taguchi K, Utsunomiya D, Oda S, Hirata K, Yuki H, et al. A newly-developed metal artifact reduction algorithm improves the visibility of oral cavity lesions on 320-MDCT volume scans. Phys Med. 2015;31:66–71.

    Article  PubMed  Google Scholar 

  19. Hirata K, Utsunomiya D, Oda S, Kidoh M, Funama Y, Yuki H, et al. Added value of a single-energy projection-based metal-artifact reduction algorithm for the computed tomography evaluation of oral cavity cancers. Jpn J Radiol. 2015;33:650–6.

    Article  PubMed  Google Scholar 

  20. Sonoda A, Nitta N, Ushio N, Nagatani Y, Okumura N, Otani H, et al. Evaluation of the quality of CT images acquired with the single energy metal artifact reduction (SEMAR) algorithm in patients with hip and dental prostheses and aneurysm embolization coils. Jpn J Radiol. 2015;33:710–6.

    Article  CAS  PubMed  Google Scholar 

  21. Kidoh M, Utsunomiya D, Ikeda O, Tamura Y, Oda S, Funama Y, et al. Reduction of metallic coil artefacts in computed tomography body imaging: effects of a new single-energy metal artefact reduction algorithm. Eur Radiol. 2016;26:1378–86.

    Article  PubMed  Google Scholar 

  22. Yasaka K, Kamiya K, Irie R, Maeda E, Sato J, Ohtomo K. Metal artefact reduction for patients with metallic dental fillings in helical neck computed tomography: comparison of adaptive iterative dose reduction 3D (AIDR 3D), forward-projected model-based iterative reconstruction solution (FIRST) and AIDR 3D with single-energy metal artefact reduction (SEMAR). Dentomaxillofac Radiol. 2016. doi:10.1259/dmfr.20160114

    PubMed  Google Scholar 

  23. Chang YB, Xu D, Zamyatin AA. Metal artifact reduction algorithm for single energy and dual energy CT scans. In: IEEE Nuclear Science Symposium and Medical Imaging Conference Record (NSS/MIC). Piscataway: IEEE, 2012; p. 3426–9.

  24. Morsbach F, Bickelhaupt S, Wanner GA, Krauss A, Schmidt B, Alkadhi H. Reduction of metal artifacts from hip prostheses on CT images of the pelvis: value of iterative reconstructions. Radiology. 2013;268:237–44.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We gratefully acknowledge Rumiko Torigoe and Yasuyuki Morishita for their help with understanding the reconstruction algorithms.

Author information

Authors and Affiliations

  1. Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan

    Koichiro Yasaka, Eriko Maeda, Shouhei Hanaoka, Masaki Katsura, Jiro Sato & Kuni Ohtomo

  2. Department of Radiology, The Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, Japan

    Koichiro Yasaka

Authors
  1. Koichiro Yasaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eriko Maeda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shouhei Hanaoka
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Masaki Katsura
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jiro Sato
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kuni Ohtomo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Koichiro Yasaka.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yasaka, K., Maeda, E., Hanaoka, S. et al. Single-energy metal artifact reduction for helical computed tomography of the pelvis in patients with metal hip prostheses. Jpn J Radiol 34, 625–632 (2016). https://doi.org/10.1007/s11604-016-0566-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-016-0566-y

Keywords

Search

Navigation