Publications by authors named "Miwa Okumura"

Objective: For the multislice CT (MSCT) systems with a larger number of detector rows, it is essential to employ dose-reduction techniques. As reported in previous studies, edge-preserving adaptive image filters, which selectively eliminate only the noise elements that are increased when the radiation dose is reduced without affecting the sharpness of images, have been developed. In the present study, we employed receiver operating characteristic (ROC) analysis to assess the effects of the quantum denoising system (QDS), which is an edge-preserving adaptive filter that we have developed, on low-contrast resolution, and to evaluate to what degree the radiation dose can be reduced while maintaining acceptable low-contrast resolution.

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Rationale And Objectives: The latest multislice computed tomography (MSCT) scanners permit the chest and abdomen to be scanned continuously. However, conventionally, it has been necessary to perform scanning twice using different pitch factors for the cardiac and abdominal regions. We have developed a new scanning technique known as variable pitch factor scanning, in which the table speed is changed during scanning to obtain continuous images from the heart to the abdomen in a single scan, and have evaluated its physical characteristics.

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The present study aimed to assess the feasibility of four-dimensional (4D) chest computed tomography (CT) under tidal volume ventilation and the impact of respiratory motion on quantitative analysis of CT measurements. Forty-four pulmonary nodules in patients with metastatic disease were evaluated. CT examinations were performed using a 256 multidetector-row CT (MDCT) unit.

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Article Synopsis
  • The study aimed to enhance the contrast-to-noise ratio of noncontrast head CT images, which are important for diagnosing acute ischemic strokes, by using a combination of volume helical scanning and a 3D denoising filter.
  • Scans were conducted on phantoms and patients using a 16-row multidetector CT unit, and results showed that the 3D denoising filter significantly improved the image quality and was comparable to nonhelical images.
  • The findings concluded that the volume helical scanning technique with the 3D denoising filter effectively improves the overall quality of noncontrast head CT images, while specific artifacts were managed better compared to traditional nonhelical scans.
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Experiments were conducted to confirm the isotropic spatial resolution of multislice CT with a 0.5 mm slice thickness. Isotropic spatial resolution means that the spatial resolution in the transaxial plane (X-Y plane) and that in the longitudinal direction (Z direction) are equivalent.

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To evaluate the characteristics of edge-preserving adaptive filters for selectively eliminating noise without affecting resolution in low-dose scanning, we have developed a digital phantom image and evaluated noise statistical values, noise characteristics, and resolution characteristics. The results confirmed that edge-preserving adaptive filters function as smoothing filters in low-contrast regions containing noise, permitting the density resolution to be improved, while the strength of the smoothing filter is reduced to maintain spatial resolution in high-contrast regions containing small structures. It has therefore been confirmed that edge-preserving adaptive filters function as filters for selectively eliminating only the noise elements that are increased when the exposure dose is reduced and that such filters are effective for improving image quality.

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To assist in the selection of complicated computed tomography (CT) scan protocols and to obtain stable image SD values, prototype "Scan Plan Simulator" software with the following functions was developed and evaluated. 1) The image SD value that will be obtained in actual scanning is estimated by entering the patient's body size and scan protocol, after which a simulated image is displayed so that the estimated image SD value can be checked. The exposure dose can also be estimated in the Scan Plan Simulator.

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Article Synopsis
  • CT perfusion studies increase local radiation exposure due to repeated scanning of the same area on a patient's head.
  • A new ultra-low-dose technique using a quantum de-noising filter has shown to reduce noise by two-thirds, while preserving image quality.
  • This low-dose protocol achieved a 68% reduction in radiation dose compared to the standard method, indicating its effectiveness in improving safety and image clarity in CT perfusion studies.
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