Clinical Comparison of Standard-Dose and 50% Reduced—Dose Abdominal CT: Effect on Image Quality

2002 ◽  
Vol 179 (5) ◽  
pp. 1101-1106 ◽  
Author(s):  
Mannudeep K. Kalra ◽  
Srinivasa Prasad ◽  
Sanjay Saini ◽  
Michael A. Blake ◽  
Jose Varghese ◽  
...  
Keyword(s):  
Image Quality ◽  
Standard Dose ◽  
Abdominal Ct ◽  
Reduced Dose ◽  
Clinical Comparison

scholarly journals Evaluation of reduced-dose CT for acute non-traumatic abdominal pain: evaluation of diagnostic accuracy in comparison to standard-dose CT

2017 ◽  
Vol 59 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Ahmed E Othman ◽  
Malte Niklas Bongers ◽  
Dominik Zinsser ◽  
Christoph Schabel ◽  
Julian L Wichmann ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Image Quality ◽  
Radiation Dose ◽  
Diagnostic Accuracy ◽  
Standard Dose ◽  
Image Noise ◽  
Receiver Operating Curve ◽  
Diagnostic Confidence ◽  
Abdominal Ct ◽  
Reduced Dose

Background Patients with acute non-traumatic abdominal pain often undergo abdominal computed tomography (CT). However, abdominal CT is associated with high radiation exposure. Purpose To evaluate diagnostic performance of a reduced-dose 100 kVp CT protocol with advanced modeled iterative reconstruction as compared to a linearly blended 120 kVp protocol for assessment of acute, non-traumatic abdominal pain. Material and Methods Two radiologists assessed 100 kVp and linearly blended 120 kVp series of 112 consecutive patients with acute non-traumatic pain (onset < 48 h) regarding image quality, noise, and artifacts on a five-point Likert scale. Both radiologists assessed both series for abdominal pathologies and for diagnostic confidence. Both 100 kVp and linearly blended 120 kVp series were quantitatively evaluated regarding radiation dose and image noise. Comparative statistics and diagnostic accuracy was calculated using receiver operating curve (ROC) statistics, with final clinical diagnosis/clinical follow-up as reference standard. Results Image quality was high for both series without detectable significant differences ( P = 0.157). Image noise and artifacts were rated low for both series but significantly higher for 100 kVp ( P ≤ 0.021). Diagnostic accuracy was high for both series (120 kVp: area under the curve [AUC] = 0.950, sensitivity = 0.958, specificity = 0.941; 100 kVp: AUC ≥ 0.910, sensitivity ≥ 0.937, specificity = 0.882; P ≥ 0.516) with almost perfect inter-rater agreement (Kappa = 0.939). Diagnostic confidence was high for both dose levels without significant differences (100 kVp 5, range 4–5; 120 kVp 5, range 3–5; P = 0.134). The 100 kVp series yielded 26.1% lower radiation dose compared with the 120 kVp series (5.72 ± 2.23 mSv versus 7.75 ± 3.02 mSv, P < 0.001). Image noise was significantly higher in reduced-dose CT (13.3 ± 2.4 HU versus 10.6 ± 2.1 HU; P < 0.001). Conclusion Reduced-dose abdominal CT using 100 kVp yields excellent image quality and high diagnostic accuracy for the assessment of acute non-traumatic abdominal pain.

scholarly journals Correlation of Patient Weight and Cross-Sectional Dimensions with Subjective Image Quality at Standard Dose Abdominal CT

2003 ◽  
Vol 4 (4) ◽  
pp. 234 ◽  
Author(s):  
Mannudeep K. Kalra ◽  
Michael M. Maher ◽  
Srinivasa R. Prasad ◽  
M. Sikandar Hayat ◽  
Michael A. Blake ◽  
...  
Keyword(s):  
Image Quality ◽  
Standard Dose ◽  
Abdominal Ct ◽  
Cross Sectional ◽  
Subjective Image Quality ◽  
Patient Weight

Feasibility of extremely reduced-dose CT of the thoracic spine in human cadavers

2019 ◽  
Vol 61 (8) ◽  
pp. 1034-1041
Author(s):  
Julius Matthias Weinrich ◽  
Malte Warncke ◽  
Nis Wiese ◽  
Marc Regier ◽  
Enver Tahir ◽  
...  
Keyword(s):  
Image Quality ◽  
Thoracic Spine ◽  
Standard Dose ◽  
Reconstruction Technique ◽  
Reduced Dose ◽  
Quality Ratings ◽  
Human Cadavers ◽  
Adequate Image Quality ◽  
Reduce Radiation Dose ◽  
Effective Radiation

