Li Wei,Zhang Jiandong,Pang Tao,Li Aiyin,Shi Hao.Pilot application of statistical iterative reconstruction and automatic tube current modulation in adult low-dose pelvic CT[J].Chinese Journal of Radiological Medicine and Protection,2014,34(6):470-473
Pilot application of statistical iterative reconstruction and automatic tube current modulation in adult low-dose pelvic CT
Received:June 20, 2013  
DOI:10.3760/cma.j.issn.0254-5098.2014.06.018
KeyWords:Pelvic cavity  Tomography  X-ray computed  Low dose  Iterative reconstruction
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Author NameAffiliationE-mail
Li Wei Department of Medical Imaging, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, China  
Zhang Jiandong 250014 济南, 山东大学附属千佛山医院肿瘤放疗科  
Pang Tao Department of Medical Imaging, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, China  
Li Aiyin Department of Medical Imaging, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, China  
Shi Hao Department of Medical Imaging, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, China qfshospital@163.com 
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Abstract::
      Objective To investigate the feasibility of reducing the radiation dose in adult pelvic CT using automatic tube current modulation(ATCM) and adaptive statistical iterative reconstruction(ASIR). Methods Totally 45 patients who underwent routine and low-dose pelvic CT examination were enrolled in our study. Three groups of images were acquired: group A (routine scan with FBP reconstruction);group B1(low-dose with ASIR0) and group B2(low-dose with ASIR50%). The scores of image quality was abtained by two radiologists. Results The CTDIvol, DLP and E of group B were significantly reduced respectively(t=12.30, 12.10, 12.15, P<0.05) compared with group A.Group B1 had higher noise(t=9.14, 8.95, P<0.05)and lower score, SNR and CNR(t=8.72, 10.62, 11.83 and 8.40, 9.55, 11.42, P<0.05)than the others. And there was no difference in image quality between group A and group B2. Conclusions Using automatic tube current modulation and adaptive statistical iterative reconstruction could significantly reduce the noise but keep the image quality in adult pelvic CT examination.
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