Comparison of image quality between filtered back-projection and the adaptive statistical and novel model-based iterative reconstruction techniques in abdominal CT for renal calculi.

Comparison of image quality between filtered back-projection and the adaptive statistical and novel model-based iterative reconstruction techniques in abdominal CT for renal calculi.
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DOI:
10.1007/s13244-013-0273-5
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发表时间:
2013-10
影响因子:
4.7
通讯作者:
Roobottom, Carl A
Roobottom, Carl A
中科院分区:
医学2区
文献类型:
--
作者:
Vardhanabhuti, Varut;Ilyas, Sumaira;Gutteridge, Catherine;Freeman, Simon J;Roobottom, Carl A

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比较在CT肾脏/输尿管/膀胱(KUB)检查中使用滤波反投影(FBP)、自适应统计迭代重建(ASIR)和基于模型的迭代重建(MBIR)技术采集的计算机断层扫描(CT)图像的图像质量。18例患者在我们机构接受了标准方案CT KUB。使用FBP、ASIR和MBIR重建相同的原始数据。使用1(最佳)至5(最差)评分系统评估客观[肾脏的平均图像噪声、对比度噪声比(CNR)和皮下脂肪的平均衰减值]和主观图像参数(图像噪声、图像对比度、肾脏/输尿管/膀胱的总体可见性、小结构的可见性和总体诊断置信度)。客观图像测量结果显示,MBIR技术的图像噪声明显减少,CNR较高,脂肪衰减值相同(P < 0.05)。MBIR在所有主观图像参数中得分最高(P < 0.001),MBIR的平均值范围为2.05-2.73,ASIR为2.95-3.10,FBP为3.08-3.31。ASIR组与MBIR组比较,差异有统计学意义(P <0.05),而DBP组与ASIR组比较差异无统计学意义(P> 0.05)。平均有效剂量为3 mSv。与ASIR和FBP CT KUB检查相比,MBIR显示出上级降噪和图像质量改善(客观和主观分析)。CT中有许多重建选项。·新的基于模型的迭代重建(MBIR)显示出最小的噪声和最佳的图像质量。·对于肾脏/输尿管/膀胱的CT,应使用MBIR(如果可用)。·应继续进行进一步研究,以减少剂量,同时保持图像质量。
To compare image quality on computed tomographic (CT) images acquired with filtered back-projection (FBP), adaptive statistical iterative reconstruction (ASIR) and model-based iterative reconstruction (MBIR) techniques in CT kidney/ureter/bladder (KUB) examination. Eighteen patients underwent standard protocol CT KUB at our institution. The same raw data were reconstructed using FBP, ASIR and MBIR. Objective [mean image noise, contrast-to-noise ratio (CNR) for kidney and mean attenuation values of subcutaneous fat] and subjective image parameters (image noise, image contrast, overall visibility of kidneys/ureters/bladder, visibility of small structures, and overall diagnostic confidence) were assessed using a scoring system from 1 (best) to 5 (worst). Objective image measurements revealed significantly less image noise and higher CNR and the same fat attenuation values for the MBIR technique (P < 0.05). MBIR scored best in all the subjective image parameters (P < 0.001) with averages ranging between 2.05–2.73 for MBIR, 2.95–3.10 for ASIR and 3.08–3.31 for FBP. No significant difference was observed between FBP and ASIR (P > 0.05), while there was a significant difference between ASIR vs. MBIR (P < 0.05). The mean effective dose was 3 mSv. MBIR shows superior reduction in noise and improved image quality (both objective and subjective analysis) compared with ASIR and FBP CT KUB examinations. • There are many reconstruction options in CT. • Novel model-based iterative reconstruction (MBIR) showed the least noise and optimal image quality. • For CT of the kidneys/ureters/bladder, MBIR should be utilised, if available. • Further studies to reduce the dose while maintaining image quality should be pursued.