Image quality, diagnostic accuracy, and potential for radiation dose reduction in thoracoabdominal CT, using Sinogram Affirmed Iterative Reconstruction (SAFIRE) technique in a longitudinal study

To step-wise evaluate image quality of sinogram-affirmed iterative reconstruction (SAFIRE) in reduced-dose (RD) thoracoabdominal computed tomography (CT) compared to full-dose (FD) and RD filtered back projection (FBP) in a longitudinal study. 122 patients were included in this prospective study. 49...

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Veröffentlicht in:PloS one 2017-07, Vol.12 (7), p.e0180302-e0180302
Hauptverfasser: Scharf, Michael, Brendel, Stephanie, Melzer, Katja, Hentschke, Christian, May, Matthias, Uder, Michael, Lell, Michael M
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Brendel, Stephanie
Melzer, Katja
Hentschke, Christian
May, Matthias
Uder, Michael
Lell, Michael M
description To step-wise evaluate image quality of sinogram-affirmed iterative reconstruction (SAFIRE) in reduced-dose (RD) thoracoabdominal computed tomography (CT) compared to full-dose (FD) and RD filtered back projection (FBP) in a longitudinal study. 122 patients were included in this prospective study. 49 patients (14 men: mean age ± SD, 56±0.4 years; 35 women: 58±1.3 years) completed FD, RD1 (80%-dose) and RD2 (60%-dose) thoracoabdominal CT. Each CT dataset was reconstructed with FBP and SAFIRE. For quantitative image analysis image noise was measured in defined tissue regions. Qualitative image evaluation was performed according to the European Guidelines on Quality criteria for CT. Additionally artifacts, lesion conspicuity, and edge sharpness were assessed. Compared to FD-FBP noise in soft tissue increased by 12% in RD1-FBP and 27% in RD2-FBP reconstructions, whereas SAFIRE lead to a decrease of 28% (RD1) and 17% (RD2), respectively (all p
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Each CT dataset was reconstructed with FBP and SAFIRE. For quantitative image analysis image noise was measured in defined tissue regions. Qualitative image evaluation was performed according to the European Guidelines on Quality criteria for CT. Additionally artifacts, lesion conspicuity, and edge sharpness were assessed. Compared to FD-FBP noise in soft tissue increased by 12% in RD1-FBP and 27% in RD2-FBP reconstructions, whereas SAFIRE lead to a decrease of 28% (RD1) and 17% (RD2), respectively (all p &lt;0.001). Visually sharp reproduction, lesion conspicuity, edge sharpness of pathologic findings, and overall image quality did not differ statistically significant between FD-FBP and RD-SAFIRE datasets. Image quality decreased in RD1- and RD2-FBP compared to FD-FBP, reaching statistically significance in RD2 datasets (p &lt;0.001). In RD1- and RD2-FBP (p &lt;0.001) streak artifacts were noted. Using SAFIRE the reference mAs in thoracoabdominal CT can be reduced by at least 30% in clinical routine without loss of image quality or diagnostic information.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28678818</pmid><doi>10.1371/journal.pone.0180302</doi><oa>free_for_read</oa></addata></record>
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subjects Abdomen
Aged
Algorithms
Analysis of Variance
Biology and Life Sciences
Body mass index
Cancer
CAT scans
Computed tomography
Conspicuity
Correlation analysis
Datasets
Diagnostic imaging
Diagnostic systems
Drug dosages
Engineering and Technology
Female
Gallbladder - diagnostic imaging
Humans
Image analysis
Image processing
Image quality
Image reconstruction
Iterative methods
Liver - diagnostic imaging
Longitudinal Studies
Male
Medical diagnosis
Medical imaging
Medicine
Medicine and Health Sciences
Men
Methods
Middle Aged
Noise
Patients
Prospective Studies
Qualitative analysis
Quality
Quality management
Radiation
Radiation dosage
Radiographic Image Interpretation, Computer-Assisted - methods
Radiography, Abdominal - methods
Radiography, Thoracic - methods
Radiology
Reproducibility of Results
Research and Analysis Methods
Sharpness
Spleen - diagnostic imaging
Statistical analysis
Tomography, X-Ray Computed - methods
title Image quality, diagnostic accuracy, and potential for radiation dose reduction in thoracoabdominal CT, using Sinogram Affirmed Iterative Reconstruction (SAFIRE) technique in a longitudinal study
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