Background According to the as low as reasonably achievable (ALARA) principle, radiation exposure in computed tomography (CT) should be minimized while maintaining adequate image quality. Dedicated CT protocols combined with iterative reconstruction (IR) can reduce radiation dose and/or improve image quality. Purpose To investigate the feasibility of extremely reduced-dose (RD) CT of the thoracic spine in human cadavers using a standard-dose (SD) and three different RDCT protocols reconstructed with filtered back projection (FBP) and IR. Material and Methods The thoracic spines of 11 cadavers were examined using different RDCT protocols with decreasing reference tube currents (RDCT-1: 50 mAs; RDCT-2: 30 mAs; RDCT-3: 10 mAs) at 140 kV. A clinical SDCT (70 mAs, 140 kV) served as reference. Raw data were reconstructed using FBP and two increasing levels of IR (IRL4 and IRL6). Images were evaluated for image quality, diagnostic acceptability, and visibility of anatomical structures according to a 5-point-scale. Results Regardless of the reconstruction technique, image quality was rated as diagnostically acceptable for all cadavers in SDCT and RDCT-1. Image quality of reconstructions with FBP were generally rated lower. Application of IR improved image quality ratings in SDCT and RDCT. RDCT-2 with IR was the most reduced-dose CT protocol which enabled diagnostically acceptable image quality in all cadavers. Compared to SDCT, RDCT protocols resulted in significantly reduced effective radiation doses (SDCT: 4.1 ± 1.5 mSv; RDCT-1: 2.9 ± 1.1 mSv; 2:1.7 ± 0.6 mSv; 3:0.6 ± 0.1 mSv; P = 0.001). Conclusion Diagnostically acceptable RDCT of the thoracic spine with 1.7 mSv is feasible using IR.

Evaluation of an iterative model-based reconstruction of pediatric abdominal CT with regard to image quality and radiation dose

2017 ◽  
Vol 59 (6) ◽  
pp. 740-747
Author(s):  
Marie-Louise Aurumskjöld ◽  
Marcus Söderberg ◽  
Fredrik Stålhammar ◽  
Kristina Vult von Steyern ◽  
Anders Tingberg ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Iterative Reconstruction ◽  
Low Dose ◽  
Pediatric Patients ◽  
Standard Dose ◽  
Reconstruction Method ◽  
Abdominal Ct ◽  
Model Based ◽  
Iterative Model

Background In pediatric patients, computed tomography (CT) is important in the medical chain of diagnosing and monitoring various diseases. Because children are more radiosensitive than adults, they require minimal radiation exposure. One way to achieve this goal is to implement new technical solutions, like iterative reconstruction. Purpose To evaluate the potential of a new, iterative, model-based method for reconstructing (IMR) pediatric abdominal CT at a low radiation dose and determine whether it maintains or improves image quality, compared to the current reconstruction method. Material and Methods Forty pediatric patients underwent abdominal CT. Twenty patients were examined with the standard dose settings and 20 patients were examined with a 32% lower radiation dose. Images from the standard examination were reconstructed with a hybrid iterative reconstruction method (iDose4), and images from the low-dose examinations were reconstructed with both iDose4 and IMR. Image quality was evaluated subjectively by three observers, according to modified EU image quality criteria, and evaluated objectively based on the noise observed in liver images. Results Visual grading characteristics analyses showed no difference in image quality between the standard dose examination reconstructed with iDose4 and the low dose examination reconstructed with IMR. IMR showed lower image noise in the liver compared to iDose4 images. Inter- and intra-observer variance was low: the intraclass coefficient was 0.66 (95% confidence interval = 0.60–0.71) for the three observers. Conclusion IMR provided image quality equivalent or superior to the standard iDose4 method for evaluating pediatric abdominal CT, even with a 32% dose reduction.

Standard-Dose and 50%—Reduced-Dose Chest CT: Comparing the Effect on Image Quality

2002 ◽  
Vol 179 (2) ◽  
pp. 461-465 ◽  
Author(s):  
Srinivasa R. Prasad ◽  
Conrad Wittram ◽  
Jo-Anne Shepard ◽  
Theresa McLoud ◽  
James Rhea
Keyword(s):  
Image Quality ◽  
Standard Dose ◽  
Chest Ct ◽  
Reduced Dose

scholarly journals Prospective evaluation of prior image constrained compressed sensing (PICCS) algorithm in abdominal CT: a comparison of reduced dose with standard dose imaging

