To compare quantitatively and qualitatively brain image quality acquired in helical and axial modes on two wide collimation CT systems according to the dose level and algorithm used.
Acquisitions were performed on an image quality and an anthropomorphic phantoms at three dose levels (CTDI _vol : 45/35/25 mGy) on two wide collimation CT systems (GE Healthcare and Canon Medical Systems) in axial and helical modes. Raw data were reconstructed using iterative reconstruction (IR) and deep-learning image reconstruction (DLR) algorithms. The noise power spectrum (NPS) was computed on both phantoms and the task-based transfer function (TTF) on the image quality phantom. The subjective quality of images from an anthropomorphic brain phantom was evaluated by two radiologists including overall image quality.
For the GE system, noise magnitude and noise texture (average NPS spatial frequency) were lower with DLR than with IR. For the Canon system, noise magnitude values were lower with DLR than with IR for similar noise texture but the opposite was true for spatial resolution. For both CT systems, noise magnitude was lower with the axial mode than with the helical mode for similar noise texture and spatial resolution. Radiologists rated the overall quality of all brain images as "satisfactory for clinical use", whatever the dose level, algorithm or acquisition mode.
Using 16-cm axial acquisition reduces image noise without changing the spatial resolution and image texture compared to helical acquisitions. Axial acquisition can be used in clinical routine for brain CT examinations with an explored length of less than 16 cm.