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2025 ; 15
(1
): 37165
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gab.com Text
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Model based noise correction enhances the accuracy of pancreatic CT perfusion
blood flow measurements
#MMPMID41131353
Vats N
; Mayer P
; Kortes F
; Klauß M
; Grenacher L
; Kauczor HU
; Stiller W
; Skornitzke S
Sci Rep
2025[Oct]; 15
(1
): 37165
PMID41131353
show ga
A model based noise correction algorithm was developed to improve the accuracy of
CT perfusion (CTp) blood flow (BF) measurements affected by image noise. The
algorithm used tissue attenuation curves (TACs), generated by convolving an
impulse response function (IRF) with an arterial input function (AIF) averaged
from 59 patient datasets. Gaussian noise was introduced to simulate noise, and BF
was measured using deconvolution. The algorithm iteratively compared BF without
added noise against noise-impacted BF to estimate ground-truth BF (GTBF).
Performance was evaluated with digital perfusion phantoms (DPPs) for GTBF values
of 5-420 ml/100 ml/min and added noise (standard deviation 25 HU), measuring
absolute difference from GTBF and contrast-to-noise ratio (CNR). For clinical
evaluation, CTp data from 14 pancreatic ductal adenocarcinoma (PDAC) patients was
used. For DPPs, noise-impacted and noise-corrected BF were
140?±?111 ml/100 ml/min and 131?±?125 ml/100 ml/min, compared to GTBF of
131?±?127 ml/100 ml/min. Post-correction, the absolute difference reduced from
18.8 to 3.6 ml/100 ml/min, with CNR improving from 2.52 to 2.66. In clinical
datasets, BF for parenchyma shifted from 148?±?50.8 to 84.1?±?96.9 ml/100 ml/min,
and for PDAC, from 45.8?±?20.3 to 13.3?±?18.7 ml/100 ml/min. The algorithm
reduced noise impact, improving BF accuracy and CNR, with potential for
lower-dose CT without compromising diagnostic quality.