Objective: To investigate the quantitative influence of ASIR (adaptive statistical iterative reconstruction) on CT(computed tomography) image histology of patients with primary colorectal cancer.
Methods: Sixty three patients with primary colorectal cancer were prospectively selected in the Jingzhou Central Hospital from January 2017 to December 2018; all patients were planned for contrast-enhanced CT examination and 20% ASIR incremental reconstruction. For reasons of interest, single- and multi-slice scans and radio-histological analysis were performed: ASIR effects were calculated by multilevel linear regression method.
Results: The total of 56 CT data sets were collected and analyzed. Incremental ASIR levels showed significant statistical changes in most radiohistological features (P<0.05). Single event and multilevel analysis of first-order statistical characteristics showed relatively small changes (median standardization effect B = 0.08). The change level of second-order statistical characteristics in single-level analysis (median B = 0.36) were significantly higher than multilevel analysis (median B = 0.13). The fractal characteristics showed significant statistical changes only in single-level analysis (median B = 0.49).
Conclusions: The incremental level of ASIR can significantly affect the quantification of CT radiohistology of primary colorectal cancer. The second-order statistical and fractal characteristics obtained by single-level analysis can be more variable than those obtained by multi-level analysis.
Keywords: Computer tomography, Image processing, Colorectal neoplasms, Classification.