Simulated 50 % radiation dose reduction in coronary CT angiography using adaptive iterative dose reduction in three-dimensions (AIDR3D)

To compare the image quality of coronary CT angiography (CTA) studies between standard filtered back projection (FBP) and adaptive iterative dose reduction in three-dimensions (AIDR3D) reconstruction using CT noise additional software to simulate reduced radiation exposure. Images from 93 consecutiv...

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Veröffentlicht in:The International Journal of Cardiovascular Imaging 2013-06, Vol.29 (5), p.1167-1175
Hauptverfasser: Chen, Marcus Y., Steigner, Michael L., Leung, Steve W., Kumamaru, Kanako K., Schultz, Kurt, Mather, Richard T., Arai, Andrew E., Rybicki, Frank J.
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container_end_page 1175
container_issue 5
container_start_page 1167
container_title The International Journal of Cardiovascular Imaging
container_volume 29
creator Chen, Marcus Y.
Steigner, Michael L.
Leung, Steve W.
Kumamaru, Kanako K.
Schultz, Kurt
Mather, Richard T.
Arai, Andrew E.
Rybicki, Frank J.
description To compare the image quality of coronary CT angiography (CTA) studies between standard filtered back projection (FBP) and adaptive iterative dose reduction in three-dimensions (AIDR3D) reconstruction using CT noise additional software to simulate reduced radiation exposure. Images from 93 consecutive clinical coronary CTA studies were processed utilizing standard FBP, FBP with 50 % simulated dose reduction (FBP50 %), and AIDR3D with simulated 50 % dose reduction (AIDR50 %). Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were measured within 5 regions-of-interest, and image quality for each reconstruction strategy was assessed by two independent readers using a 4-point scale. Compared to FBP, the SNR measured from the AIDR50 % images was similar or higher (airway: 38.3 ± 12.7 vs. 38.5 ± 14.5, p  = 0.81, fat: 5.5 ± 1.9 vs. 5.4 ± 2.0, p  = 0.20, muscle: 3.2 ± 1.2 vs. 3.1 ± 1.3, p  = 0.38, aorta: 22.6 ± 9.4 vs. 20.2 ± 9.7, p  
doi_str_mv 10.1007/s10554-013-0190-1
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Images from 93 consecutive clinical coronary CTA studies were processed utilizing standard FBP, FBP with 50 % simulated dose reduction (FBP50 %), and AIDR3D with simulated 50 % dose reduction (AIDR50 %). Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were measured within 5 regions-of-interest, and image quality for each reconstruction strategy was assessed by two independent readers using a 4-point scale. Compared to FBP, the SNR measured from the AIDR50 % images was similar or higher (airway: 38.3 ± 12.7 vs. 38.5 ± 14.5, p  = 0.81, fat: 5.5 ± 1.9 vs. 5.4 ± 2.0, p  = 0.20, muscle: 3.2 ± 1.2 vs. 3.1 ± 1.3, p  = 0.38, aorta: 22.6 ± 9.4 vs. 20.2 ± 9.7, p  &lt; 0.0001, liver: 2.7 ± 1.0 vs. 2.3 ± 1.1, p  &lt; 0.0001), while the SNR of the FBP50 % images were all lower ( p values &lt; 0.0001). The CNR measured from AIDR50 % images was also higher than that from the FBP images for the aorta relative to muscle (20.5 ± 9.0 vs. 18.3 ± 9.2, p  &lt; 0.0001). The interobserver agreement in the image quality score was excellent ( κ  = 0.82). The quality score was significantly higher for the AIDR50 % images compared to the FBP images (3.6 ± 0.6 vs. 3.3 ± 0.7, p  = 0.004). Simulated radiation dose reduction applied to clinical coronary CTA images suggests that a 50 % reduction in radiation dose can be achieved with adaptive iterative dose reduction software with image quality that is at least comparable to images acquired at standard radiation exposure and reconstructed with filtered back projection.