The Hepatic lesion detectability in abdomen computed tomography: Investigation in low kVp single energy and low keV virtual monochromatic images generated from dual energy computed tomography using task-based image quality assessment in phantom

Background: Low tube potential single-energy (SE) and virtual monochromatic image (VMI) dual energy (DE) abdomen CT images both improve the hepatic lesion detection by increasing the liver lesion contrast on images. Objectives: To study the performance of low kVp single energy and low keV virtual monochromatic images (VMI) generated from dual energy acquisition to detect the hepatic lesion on abdominal CT imaging in phantom. Materials and methods: The anthropomorphic liver with nodule inserted phantom with extension rings simulating the small, medium, and large patient was scanned under the SECT acquisition by varying the kVp from 70-120 kVp and for DECT acquisitions, three kVp combinations (80/-,90/-, and 100/Sn150-kVp). The series of 40-,50-,60-, and 70-keV VMI were generated from DECT data set. All images were used to assess the task-based image quality; task transfer function (TTF), noise power spectrum (NPS), and detectability index (d’) with the diagnostic task to detect 15 mm diameter hyperattenuating hepatic lesion. Results: The result showed that the TTF was higher in low kVp SECT while the lesion contrast was higher at low keV VMI -DECT. The noise magnitude remained constant for all kVp values in SECT, but it was dramatically increased as decreased the energy level from 70- to 40-keV in VMI-DECT. The fav of NPS shifted to higher frequency when increasing the kVp and when increasing the energy level of VMI. The obtained d’ was highest in low kVp SECT at 70-or 80-kVp. Conclusion: The low kVp SECT provided the highest d’ than that in low keV VM image from DECT in all phantom sizes where the highest d’ was found at 70 kVp-SECT for small and medium phantom and at 80 kVp for large phantom. For SECT, reduced the kVp to 70- or 80-kVp improved the detectability index. The kVp combination in DECT impacts to the d’ of VMI; at small phantom, the highest d’ for each keV VMI was found at 80/Sn150 kVp acquisition and at larger phantom size, higher kVp on tube “A” is more favored.