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Suppression of intensity transition artifacts in statistical x-ray computer tomography reconstruction through radon inversion initialization.

Statistical reconstruction (SR) methods provide a general and flexible framework for obtaining tomographic images from projections. For several applications SR has been shown to outperform analytical algorithms in terms of resolution-noise trade-off achieved in the reconstructions. A disadvantage of SR is the long computational time required to obtain the reconstructions, in particular when large data sets characteristic for x-ray computer tomography (CT) are involved. As was shown recently, by combining statistical methods with block iterative acceleration schemes [e.g., like in the ordered subsets convex (OSC) algorithm], the reconstruction time for x-ray CT applications can be reduced by about two orders of magnitude. There are, however, some factors lengthening the reconstruction process that hamper both accelerated and standard statistical algorithms to similar degree. In this simulation study based on monoenergetic and scatter-free projection data, we demonstrate that one of these factors is the extremely high number of iterations needed to remove artifacts that can appear around high-contrast structures. We also show (using the OSC method) that these artifacts can be adequately suppressed if statistical reconstruction is initialized with images generated by means of Radon inversion algorithms like filtered back projection (FBP). This allows the reconstruction time to be shortened by even as much as one order of magnitude. Although the initialization of the statistical algorithm with FBP image introduces some additional noise into the first iteration of OSC reconstruction, the resolution-noise trade-off and the contrast-to-noise ratio of final images are not markedly compromised.

Algorithms↗

Computer simulation study of Siemens star x-ray image artifacts.

In the Siemens star image, exact determination of the first disappearance frequency, which is used to measure the focal spot size, is difficult since the disappearance band has a finite width and the image also has other artifacts. The origin of these artifacts and their appearance was studied by Siemens star image simulation on a digital computer. The simulated images were manipulated by using many different modulation and phase transfer functions. It is shown that the bending of spokes is not related to zero contrast; exact triplet splitting can occur only at the disappearance frequency, and therefore splitting is a valuable indicator of that frequency.

Computers↗

Evaluation of edge-induced streaking artifacts in CT scanners.

A phantom is presented which permits the evaluation of streaking artifacts produced in CT reconstructions by abrupt edges. Its application is demonstrated by results obtained from nine CT scanners. It is observed that even in regions where streaking is not readily apparent, edge-induced artifacts can significantly increase the variance in the reconstruction.

Evaluation Studies as Topic↗

MR image artifacts from periodic motion.

Artifacts due to periodic motion during the acquisition of magnetic resonance (MR) images have been studied. A mechanical device was constructed to oscillate a small sample along any line within a 0.15-T Technicare imager. Two- and three-dimensional images were obtained using various frequencies and amplitudes of oscillation. Computer simulations of these experiments yielded images which agreed with the experiments. We demonstrated that movement influences MR images locally through blurring, and also generates ghost artifacts along the phase-encoding directions of the Fourier transform imaging technique.

Humans↗

Gibbs artifact removal in magnetic resonance imaging.

Gibbs artifact in magnetic resonance imaging results when band-limited interpolation is used. This is typically done when there are more reconstructed pixels in the phase encoding direction of the image than corresponding phase encoding measurements. Such sampling is effectively an ideal (in a noise sense) low-pass filter which provides a maximal improvement in contrast resolution at the expense of a decrease in spatial resolution. In this paper we demonstrate that an alternate low-pass filter can be used to improve contrast resolution with a loss in spatial resolution and yet not result in Gibbs artifact. We show that the noise performance of this filter can be made to approach that of an ideal filter by properly specifying the number of samples averaged for each phase encoding index.

Humans↗

A method for simultaneous correction of spectrum hardening artifacts in CT images containing both bone and iodine.

A method is described capable of correcting artifacts in x-ray computer tomography (CT) images due to beam hardening in an arbitrary number of substances. The method works with reconstructed image data and does not require the original raw data. It is necessary to have an estimate of the spectrum of the incident x-ray beam. The method is similar to previously described iterative methods that correct artifacts induced by bones. Our implementation was designed to correct for hardening in both bone and iodine contrast agent. It is necessary to identify those regions of the image which contain bone and iodine. A central concept is that of effective density, which is the ratio of CT number of the substance to that of water. It is necessary to establish by a preliminary experiment the relationship between CT number and mass density of iodine or bone. From these data one estimates path integrals through soft tissue (water equivalent), bone, and iodine using a reprojection algorithm applied to the given image. Given this input, a key equation is solved numerically which provides a correction term to be subtracted from the reprojected data. This can be shown to eliminate the nonlinear terms in the projections due to beam hardening, assuming that the original density estimates were correct. In principle, the method can be repeated iteratively to improve the accuracy. However, in our experience using an image of a phantom containing iothalamate meglumine and K2HPO4, scanned using the Siemens Evolution electron beam tomography scanner, the quality of the corrected image was excellent and no further iteration is needed for the phantoms studied. More research is needed to implement the method on clinical scans.

