Skip to main content
Top
Published in: Pediatric Radiology 7/2015

01-07-2015 | Pictorial Essay

Dose reduction in pediatric abdominal CT: use of iterative reconstruction techniques across different CT platforms

Authors: Ranish Deedar Ali Khawaja, Sarabjeet Singh, Alexi Otrakji, Atul Padole, Ruth Lim, Katherine Nimkin, Sjirk Westra, Mannudeep K. Kalra, Michael S. Gee

Published in: Pediatric Radiology | Issue 7/2015

Login to get access

Abstract

Dose reduction in children undergoing CT scanning is an important priority for the radiology community and public at large. Drawbacks of radiation reduction are increased image noise and artifacts, which can affect image interpretation. Iterative reconstruction techniques have been developed to reduce noise and artifacts from reduced-dose CT examinations, although reconstruction algorithm, magnitude of dose reduction and effects on image quality vary. We review the reconstruction principles, radiation dose potential and effects on image quality of several iterative reconstruction techniques commonly used in clinical settings, including 3-D adaptive iterative dose reduction (AIDR-3D), adaptive statistical iterative reconstruction (ASIR), iDose, sinogram-affirmed iterative reconstruction (SAFIRE) and model-based iterative reconstruction (MBIR). We also discuss clinical applications of iterative reconstruction techniques in pediatric abdominal CT.
Literature
1.
go back to reference Brenner DJ, Hall EJ (2007) Computed tomography — an increasing source of radiation exposure. N Engl J Med 357:2277–2284PubMedCrossRef Brenner DJ, Hall EJ (2007) Computed tomography — an increasing source of radiation exposure. N Engl J Med 357:2277–2284PubMedCrossRef
2.
go back to reference (2002) The ALARA (as low as reasonably achievable) concept in pediatric CT intelligent dose reduction. Multidisciplinary conference organized by the Society of [stet] Pediatric Radiology. August 18–19, 2001. Pediatr Radiol 32:217–313 (2002) The ALARA (as low as reasonably achievable) concept in pediatric CT intelligent dose reduction. Multidisciplinary conference organized by the Society of [stet] Pediatric Radiology. August 18–19, 2001. Pediatr Radiol 32:217–313
3.
go back to reference Strauss KJ, Goske MJ, Kaste SC et al (2010) Image gently: ten steps you can take to optimize image quality and lower CT dose for pediatric patients. AJR Am J Roentgenol 194:868–873PubMedCrossRef Strauss KJ, Goske MJ, Kaste SC et al (2010) Image gently: ten steps you can take to optimize image quality and lower CT dose for pediatric patients. AJR Am J Roentgenol 194:868–873PubMedCrossRef
4.
go back to reference Lambert J, MacKenzie JD, Cody DD et al (2014) Techniques and tactics for optimizing CT dose in adults and children: state of the art and future advances. J Am Coll Radiol 11:262–266PubMedCrossRef Lambert J, MacKenzie JD, Cody DD et al (2014) Techniques and tactics for optimizing CT dose in adults and children: state of the art and future advances. J Am Coll Radiol 11:262–266PubMedCrossRef
6.
go back to reference Singh S, Kalra MK, Shenoy-Bhangle AS et al (2012) Radiation dose reduction with hybrid iterative reconstruction for pediatric CT. Radiology 263:537–546PubMedCrossRef Singh S, Kalra MK, Shenoy-Bhangle AS et al (2012) Radiation dose reduction with hybrid iterative reconstruction for pediatric CT. Radiology 263:537–546PubMedCrossRef
7.
go back to reference Singh S, Kalra MK, Moore MA et al (2009) Dose reduction and compliance with pediatric CT protocols adapted to patient size, clinical indication, and number of prior studies. Radiology 252:200–208PubMedCrossRef Singh S, Kalra MK, Moore MA et al (2009) Dose reduction and compliance with pediatric CT protocols adapted to patient size, clinical indication, and number of prior studies. Radiology 252:200–208PubMedCrossRef
8.
go back to reference Khawaja RD, Singh S, Gilman M et al (2014) Computed tomography (CT) of the chest at less than 1 mSv: an ongoing prospective clinical trial of chest CT at submillisievert radiation doses with iterative model image reconstruction and iDose4 technique. J Comput Assist Tomogr 38:613–619PubMedCrossRef Khawaja RD, Singh S, Gilman M et al (2014) Computed tomography (CT) of the chest at less than 1 mSv: an ongoing prospective clinical trial of chest CT at submillisievert radiation doses with iterative model image reconstruction and iDose4 technique. J Comput Assist Tomogr 38:613–619PubMedCrossRef
9.
go back to reference Dobeli KL, Lewis SJ, Meikle SR et al (2013) Noise-reducing algorithms do not necessarily provide superior dose optimisation for hepatic lesion detection with multidetector CT. Br J Radiol 86:20120500PubMedCentralPubMedCrossRef Dobeli KL, Lewis SJ, Meikle SR et al (2013) Noise-reducing algorithms do not necessarily provide superior dose optimisation for hepatic lesion detection with multidetector CT. Br J Radiol 86:20120500PubMedCentralPubMedCrossRef
10.
go back to reference Schindera ST, Odedra D, Mercer D et al (2014) Hybrid iterative reconstruction technique for abdominal CT protocols in obese patients: assessment of image quality, radiation dose, and low-contrast detectability in a phantom. AJR Am J Roentgenol 202:W146–W152PubMedCrossRef Schindera ST, Odedra D, Mercer D et al (2014) Hybrid iterative reconstruction technique for abdominal CT protocols in obese patients: assessment of image quality, radiation dose, and low-contrast detectability in a phantom. AJR Am J Roentgenol 202:W146–W152PubMedCrossRef