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-013-0190-1</identifier><identifier>PMID: 23404384</identifier><identifier>CODEN: IJCIBI</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cardiac Imaging ; Cardiology ; Computer Simulation ; Contrast Media ; Coronary Angiography - instrumentation ; Coronary Angiography - methods ; Coronary Vessels - diagnostic imaging ; Female ; Humans ; Imaging ; Imaging, Three-Dimensional ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multidetector Computed Tomography - instrumentation ; Observer Variation ; Original Paper ; Phantoms, Imaging ; Predictive Value of Tests ; Radiation Dosage ; Radiographic Image Interpretation, Computer-Assisted ; Radiology ; Reproducibility of Results ; Signal-To-Noise Ratio ; Software ; Young Adult</subject><ispartof>The International Journal of Cardiovascular Imaging, 2013-06, Vol.29 (5), p.1167-1175</ispartof><rights>The Author(s) 2013</rights><rights>Springer Science+Business Media Dordrecht 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-84a3ee6064ab4e693f1e7a83d495d95b66a60702525d31de98c4d32e39132fff3</citedby><cites>FETCH-LOGICAL-c536t-84a3ee6064ab4e693f1e7a83d495d95b66a60702525d31de98c4d32e39132fff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-013-0190-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-013-0190-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23404384$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Marcus Y.</creatorcontrib><creatorcontrib>Steigner, Michael L.</creatorcontrib><creatorcontrib>Leung, Steve W.</creatorcontrib><creatorcontrib>Kumamaru, Kanako K.</creatorcontrib><creatorcontrib>Schultz, Kurt</creatorcontrib><creatorcontrib>Mather, Richard T.</creatorcontrib><creatorcontrib>Arai, Andrew E.</creatorcontrib><creatorcontrib>Rybicki, Frank J.</creatorcontrib><title>Simulated 50 % radiation dose reduction in coronary CT angiography using adaptive iterative dose reduction in three-dimensions (AIDR3D)</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>To compare the image quality of coronary CT angiography (CTA) studies between standard filtered back projection (FBP) and adaptive iterative dose reduction in three-dimensions (AIDR3D) reconstruction using CT noise additional software to simulate reduced radiation exposure. Images from 93 consecutive clinical coronary CTA studies were processed utilizing standard FBP, FBP with 50 % simulated dose reduction (FBP50 %), and AIDR3D with simulated 50 % dose reduction (AIDR50 %). Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were measured within 5 regions-of-interest, and image quality for each reconstruction strategy was assessed by two independent readers using a 4-point scale. Compared to FBP, the SNR measured from the AIDR50 % images was similar or higher (airway: 38.3 ± 12.7 vs. 38.5 ± 14.5, p  = 0.81, fat: 5.5 ± 1.9 vs. 5.4 ± 2.0, p  = 0.20, muscle: 3.2 ± 1.2 vs. 3.1 ± 1.3, p  = 0.38, aorta: 22.6 ± 9.4 vs. 20.2 ± 9.7, p  &lt; 0.0001, liver: 2.7 ± 1.0 vs. 2.3 ± 1.1, p  &lt; 0.0001), while the SNR of the FBP50 % images were all lower ( p values &lt; 0.0001). The CNR measured from AIDR50 % images was also higher than that from the FBP images for the aorta relative to muscle (20.5 ± 9.0 vs. 18.3 ± 9.2, p  &lt; 0.0001). The interobserver agreement in the image quality score was excellent ( κ  = 0.82). The quality score was significantly higher for the AIDR50 % images compared to the FBP images (3.6 ± 0.6 vs. 3.3 ± 0.7, p  = 0.004). Simulated radiation dose reduction applied to clinical coronary CTA images suggests that a 50 % reduction in radiation dose can be achieved with adaptive iterative dose reduction software with image quality that is at least comparable to images acquired at standard radiation exposure and reconstructed with filtered back projection.