CT for evaluation of urolithiasis: image quality of ultralow-dose (Sub mSv) CT with knowledge-based iterative reconstruction and diagnostic performance of low-dose CT with statistical iterative reconstruction

Verfasser / Beitragende:
[Joonho Hur, Sung Park, Jong Lee, Hyun Park, In Chang, Jong Kwon, Yang Kim]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/7(2015-10-01), 2432-2440
Format:
Artikel (online)
ID: 605493294
LEADER caa a22 4500
001 605493294
003 CHVBK
005 20210128100520.0
007 cr unu---uuuuu
008 210128e20151001xx s 000 0 eng
024 7 0 |a 10.1007/s00261-015-0411-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0411-2 
245 0 0 |a CT for evaluation of urolithiasis: image quality of ultralow-dose (Sub mSv) CT with knowledge-based iterative reconstruction and diagnostic performance of low-dose CT with statistical iterative reconstruction  |h [Elektronische Daten]  |c [Joonho Hur, Sung Park, Jong Lee, Hyun Park, In Chang, Jong Kwon, Yang Kim] 
520 3 |a Purpose: To compare radiation dose and image quality in regular, low, and ultralow-dose CT protocols, and to evaluate diagnostic performance of low-dose CT for urolithiasis. Materials and methods: Sixty-five patients with suspected urolithiasis underwent three different scans under the regular, low, and ultralow-dose protocols. The regular dose scans were reconstructed using filtered back projection and the low-dose scans were reconstructed using a statistical iterative reconstruction. The ultralow-dose scans were reconstructed using both techniques in addition to a knowledge-based IR. Effective radiation doses were compared. Objective image noise was assessed by measuring standard deviation of HU and subjective image assessment was performed with a 3- or 5-point scale. Diagnostic performance of the low-dose image was evaluated, using the regular dose image as a standard reference and the interobserver agreement between two reviewers with different levels of experience was calculated. Results: The effective radiation dose was significantly different in each protocol (p<0.001) and estimated dose reduction of the low-dose and ultralow-dose protocols was 76.4% and 89.8%, respectively. The knowledge-based iterative reconstruction algorithm showed poorer subjective image quality than the regular and low-dose protocols, but it also had the least objective image noise. Overall, the low-dose image set showed a greater than 84% concordance rate and 100% in ureter stones larger than 3mm. Interobserver agreement was substantial (kappa value=0.61). Conclusions: The knowledge-based IR can provide a better quality image while reducing radiation exposure under the same protocol. Furthermore, the diagnostic performance of the low-dose CT protocol is comparable to the regular dose scan. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Knowledge-based iterative reconstruction  |2 nationallicence 
690 7 |a Model-based iterative reconstruction  |2 nationallicence 
690 7 |a Statistical iterative reconstruction  |2 nationallicence 
690 7 |a Filtered back projection  |2 nationallicence 
690 7 |a Urolithiasis  |2 nationallicence 
690 7 |a Low-dose computed tomography  |2 nationallicence 
690 7 |a Radiation dosage  |2 nationallicence 
700 1 |a Hur  |D Joonho  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
700 1 |a Park  |D Sung  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Jong  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
700 1 |a Park  |D Hyun  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
700 1 |a Chang  |D In  |u Department of Urology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
700 1 |a Kwon  |D Jong  |u Department of Urology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Yang  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2432-2440  |x 0942-8925  |q 40:7<2432  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0411-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0411-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hur  |D Joonho  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Sung  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Jong  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Hyun  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chang  |D In  |u Department of Urology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kwon  |D Jong  |u Department of Urology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Yang  |u Department of Radiology, Chung-Ang University College of Medicine, Chung-Ang University Hospital, 102, Heukseok-ro, Dongjak-gu, 156-755, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2432-2440  |x 0942-8925  |q 40:7<2432  |1 2015  |2 40  |o 261