11.
go back to reference Deák Z, Grimm JM, Treitl M et al (2013) Filtered back projection, adaptive statistical iterative reconstruction, and a model-based iterative reconstruction in abdominal CT: an experimental clinical study. Radiology 266:197–206PubMedCrossRef Deák Z, Grimm JM, Treitl M et al (2013) Filtered back projection, adaptive statistical iterative reconstruction, and a model-based iterative reconstruction in abdominal CT: an experimental clinical study. Radiology 266:197–206PubMedCrossRef
12.
go back to reference Volders D, Bols A, Haspeslagh M et al (2013) Model-based iterative reconstruction and adaptive statistical iterative reconstruction techniques in abdominal CT: comparison of image quality in the detection of colorectal liver metastases. Radiology 269:469–474PubMedCrossRef Volders D, Bols A, Haspeslagh M et al (2013) Model-based iterative reconstruction and adaptive statistical iterative reconstruction techniques in abdominal CT: comparison of image quality in the detection of colorectal liver metastases. Radiology 269:469–474PubMedCrossRef
13.
go back to reference Brady SL, Moore BM, Yee BS et al (2014) Pediatric CT: implementation of ASIR for substantial radiation dose reduction while maintaining pre-ASIR image noise. Radiology 270:223–231PubMedCrossRef Brady SL, Moore BM, Yee BS et al (2014) Pediatric CT: implementation of ASIR for substantial radiation dose reduction while maintaining pre-ASIR image noise. Radiology 270:223–231PubMedCrossRef
14.
go back to reference Smith EA, Dillman JR, Goodsitt MM et al (2014) Model-based iterative reconstruction: effect on patient radiation dose and image quality in pediatric body CT. Radiology 270:526–534PubMedCentralPubMedCrossRef Smith EA, Dillman JR, Goodsitt MM et al (2014) Model-based iterative reconstruction: effect on patient radiation dose and image quality in pediatric body CT. Radiology 270:526–534PubMedCentralPubMedCrossRef
15.
go back to reference Vorona GA, Ceschin RC, Clayton BL et al (2011) Reducing abdominal CT radiation dose with the adaptive statistical iterative reconstruction technique in children: a feasibility study. Pediatr Radiol 41:1174–1182PubMedCrossRef Vorona GA, Ceschin RC, Clayton BL et al (2011) Reducing abdominal CT radiation dose with the adaptive statistical iterative reconstruction technique in children: a feasibility study. Pediatr Radiol 41:1174–1182PubMedCrossRef
16.
go back to reference Brady SL, Yee BS, Kaufman RA (2012) Characterization of adaptive statistical iterative reconstruction algorithm for dose reduction in CT: a pediatric oncology perspective. Med Phys 39:5520–5531PubMedCrossRef Brady SL, Yee BS, Kaufman RA (2012) Characterization of adaptive statistical iterative reconstruction algorithm for dose reduction in CT: a pediatric oncology perspective. Med Phys 39:5520–5531PubMedCrossRef
17.
go back to reference Karmazyn B, Liang Y, Ai H et al (2014) Optimization of hybrid iterative reconstruction level in pediatric body CT. AJR Am J Roentgenol 202:426–431PubMedCrossRef Karmazyn B, Liang Y, Ai H et al (2014) Optimization of hybrid iterative reconstruction level in pediatric body CT. AJR Am J Roentgenol 202:426–431PubMedCrossRef
18.
go back to reference Miéville FA, Gudinchet F, Rizzo E et al (2011) Paediatric cardiac CT examinations: impact of the iterative reconstruction method ASIR on image quality — preliminary findings. Pediatr Radiol 41:1154–1164PubMedCrossRef Miéville FA, Gudinchet F, Rizzo E et al (2011) Paediatric cardiac CT examinations: impact of the iterative reconstruction method ASIR on image quality — preliminary findings. Pediatr Radiol 41:1154–1164PubMedCrossRef
19.
go back to reference O’Neill SB, McLaughlin PD, Crush L et al (2013) A prospective feasibility study of submillisievert abdominopelvic CT using iterative reconstruction in Crohn's disease. Eur Radiol 23:2503–2512PubMedCrossRef O’Neill SB, McLaughlin PD, Crush L et al (2013) A prospective feasibility study of submillisievert abdominopelvic CT using iterative reconstruction in Crohn's disease. Eur Radiol 23:2503–2512PubMedCrossRef
20.
go back to reference Karmazyn B, Frush DP, Applegate KE et al (2009) CT with a computer-simulated dose reduction technique for detection of pediatric nephroureterolithiasis: comparison of standard and reduced radiation doses. AJR Am J Roentgenol 192:143–149PubMedCrossRef Karmazyn B, Frush DP, Applegate KE et al (2009) CT with a computer-simulated dose reduction technique for detection of pediatric nephroureterolithiasis: comparison of standard and reduced radiation doses. AJR Am J Roentgenol 192:143–149PubMedCrossRef
21.
go back to reference Vardhanabhuti V, Ilyas S, Gutteridge C et al (2013) 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. Insights Imaging 4:661–669PubMedCentralPubMedCrossRef Vardhanabhuti V, Ilyas S, Gutteridge C et al (2013) 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. Insights Imaging 4:661–669PubMedCentralPubMedCrossRef
Metadata
Title
Dose reduction in pediatric abdominal CT: use of iterative reconstruction techniques across different CT platforms
Authors
Ranish Deedar Ali Khawaja
Sarabjeet Singh
Alexi Otrakji
Atul Padole
Ruth Lim
Katherine Nimkin
Sjirk Westra
Mannudeep K. Kalra
Michael S. Gee
Publication date
01-07-2015
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 7/2015
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-014-3235-2

Other articles of this Issue 7/2015

Pediatric Radiology 7/2015 Go to the issue