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Computer Simulation</subject><subject>Contrast Media</subject><subject>Coronary Angiography - instrumentation</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Imaging, Three-Dimensional</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography - instrumentation</subject><subject>Observer Variation</subject><subject>Original Paper</subject><subject>Phantoms, Imaging</subject><subject>Predictive Value of Tests</subject><subject>Radiation Dosage</subject><subject>Radiographic Image Interpretation, Computer-Assisted</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Signal-To-Noise Ratio</subject><subject>Software</subject><subject>Young Adult</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kd1qFTEQx4NYbD36AN5IQIT2YnXytR83hXKqtVAQtF6HnM3snpTd5JjsFvoGPobP4pOZ01NLrXgRMpP5zX8y_Al5xeAdA6jeJwZKyQKYyKeBgj0hB0xVOaukeLqNy6ZQVSP3yfOUrgCAAxfPyD4XEqSo5QH58dWN82AmtFTBr59vaTTWmckFT21ISCPaub1NnadtiMGbeEOXl9T43oU-ms36hs7J-Z4aazaTu0bqJozmNvpXYlpHxMK6EX3KT4kenpyffhGnRy_IXmeGhC_v7gX59vHD5fJTcfH57Hx5clG0SpRTUUsjEEsopVlJLBvRMaxMLaxslG3UqixNCRVwxZUVzGJTt9IKjqJhgnddJxbkeKe7mVcj2hb9FM2gN9GNeTMdjNN_V7xb6z5ca1EByxpZ4PBOIIbvM6ZJjy61OAzGY5iTZqKpJZcV36JvHqFXYY4-r5epGiQIJatMsR3VxpBSxO7-Mwz01me981lnn_XW59y8IK8fbnHf8cfYDPAdkHLJ9xgfjP6v6m8MzrS5</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Chen, Marcus Y.</creator><creator>Steigner, Michael L.</creator><creator>Leung, Steve W.</creator><creator>Kumamaru, Kanako K.</creator><creator>Schultz, Kurt</creator><creator>Mather, Richard T.</creator><creator>Arai, Andrew E.</creator><creator>Rybicki, Frank J.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130601</creationdate><title>Simulated 50 % radiation dose reduction in coronary CT angiography using adaptive iterative dose reduction in three-dimensions (AIDR3D)</title><author>Chen, Marcus Y. ; 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Images from 93 consecutive clinical coronary CTA studies were processed utilizing standard FBP, FBP with 50 % simulated dose reduction (FBP50 %), and AIDR3D with simulated 50 % dose reduction (AIDR50 %). Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were measured within 5 regions-of-interest, and image quality for each reconstruction strategy was assessed by two independent readers using a 4-point scale. Compared to FBP, the SNR measured from the AIDR50 % images was similar or higher (airway: 38.3 ± 12.7 vs. 38.5 ± 14.5, p  = 0.81, fat: 5.5 ± 1.9 vs. 5.4 ± 2.0, p  = 0.20, muscle: 3.2 ± 1.2 vs. 3.1 ± 1.3, p  = 0.38, aorta: 22.6 ± 9.4 vs. 20.2 ± 9.7, p  &lt; 0.0001, liver: 2.7 ± 1.0 vs. 2.3 ± 1.1, p  &lt; 0.0001), while the SNR of the FBP50 % images were all lower ( p values &lt; 0.0001). The CNR measured from AIDR50 % images was also higher than that from the FBP images for the aorta relative to muscle (20.5 ± 9.0 vs. 18.3 ± 9.2, p  &lt; 0.0001). The interobserver agreement in the image quality score was excellent ( κ  = 0.82). The quality score was significantly higher for the AIDR50 % images compared to the FBP images (3.6 ± 0.6 vs. 3.3 ± 0.7, p  = 0.004). Simulated radiation dose reduction applied to clinical coronary CTA images suggests that a 50 % reduction in radiation dose can be achieved with adaptive iterative dose reduction software with image quality that is at least comparable to images acquired at standard radiation exposure and reconstructed with filtered back projection.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>23404384</pmid><doi>10.1007/s10554-013-0190-1</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Cardiac Imaging
Cardiology
Computer Simulation
Contrast Media
Coronary Angiography - instrumentation
Coronary Angiography - methods
Coronary Vessels - diagnostic imaging
Female
Humans
Imaging
Imaging, Three-Dimensional
Male
Medicine
Medicine & Public Health
Middle Aged
Multidetector Computed Tomography - instrumentation
Observer Variation
Original Paper
Phantoms, Imaging
Predictive Value of Tests
Radiation Dosage
Radiographic Image Interpretation, Computer-Assisted
Radiology
Reproducibility of Results
Signal-To-Noise Ratio
Software
Young Adult
title Simulated 50 % radiation dose reduction in coronary CT angiography using adaptive iterative dose reduction in three-dimensions (AIDR3D)
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