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Research ArticleBRAIN

Image Quality of Multisection CT of the Brain: Thickly Collimated Sequential Scanning versus Thinly Collimated Spiral Scanning with Image Combining

M. van Straten, H.W. Venema, C.B.L.M. Majoie, N.J.M. Freling, C.A. Grimbergen and G.J. den Heeten
American Journal of Neuroradiology March 2007, 28 (3) 421-427;
M. van Straten
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H.W. Venema
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C.B.L.M. Majoie
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N.J.M. Freling
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C.A. Grimbergen
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G.J. den Heeten
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  • Fig 1.
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    Fig 1.

    Section sensitivity profiles for sequential mode (diamonds) and spiral mode (dashed line). The continuous line depicts the profile of 4 combined spiral mode images with an increment of 1.2 mm (positions of each image given by asterisks on the z-axis).

  • Fig 2.
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    Fig 2.

    Cross-sectional images of the skull base.

    A, Sequential technique. Severe streak artifacts are shown in the skull base.

    B, Spiral technique.

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    Fig 3.

    Cross-sectional images of the upper cranium.

    A, Sequential technique. This image shows an increase of the CT values of the brain tissue, especially near the skull.

    B, Spiral technique.

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    Fig 4.

    Cross-sectional images of the middle region of the brain. The spiral image has a higher contrast between the gyri and the CSF in the frontal region. Both observers had a slight preference for the spiral image with respect to “overall image quality,” “visualization of brain tissue near the skull,” and “image noise.”

    A, Sequential technique.

    B, Spiral technique.

Tables

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    Table 1:

    Indications for scanning the brain.

    IndicationNo. of Patients
    (Rule out) hydrocephalus9
    Stroke6
    Memory deficit6
    (Rule out) hematoma4
    Gait disturbance3
    Sensory deficit2
    Epilepsy1
    Vertigo1
    • Note:—Some patients had multiple indications.

    • View popup
    Table 2:

    Frequencies, mean, and SD of scores of observers in pairwise comparison of images (first part of observer study)

    Aspects & Observers−2−1012NAMeanSDP
    Streak artifacts
        100044221661.330.47<.001
        200729331631.380.66<.001
    Visualization brain tissue near skull
        102105106190.610.65<.001
        211075104420.760.81<.001
    Visualization hypodense lesion(s)
        1122333911360.180.83>.05
        2231244071280.181.00>.05
    Gray/white matter differentiation
        11818232090.100.43>.05
        235370845170.160.87>.05
    Image noise
        1149929000.170.77>.05
        215252115120.370.90<.001
    Overall image quality
        112864103360.630.90<.001
        234235118340.590.99<.001
    • Note:—NA indicates not applicable. Scores range from −2 (preference for sequential technique) to +2 (preference for spiral technique). The tabulated P values are the those of the Wilcoxon signed-rank test multiplied by 24, which is the total number of significance tests performed (Bonferroni correction).

    • View popup
    Table 3:

    Frequencies, mean, and SD of scores of observers in comparison of complete scans (second part of observer study)

    Aspects & Observers−2−1012NAMeanSDP
    Streak artifacts
        100018501.220.41<.001
        200032001.870.34<.001
    Visualization brain tissue near skull
        10022100.910.28<.001
        20001671.300.46<.001
    Visualization hypodense lesion(s)
        100105170.440.61>.05
        20168080.470.62>.05
    Gray/white matter differentiation
        100221000.040.20>.05
        200320000.870.34<.001
    Image noise
        1041720−0.090.50>.05
        20004191.830.38<.001
    Overall image quality
        10002121.090.28<.001
        20001221.960.20<.001
    • Note:—NA indicates not applicable. Scores range from −2 (preference for sequential technique) to +2 (preference for spiral technique). The tabulated P values are the those of the Wilcoxon signed-rank test multiplied by 24, which is the total number of significance tests performed (Bonferroni correction).

    • View popup
    Table 4:

    Interobserver agreement

    AspectObserver Study: First PartObserver Study: Second Part
    NκPABAKNκPABAK
    Streak artifacts600.000.88230.001.00
    Visualization brain tissue near skull2320.370.52230.000.87
    Visualization hypodense lesion(s)710.090.1115−0.100.10
    Gray/white matter differentiation2110.010.00230.01—*
    Image noise2320.140.16230.00—*
    Overall image quality2320.200.35230.001.00
    • Note:—PABAK indicates prevalence- and bias-adjusted κ.

    • * No meaningful value could be determined because one or more of the concordant values of the cross-table became negative.

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American Journal of Neuroradiology: 28 (3)
American Journal of Neuroradiology
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Cite this article
M. van Straten, H.W. Venema, C.B.L.M. Majoie, N.J.M. Freling, C.A. Grimbergen, G.J. den Heeten
Image Quality of Multisection CT of the Brain: Thickly Collimated Sequential Scanning versus Thinly Collimated Spiral Scanning with Image Combining
American Journal of Neuroradiology Mar 2007, 28 (3) 421-427;

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Image Quality of Multisection CT of the Brain: Thickly Collimated Sequential Scanning versus Thinly Collimated Spiral Scanning with Image Combining
M. van Straten, H.W. Venema, C.B.L.M. Majoie, N.J.M. Freling, C.A. Grimbergen, G.J. den Heeten
American Journal of Neuroradiology Mar 2007, 28 (3) 421-427;
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