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Optimizing cardiac CT angiography minimum detectable difference via Taguchi’s dynamic algorithm, a V-shaped line gauge, and three PMMA phantoms
Author(s) -
Lung-Fa Pan,
Yihua Chen,
ChunChieh Wang,
Bing-Ru Peng,
Samrit Kittipayak,
LungKwang Pan
Publication year - 2022
Publication title -
technology and health care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.281
H-Index - 44
eISSN - 1878-7401
pISSN - 0928-7329
DOI - 10.3233/thc-228009
Subject(s) - taguchi methods , image quality , algorithm , multislice , nuclear medicine , angiography , sensitivity (control systems) , noise (video) , filter (signal processing) , computer science , physics , medicine , mathematics , artificial intelligence , radiology , computer vision , image (mathematics) , electronic engineering , engineering , machine learning
BACKGROUND: Radiologists widely use the minimum detectable difference (MDD) concept for inspecting the imaging quality and quantify the spatial resolution of scans. OBJECTIVE: This study adopted Taguchi’s dynamic algorithm to optimize the MDD of cardiac CT angiography (CTA) using a V-shaped line gauge and three PMMA phantoms (50, 70, and 90 kg). METHODS: The phantoms were customized in compliance with the ICRU-48 report, whereas the V-shaped line gauge was indigenous to solidify the cardiac CTA scan image quality by two adjacent peaks along the V-shaped slit. Accordingly, the six factors A-F assigned in this study were A (kVp), B (mAs), C (CT pitch), D (FOV), E (iDose), and F (reconstruction filter). Since each factor could have two or three levels, eighteen groups of factor combinations were organized according to Taguchi’s dynamic algorithm. Three welltrained radiologists ranked the CTA scan images three times for three different phantoms. Thus, 27 (3 × 3 × 3) ranked scores were summed and averaged to imply the integrated performance of one specific group, and eventually, 18 groups of CTA scan images were analyzed. The unique signal-to-noise ratio (S/N, dB) and sensitivity in the dynamic algorithm were calculated to reveal the true contribution of assigned factors and clarify the situation in routine CTA diagnosis. RESULTS: Minimizing the cross-interactions among factors, the optimal factor combination was found to be as follows: A (100 kVp), B (600 mAs), C (pitch 0.200 mm), D (FOV 280 mm), E (iDose 5), and F (filter XCA). The respective MDD values were 2.15, 2.32, and 1.87 mm for 50, 70, and 90 kg phantoms, respectively. The MDD of the 90 kg phantom had the most precise spatial resolution, while that of the 70 kg phantom was the worst. CONCLUSION: The Taguchi static and dynamic optimization algorithms were compared, and the latter’s superiority was substantiated.

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