Improvement of image quality of dentomaxillofacial region in ultra-high-resolution CT: a phantom study

Abstract

Objectives The purpose of this study was to compare the image quality of ultra-high-resolution computed tomography (U-HRCT) with that of conventional multi-detector row CT (convCT) and demonstrate its usefulness in the dentomaxillofacial region. Methods Phantoms were helically scanned with U-HRCT and convCT scanners using clinical protocols. In U-HRCT, phantoms were scanned in super-high-resolution (SHR) mode, and hybrid iterative reconstruction (HIR) and filtered-back projection (FBP) techniques were performed using a bone kernel (FC81). The FBP technique was performed using the same kernel as in convCT (reference). Two observers independently evaluated the 54 resulting images using a 5-point scale (5: excellent diagnostic image quality; 4: above average; 3: average; 2: subdiagnostic; and 1: unacceptable). The system performance function (SPF) was calculated for a comprehensive evaluation of the image quality using the task transfer function and noise power spectrum. Statistical analysis using the Kruskal-Wallis test was performed to compare the image quality among the three protocols. Results The observers assigned higher scores to images acquired with the SHRHIR and SHRFBP protocols than to those acquired with the reference (p < 0.0001 and p < 0.0001, respectively). The relative SPF value at 1.0 cycles/mm in SHRHIR and SHRFBP compared to the reference protocol were 151.5 and 45.6%, respectively. Conclusions Through phantom experiments, this study demonstrated that U-HRCT can provide superior-quality images compared to conventional CT in the dentomaxillofacial region. The development of a better image reconstruction method is required to improve image quality and optimise the radiation dose.