影像科学与光化学2025,Vol.43Issue(1) :81-88.DOI:10.7517/issn.1674-0475.2025.01.12

能量CT在去除头颈部义齿伪影中的研究进展与趋势分析

Research Progress and Trend Analysis of Energy CT in Removing Head and Neck Denture Artifacts

魏鹏月 黄晓颖 吴桐 关晶 暴云锋
影像科学与光化学2025,Vol.43Issue(1) :81-88.DOI:10.7517/issn.1674-0475.2025.01.12

能量CT在去除头颈部义齿伪影中的研究进展与趋势分析

Research Progress and Trend Analysis of Energy CT in Removing Head and Neck Denture Artifacts

魏鹏月 1黄晓颖 2吴桐 3关晶 4暴云锋3
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作者信息

  • 1. 河北医科大学研究生学院,河北 050017;河北省人民医院体检中心,河北 050051
  • 2. 河北省人民医院医学影像科,河北 050051
  • 3. 河北省人民医院体检中心,河北 050051
  • 4. 河北省人民医院 口腔科,河北 050051
  • 折叠

摘要

目的:固定义齿是临床常见的口内金属植入物,其材质多种,往往不可摘除.在头颈部CT扫描中固定义齿常产生金属伪影,严重干扰周围组织的准确显示.本系统性综述旨在全面总结能量CT在减少头颈部CT扫描中由固定义齿引起的金属伪影方面的最新进展,以提高图像质量并促进临床精确诊治.方法:本研究广泛回顾并分析了近期关于能量CT去除固定义齿金属伪影的文献,探讨了4种主要方法:扫描参数优化、算法处理[包括迭代重建(IR)、虚拟单能量成像(VMI)和去金属伪影技术(MAR)]、多种后处理技术的联合应用,以及基于深度学习的方法.结果:扫描参数优化简便易行,但去金属伪影的能力有限,并存在增加辐射暴露的风险.算法处理方法如IR、VMI和MAR展示了不同程度的有效性,联合使用较单一技术在性能上表现更好.此外,新兴的深度学习方法在显著减少金属伪影的同时保持了高质量的图像.结论:本综述强调了利用能量CT减少头颈部扫描中固定义齿引起的金属伪影所取得的进展.多种后处理技术的联合使用以及深度学习方法的潜力为未来的研究方向带来了希望,旨在提高CT图像质量并增强临床诊断的准确性.

Abstract

Objective:Fixed denture is a common oral metal implant in clinic.Its materials are various and often non-removable.In the head and neck CT scan,the fixed denture often produces metal artifacts,which seriously interferes with the accurate display of the surrounding tissue.This systematic review aims to comprehensively summarize the latest progress of energy CT in reducing metal artifacts caused by fixed dentures in head and neck CT scans,so as to improve image quality and promote accurate clinical diagnosis.Methods:This study extensively reviewed and analyzed the recent literature on the removal of metal artifacts in fixed dentures by energy CT.Four main methods are discussed:scanning parameter optimization,algorithm processing(including iterative reconstruction IR,virtual monoenergetic images VMI and metal artifact reductionMAR),combined application of various post-processing techniques,and methods based on deep learning.Results:The optimization of scanning parameters was simple and easy,but the ability to remove metal artifacts was limited,and there was a risk of increasing radiation exposure.Algorithm processing methods such as IR,VMI and MAR show varying degrees of effectiveness,and the combined use performs better than a single technology.In addition,the emerging deep learning methods maintain high-quality images while significantly reducing metal artifacts.Conclusion:This review highlights the progress made in reducing metal artifacts caused by fixed dentures in head and neck scans using energy CT.The combined use of multiple post-processing techniques and the potential of deep learning methods provide hope for future research directions,aiming to improve the quality of CT images and enhance the accuracy of clinical diagnosis.

关键词

能量CT/固定义齿/金属伪影/伪影减少技术/深度学习

Key words

energy computed tomography/fixed denture/metal artifacts/artifact reduction techniques/deep learning

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出版年

2025
影像科学与光化学
中国科学院理化技术研究所 中国感光学会

影像科学与光化学

CSTPCD
影响因子:0.287
ISSN:1674-0475
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