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. 2021 Feb 25;31(9):7151–7161. doi: 10.1007/s00330-021-07746-8

Table 5.

Subjective analysis of artifact reduction and presence of new artifacts at CIED leads. Data is reported as median with 10/90 percentile. CI, conventional images; VMI, virtual monoenergetic images; MAR, metal artifact reduction algorithm; VMIMAR, combination of MAR and VMI; ICC, intraclass correlation coefficient. Bold indicates significant changes in scores compared to CI

Artifact extent Diagnostic assessment of surrounding tissue
Hypodense Hyperdense
CI 3 (3–4) 2 (2–3) 2 (2–3)
VMI
100 keV 3 (3–4) 3 (24) 3 (23)
140 keV 3 (3–4) 3 (24) 2 (14)
200 keV 3 (3–4) 3 (34) 1 (14)
MAR 4 (35) 3 (24) 3 (24)
VMIMAR
100 keV 4 (35) 4 (34) 3 (24)
140 keV 4 (35) 4 (35) 2 (14)
200 keV 4 (35) 4 (35) 1 (14)
p value
CI vs. VMI 100 keV > 0.05 < 0.05 < 0.05
CI vs. VMI 140 keV > 0.05 < 0.05 < 0.05
CI vs. VMI 200 keV > 0.05 < 0.05 < 0.05
CI vs. MAR < 0.05 < 0.05 < 0.05
CI vs. VMIMAR 100–200 keV < 0.05 < 0.05 < 0.05