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European Radiology
Published in: European Radiology 10/2017

01-10-2017 | Computed Tomography

Intra-patient comparison of reduced-dose model-based iterative reconstruction with standard-dose adaptive statistical iterative reconstruction in the CT diagnosis and follow-up of urolithiasis

Authors: Sean Tenant, Chun Lap Pang, Prageeth Dissanayake, Varut Vardhanabhuti, Colin Stuckey, Catherine Gutteridge, Christopher Hyde, Carl Roobottom

Published in: European Radiology | Issue 10/2017

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Abstract

Objectives

To evaluate the accuracy of reduced-dose CT scans reconstructed using a new generation of model-based iterative reconstruction (MBIR) in the imaging of urinary tract stone disease, compared with a standard-dose CT using 30% adaptive statistical iterative reconstruction.

Methods

This single-institution prospective study recruited 125 patients presenting either with acute renal colic or for follow-up of known urinary tract stones. They underwent two immediately consecutive scans, one at standard dose settings and one at the lowest dose (highest noise index) the scanner would allow. The reduced-dose scans were reconstructed using both ASIR 30% and MBIR algorithms and reviewed independently by two radiologists. Objective and subjective image quality measures as well as diagnostic data were obtained.

Results

The reduced-dose MBIR scan was 100% concordant with the reference standard for the assessment of ureteric stones. It was extremely accurate at identifying calculi of 3 mm and above. The algorithm allowed a dose reduction of 58% without any loss of scan quality.

Conclusions

A reduced-dose CT scan using MBIR is accurate in acute imaging for renal colic symptoms and for urolithiasis follow-up and allows a significant reduction in dose.

Key points

• MBIR allows reduced CT dose with similar diagnostic accuracy
• MBIR outperforms ASIR when used for the reconstruction of reduced-dose scans
• MBIR can be used to accurately assess stones 3 mm and above
Appendix
Available only for authorised users
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Metadata
Title
Intra-patient comparison of reduced-dose model-based iterative reconstruction with standard-dose adaptive statistical iterative reconstruction in the CT diagnosis and follow-up of urolithiasis
Authors
Sean Tenant
Chun Lap Pang
Prageeth Dissanayake
Varut Vardhanabhuti
Colin Stuckey
Catherine Gutteridge
Christopher Hyde
Carl Roobottom
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 10/2017
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-4783-2

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