Deng Chunlan,Xu Shunliang,Xiao Shengxiang,et al.The use of iterative reconstruction technique in low-dose CT angiography of renal artery[J].Chinese Journal of Radiological Medicine and Protection,2014,34(3):228-230
The use of iterative reconstruction technique in low-dose CT angiography of renal artery
Received:December 09, 2013  
DOI:10.3760/cma.j.issn.0254-5098.2014.03.018
KeyWords:Renal artery  Low-dose  Iterative reconstruction  Tomography,X-ray computer
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Author NameAffiliationE-mail
Deng Chunlan Department of Radiology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China  
Xu Shunliang Department of Radiology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China  
Xiao Shengxiang Department of Radiology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China cn@139.com 
Yang Hong Department of Radiology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China  
Feng Zhan Department of Radiology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China  
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Abstract::
      Objective To assess the feasibility of computed tomography angiography (CTA) in renal artery using the iterative reconstruction technique(iDose4) in Brilliance iCT (Philips Ltd.). Methods 90 patients (body weight 60-70 kg) supposed to undergo renal artery CTA were selected and randomly divided into three groups: A(120 kV, 120 mAs), B(120 kV, 60 mAs) and C(100 kV, 100 mAs). CTA images from Group A were obtained using filtered back projection and those from the rest groups were generated by iDose4. Then CT number of renal artery, noise (denoted as standard deviation SD), signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of images for each group were measured and recorded. Images were post-processed using volume reformation (VR) 3D imaging and image quality were assessed in five-level grade (1-5). Results The five parameters (CT number of renal artery, SD value, SNR, CNR and VR grade) of group A and group B were statistically insignificant (P>0.05). While SD values of group C were comparable to those of group A and B, the rest four parameters of group C were apparently larger, which was statistically significant (tCT value=-12.326,tSNR=-7.136,tCNR=-7.649,ZVR=-2.690,PVR<0.05).Conclusions Image quality could still fit the diagnosis requirements using iDose4 when mAs decreased lower than 50%. The image quality increases when radiation dose is halved at 100 kVp kV.
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