Algorithms↗

Aminoglycoside-induced increase of intracellular calcium in LLC-PK1 cells due to an artifact caused by trypsin and EDTA.

Dietary calcium supplements attenuate experimental aminoglycoside nephrotoxicity. In cultured renal tubular cells, intracellular calcium levels have been reported to rise with aminoglycoside addition to the culture medium. In experiments designed to verify the in vitro influence of calcium on cultured kidney cells, we detected an unexpected artifact. When we resuspended cultured LLC-PK1 cells with trypsin and EDTA to measure intracellular calcium levels, our results correlated well with previously reported values. However, we saw no increase in intracellular calcium levels when we measured them by digital imaging video microscopy unless trypsin-EDTA exposure preceded aminoglycoside exposure. This apparent artifact should be considered in any study of the effects of various agents on intracellular calcium levels.

Animals↗

The environmental density artifact: a beam-hardening effect in computed tomography.

The environmental density artifact is an effect due to beam hardening in computed tomography (CT), and is the small but definite change in the CT number of a central region when surrounded by a larger region of different attenuation coefficient. This effect was measured in concentric cylindrical phantoms. The outer cylinder contained different solutions of iodinated contrast medium or isopropyl alcohol, and the central cylinder contained water. When the CT number in the outer cylinder increased by about 100 HU, that of the central water-filled cylinder increased by about 5 HU. This artifact may be the cause of erroneous diagnosis when contrast enhancement is employed in computed tomography.

Models, Structural↗

A pattern recognition method for the removal of streaking artifact in computed tomography.

A new method is presented for the removal of streaking artifact in computed tomography. The method uses a nearest-neighbor pattern recognition technique to redetermine ray sums that intersect the foreign object responsible for the streaking. When the method is applied to the removal of streaking artifact caused by lead in a skull phantom, excellent results are obtained.

Models, Structural↗

Surgical ligation clip artifacts on CT scans.

Surgical ligation clips of various materials were scanned in a water-filled phantom to determine what artifacts would be produced. Tantalum clips produced severe image degradation, while stainless steel clips produced less severe degradation. Minimal artifacts were observed with titanium clips. Clips molded from an absorbable polymeric material, polydioxanone, were visible on computed tomography (CT) scans and had the least effect on the CT image.

Humans↗

Syrinx-like artifacts on MR images of the spinal cord.

Magnetic resonance (MR) imaging of the spinal cord frequently demonstrates, especially on sagittal sections, a central stripe that mimics a true syrinx. This syrinx-like manifestation of a truncation artifact occurs in objects having a width of only a few pixels and was demonstrated by calculations verified with phantom MR images. Healthy volunteers and two patients with a syrinx and cervical spondylosis, respectively, underwent MR imaging. By increasing the number of phase-encoding steps, decreasing the field of view, and switching phase- and frequency-encoding axes, the syrinx-like artifact can be eliminated.

Cervical Vertebrae↗

Low-artifact intravascular devices: MR imaging evaluation.

Flow-phantom magnetic resonance (MR) imaging, with use of both spin-echo (SE) and gradient-echo (GRE) techniques at 1.5 T, was performed on the percutaneous Greenfield (beta-III titanium alloy [TMA wire]), Amplatz (MP32-N alloy), and Simon nitinol filters and TMA wire facsimiles of the bird's nest, Gunther, new retrievable, and Amplatz vena caval filters. SE imaging allowed detection of thrombi as small as 5 X 5 mm trapped within the percutaneous Greenfield, Simon nitinol, and TMA-wire facsimile filters; with the MP32-N Amplatz filter, a larger volume of thrombus (10 X 20-mm clots) was necessary for clot detection. GRE imaging allowed detection of intraluminal tilting of the percutaneous Greenfield and facsimile Amplatz (TMA-wire) filters. GRE imaging was useful for demonstrating postfilter turbulence due to clots, which was greatest for the Amplatz filter. Imaging of facsimile vascular devices made of tantalum or TMA wire did not cause the severe "black-hole" MR artifacts typical of the stainless-steel devices. SE and GRE imaging were very useful for determining caval patency in two patients with previously placed Mobin-Uddin filters. Noninvasive MR evaluation of blood vessels in the presence of a variety of low-artifact intravascular devices appears feasible.

