Optimization of the reconstruction interval in neurovascular 4D-CTA imaging. A technical note

Abstract

Time resolved whole brain CT angiography (4D-CTA) is a novel imaging technology providing information regarding blood flow. One of the factors that influence the diagnostic value of this examination is the temporal resolution, which is affected by the gantry rotation speed during acquisition and the reconstruction interval during post-processing. Post-processing determines the time spacing between two reconstructed volumes and, unlike rotation speed, does not affect radiation burden. The data sets of six patients who underwent a cranial 4D-CTA were used for this study. Raw data was acquired using a 320-slice scanner with a rotation speed of 2 Hz. The arterial to venous passage of an intravenous contrast bolus was captured during a 15 s continuous scan. The raw data was reconstructed using four different reconstruction-intervals: 0.2, 0.3, 0.5 and 1.0 s. The results were rated by two observers using a standardized score sheet. The appearance of each lesion was rated correctly in all readings. Scoring for quality of temporal resolution revealed a stepwise improvement from the 1.0 s interval to the 0.3 s interval, while no discernable improvement was noted between the 0.3 s and 0.2 s interval. An increase in temporal resolution may improve the diagnostic quality of cranial 4D-CTA. Using a rotation speed of 0.5 s, the optimal reconstruction interval appears to be 0.3 s, beyond which, changes can no longer be discerned.

Figure 1

Total temporal resolution score for each reconstruction interval. The Figure shows the total amount of points awarded by both readers to each reconstruction interval with respect to temporal resolution. It indicates that temporal resolution is inversely proportional to the reconstruction interval, with the largest improvement gained between the 1.0 s, 0.5 s and 0.3 s reconstruction intervals. The improvement gained between the 0.3 s and 0.2 s is substantially smaller and was judged too subtle to be clinically relevant by both readers.