2014 ◽  
Vol 40 (1) ◽  
pp. 207-221 ◽  
Author(s):  
Meghan G. Lubner ◽  
Perry J. Pickhardt ◽  
David H. Kim ◽  
Jie Tang ◽  
Alejandro Munoz del Rio ◽  
...  
Keyword(s):  
Compressed Sensing ◽  
Standard Dose ◽  
Prospective Evaluation ◽  
Abdominal Ct ◽  
Reduced Dose ◽  
Dose Imaging

scholarly journals Abdominal CT radiation dose optimization at Siriraj Hospital

2020 ◽  
Vol 21 (2) ◽  
pp. 28-43
Author(s):  
Piyaporn Apisarnthanarak ◽  
Chosita Buranont ◽  
Chulaluck Boonma ◽  
Sureerat Janpanich ◽  
Tarntip Suwatananonthakij ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Low Dose ◽  
Standard Dose ◽  
Image Noise ◽  
Abdominal Ct ◽  
Low Dose Ct ◽  
Excellent Image Quality ◽  
Ct Dose ◽  
The Mean

OBJECTIVE: To compare radiation dose and image quality between standard dose abdominal CT currently performed at our hospital and new low dose abdominal CT using various percentages (0%, 10%, 20%, and 30%) of Adaptive Statistical Iterative Reconstruction (ASiR). MATERIALS AND METHODS: We prospectively performed low dose abdominal CT (30% reduction of standard tube current) in 119 participants. The low dose CT images were post processed with four parameters (0%, 10%, 20% and 30%) of ASiR. The volume CT dose index (CTDIvol) of standard and low dose CT were compared. Four experienced abdominal radiologists independently assessed the quality of low dose CT with aforementioned ASiR parameters using a 5-point-scale satisfaction score (1 = unacceptable, 2 = poor, 3 = average, 4 = good, and 5 = excellent image quality) by using prior standard dose CT as a reference of excellent image quality (5). Each reader selected the preference ASiR parameter for each participant. The image noise of the liver and the aorta in all 5 (1 prior standard dose and 4 current low dose) image sets was measured.     RESULTS: The mean CTDIvol of low dose CT was significantly lower than of standard dose CT (7.17 ± 0.08 vs 12.02 ±1.61 mGy, p<0.001). The mean satisfaction scores for low dose CT with 0%, 10%, 20% and 30% ASiR were 3.95, 3.99, 3.91 and 3.87, respectively with the ranges of 3 to 5 in all techniques. The preferred ASiR parameters of each participant randomly selected by each reader were varied, depending on the readers’ opinions. The mean image noise of the aorta on standard dose CT and low dose CT with 0%, 10%, 20%, and 30% ASiR was 29.07, 36.97, 33.92, 31.49, and 29.11, respectively, while the mean image noise of the liver was 24.60, 30.21, 28.33, 26.25, and 24.32, respectively. CONCLUSION: Low dose CT with 30% reduction of standard mA had acceptable image quality with significantly reduced radiation dose. The increment of ASiR was helpful in reducing image noise.  

A feasibility study of realizing low-dose abdominal CT using deep learning image reconstruction algorithm

2021 ◽  
pp. 1-12
Author(s):  
Lu-Lu Li ◽  
Huang Wang ◽  
Jian Song ◽  
Jin Shang ◽  
Xiao-Ying Zhao ◽  
...  
Keyword(s):  
Deep Learning ◽  
Image Reconstruction ◽  
Image Quality ◽  
Radiation Dose ◽  
Low Dose ◽  
Standard Dose ◽  
Image Noise ◽  
Arterial Phase ◽  
Abdominal Ct ◽  
Reconstruction Methods

OBJECTIVES: To explore the feasibility of achieving diagnostic images in low-dose abdominal CT using a Deep Learning Image Reconstruction (DLIR) algorithm. METHODS: Prospectively enrolled 47 patients requiring contrast-enhanced abdominal CT scans. The late-arterial phase scan was added and acquired using lower-dose mode (tube current range, 175–545 mA; 80 kVp for patients with BMI ≤24 kg/m2 and 100 kVp for patients with BMI >  24 kg/m2) and reconstructed with DLIR at medium setting (DLIR-M) and high setting (DLIR-H), ASIR-V at 0% (FBP), 40% and 80% strength. Both the quantitative measurement and qualitative analysis of the five types of reconstruction methods were compared. In addition, radiation dose and image quality between the early-arterial phase ASIR-V images using standard-dose and the late-arterial phase DLIR images using low-dose were compared. RESULTS: For the late-arterial phase, all five reconstructions had similar CT value (P >  0.05). DLIR-H, DLIR-M and ASIR-V80% images significantly reduced the image noise and improved the image contrast noise ratio, compared with the standard ASIR-V40% images (P <  0.05). ASIR-V80% images had undesirable image characteristics with obvious “waxy” artifacts, while DLIR-H images maintained high spatial resolution and had the highest subjective image quality. Compared with the early-arterial scans, the late-arterial phase scans significantly reduced the radiation dose (P <  0.05), while the DLIR-H images exhibited lower image noise and good display of the specific image details of lesions. CONCLUSIONS: DLIR algorithm improves image quality under low-dose scan condition and may be used to reduce the radiation dose without adversely affecting the image quality.

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