Blood Vessel Prosthesis↗

Correction of thermal artifacts in plethysmographic airway resistance measurements.

Specific airway resistance (sRaw) measured by body plethysmography without conditioning of the inspired air to BTPS exhibits a strong frequency dependence related to the fact that the warming and wetting of the gas in the airways is not instantaneous (R. Peslin, C. Duvivier, M. Vassiliou, and C. Gallina. J. Appl. Physiol. 79: 1958-1965, 1995). We have tested three methods in 21 healthy subjects to correct for that artifact by using a simple model, assuming a first-order thermal process characterized by a single time constant. The corrections required entering an assumed constant value for (methods 1 and 2) and/or for airway inertance (methods 1 and 3) and/or measuring the inspired gas temperature and water vapor saturation (methods 2 and 3). The frequency dependence of sRaw was measured from 0.5 to 3 Hz both with (sRawETPS) and without (sRawam) gas conditioning. With optimal values for and/or airway inertance, the mean difference between sRawam and sRawETPS was close to zero with all three methods, but the root mean square difference was significantly lower with method 2 (0.83 +/- 0.35 hPa.s compared with 1.21 +/- 0.54 and 1.20 +/- 0.49 hPa.s with methods 1 and 2, respectively). We conclude that the thermal artifact of sRaw measurements may be best corrected by using temperature measurements and an assumed time constant (0.152 s with our equipment).

Adult↗

Digoxin-like substance in amniotic fluid--fact or artifact?

A digoxin-like immunoreactive substance (DLIS) has been reported in the amniotic fluid. Since radioimmunoassay kits are standardized using serum-based standards, we hypothesized that measurement of DLIS may be an artifact related to the low protein content of amniotic fluid. We analyzed 12 amniotic fluid samples before and after supplementation with lyophilized human serum. The means +/- SDs for DLIS (nmol/l) at protein concentrations of 0, 32 and 63 g/l were 1.4 +/- 0.16, 0.6 +/- 0.09, and 0.4 +/- 0.09 nmol/l, respectively. We, therefore, hypothesize that DLIS in amniotic fluid may in part be explained by a technical artifact.

Amniotic Fluid↗

[Artifacts in A and B-scan echograms following the implantation of artificial lenses].

In the A scan and B scan echogram of the eye and orbit artifacts may arise following implantation of an intraocular lens. Their origin, form, and localization can be explained by means of physics. Reverberation, foreign body, refraction, and absorption artifacts can be distinguished; familiarity with their appearance will avoid erroneous interpretation and results.

Eye↗

Streak artifacts in dynamic CT. A phantom study of the anterior upper abdomen.

Experiments with a body phantom during dynamic CT scanning with the Somatom 2 CT scanner indicate that the periodic streak artifacts seen on the anterior part of the liver in patients are caused by peristalsis of the stomach and resulting motion of the air fluid level. Therefore, the attenuation values of the anterior portion of the liver artifactually oscillate around the baseline value during the dynamic series of scans. This artifact is produced by a change in the position of the stomach air fluid level and is dependent on the direction of tube rotation. The mean of the artifactually oscillating attenuation readings is close to the mean density but usually useless in dynamic CT because the attenuation values change so rapidly in the dynamic phase that averaging measurements also will cause errors.

Humans↗

Increasing trends in some cancers in older Americans: fact or artifact?

In analyzing U.S. cancer mortality from 1933 to 1978, Doll and Peto speculated that recently recorded increases in mortality among those over age 64 were likely to be artifacts, reflecting deaths previously misattributed to such causes as nonspecific cancer, pneumonia, and senility and other ill-defined causes. We test this hypothesis by examining some age-specific, cause-specific mortality in persons 35 to 84 for the period of the 8-ICDA, 1968-1978, which corresponds to the last eleven years of the period studied by Doll and Peto. Our analysis reveals increasing trends in mortality from lung cancer, brain cancer and multiple myeloma in older whites and nonwhites along with increases in several potentially miscoded causes of death from 1968 to 1978. Thus, these increasing cancers in the elderly cannot be explained solely as artifacts. Further studies of trends in site-specific cancer mortality should include age groups through at least age 85. Continued monitoring of site-specific cancer mortality patterns, particularly among the elderly, remains crucial for developing preventive strategies to reduce cancers.

Adult↗