Improved image quality and low radiation dose with hybrid iterative reconstruction with 80 kV CT pulmonary angiography
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Improved image quality and low radiation dose with hybrid iterative reconstruction with 80 kV CT pulmonary angiography. / Laqmani, Azien; Regier, Marc; Veldhoen, Simon; Backhaus, Alexandra; Wassenberg, Felicia; Sehner, Susanne; Groth, Michael; Nagel, Hans-Dieter; Adam, Gerhard; Henes, Frank O.
in: EUR J RADIOL, Jahrgang 83, Nr. 10, 10.2014, S. 1962-1969.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Improved image quality and low radiation dose with hybrid iterative reconstruction with 80 kV CT pulmonary angiography
AU - Laqmani, Azien
AU - Regier, Marc
AU - Veldhoen, Simon
AU - Backhaus, Alexandra
AU - Wassenberg, Felicia
AU - Sehner, Susanne
AU - Groth, Michael
AU - Nagel, Hans-Dieter
AU - Adam, Gerhard
AU - Henes, Frank O
N1 - Alexandra Backhaus + Wassenberg INTERN
PY - 2014/10
Y1 - 2014/10
N2 - OBJECTIVES: To determine the impact of hybrid iterative reconstruction (HIR) on image quality in 80 kV CT pulmonary angiography (CTPA) in comparison to filtered-back-projection (FBP).METHODS: Fifty patients (body weight <80 kg) with suspected pulmonary embolism (PE) underwent CTPA at 80 kV (mean CTDIvol, 2.3 mGy; effective dose, 1.2 mSv). The raw data were reconstructed using FBP and three increasing HIR levels. Two radiologists assessed image quality and image noise. Conspicuity of PE was assessed in central, segmental, and subsegmental arteries. CT attenuation of pulmonary arteries, objective image noise (OIN) and contrast-to-noise ratios (CNR) were assessed.RESULTS: With each HIR level, a significant decrease in subjective and objective image noise was achieved with a reduction of OIN up to 46% in comparison with FBP. CNR significantly increased with the application of HIR compared to FBP. Image quality was rated significantly higher at HIR reconstructions in comparison with FBP. Diagnosis of PE was feasible with each data set; however, conspicuity of central and segmental PE significantly improved with the use of HIR.CONCLUSIONS: Eighty kilovoltage CTPA with HIR provides improved image quality and conspicuity of pulmonary embolism enabling low dose CTPA protocols close to 1 mSv in patients weighing less than 80 kg.
AB - OBJECTIVES: To determine the impact of hybrid iterative reconstruction (HIR) on image quality in 80 kV CT pulmonary angiography (CTPA) in comparison to filtered-back-projection (FBP).METHODS: Fifty patients (body weight <80 kg) with suspected pulmonary embolism (PE) underwent CTPA at 80 kV (mean CTDIvol, 2.3 mGy; effective dose, 1.2 mSv). The raw data were reconstructed using FBP and three increasing HIR levels. Two radiologists assessed image quality and image noise. Conspicuity of PE was assessed in central, segmental, and subsegmental arteries. CT attenuation of pulmonary arteries, objective image noise (OIN) and contrast-to-noise ratios (CNR) were assessed.RESULTS: With each HIR level, a significant decrease in subjective and objective image noise was achieved with a reduction of OIN up to 46% in comparison with FBP. CNR significantly increased with the application of HIR compared to FBP. Image quality was rated significantly higher at HIR reconstructions in comparison with FBP. Diagnosis of PE was feasible with each data set; however, conspicuity of central and segmental PE significantly improved with the use of HIR.CONCLUSIONS: Eighty kilovoltage CTPA with HIR provides improved image quality and conspicuity of pulmonary embolism enabling low dose CTPA protocols close to 1 mSv in patients weighing less than 80 kg.
U2 - 10.1016/j.ejrad.2014.06.016
DO - 10.1016/j.ejrad.2014.06.016
M3 - SCORING: Journal article
C2 - 25084687
VL - 83
SP - 1962
EP - 1969
JO - EUR J RADIOL
JF - EUR J RADIOL
SN - 0720-048X
IS - 10
ER -