マルチディテクタCTにおける 逐次近似画像再構成法を用いた線量低減および画質改善

  • 木原 聡
    熊本大学医学部保健学科放射線技術科学専攻
  • 村崎 裕生
    熊本大学大学院保健学教育部
  • 羽手村 昌宏
    熊本大学医学部附属病院医療技術部診療放射線技師部門
  • 作村 浩道
    日本赤十字社熊本健康管理センター
  • 森崎 健之
    整形外科井上病院井上整形外科クリニック
  • 船間 芳憲
    熊本大学大学院生命科学研究部先端生命医療科学部門医療技術科学講座医用理工学

書誌事項

タイトル別名
  • Radiation Reduction and Image Quality Improvement with Iterative Reconstruction at Multidetector-row Computed Tomography
  • マルチディテクタ CT ニ オケル チクジ キンジ ガゾウ サイコウセイホウ オ モチイタ センリョウ テイゲン オヨビ ガシツ カイゼン

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説明

The purpose of our study was to investigate the relationship between image quality and radiation dose for the filtered backprojection (FBP) with smooth kernel and the iterative reconstruction (iDose) based on image noise, image resolution, CT number, and low-contrast detectability. We used the Catphan phantom and scanned at 65, 45, 32, and 20 mAs on a 64-detector CT. Image reconstruction algorithm and kernel were employed FBP with standard (C type) and FBP with smooth (A type) kernel as images obtained at 20–65 mAs. Regarding to 20–45 mAs, we additionally reconstructed it using the iDose. After scanning, we measured image noise, full width at half maximum (FWHM), and CT number and assessed low-contrast detectability. Image noise acquired at iDose was 10.9, 11.1, and 11.2 HU corresponding to 45, 32, and 20 mAs, respectively. Compared to FBP with standard kernel, FBP with smooth kernel increased the image noise range from 6.7 HU at 65 mAs to 12.3 HU at 20 mAs with decreasing tube current-time product. Unlike iDose and FBP with standard kernel, there was a statistically significant difference between FBP with standard and smooth kernel with respect to image resolution (P=0.002). Reconstruction algorithm of the iDose resulted in the same or better image quality improvements despite a reduction in the radiation dose compared to the FBP with standard or with smooth kernel. From our findings, iDose facilitates the reduction in radiation dose while maintaining image quality.

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