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- Jensen, Kristin, et al.
(author)
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Comparing five different iterative reconstruction algorithms for computed tomography in an ROC study
- 2014
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In: European Radiology. - : Springer Science and Business Media LLC. - 0938-7994 .- 1432-1084. ; 24:12, s. 2989-3002
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Journal article (peer-reviewed)abstract
- The purpose of this study was to evaluate lesion conspicuity achieved with five different iterative reconstruction techniques from four CT vendors at three different dose levels. Comparisons were made of iterative algorithm and filtered back projection (FBP) among and within systems. An anthropomorphic liver phantom was examined with four CT systems, each from a different vendor. CTDIvol levels of 5 mGy, 10 mGy and 15 mGy were chosen. Images were reconstructed with FBP and the iterative algorithm on the system. Images were interpreted independently by four observers, and the areas under the ROC curve (AUCs) were calculated. Noise and contrast-to-noise ratios (CNR) were measured. One iterative algorithm increased AUC (0.79, 0.95, and 0.97) compared to FBP (0.70, 0.86, and 0.93) at all dose levels (p < 0.001 and p = 0.047). Another algorithm increased AUC from 0.78 with FBP to 0.84 (p = 0.007) at 5 mGy. Differences at 10 and 15 mGy were not significant (p-values: 0.084-0.883). Three algorithms showed no difference in AUC compared to FBP (p-values: 0.008-1.000). All of the algorithms decreased noise (10-71 %) and improved CNR. Only two algorithms improved lesion detection, even though noise reduction was shown with all algorithms. aEuro cent Iterative reconstruction algorithms affected lesion detection differently at different dose levels. aEuro cent One iterative algorithm improved lesion detectability compared to filtered back projection. aEuro cent Three algorithms did not significantly improve lesion detectability. aEuro cent One algorithm improved lesion detectability at the lowest dose level.
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2. |
- Jensen, Kristin, et al.
(author)
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Improved Liver Lesion Conspicuity With Iterative Reconstruction in Computed Tomography Imaging.
- 2016
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In: Current Problems in Diagnostic Radiology. - : Elsevier BV. - 0363-0188. ; 45:5, s. 291-296
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Research review (peer-reviewed)abstract
- Studies on iterative reconstruction techniques on computed tomographic (CT) scanners show reduced noise and changed image texture. The purpose of this study was to address the possibility of dose reduction and improved conspicuity of lesions in a liver phantom for different iterative reconstruction algorithms. An anthropomorphic upper abdomen phantom, specially designed for receiver operating characteristic analysis was scanned with 2 different CT models from the same vendor, GE CT750 HD and GE Lightspeed VCT. Images were obtained at 3 dose levels, 5, 10, and 15mGy, and reconstructed with filtered back projection (FBP), and 2 different iterative reconstruction algorithms; adaptive statistical iterative reconstruction and Veo. Overall, 5 interpreters evaluated the images and receiver operating characteristic analysis was performed. Standard deviation and the contrast to noise ratio were measured. Veo image reconstruction resulted in larger area under curves compared with those adaptive statistical iterative reconstruction and FBP image reconstruction for given dose levels. For the CT750 HD, iterative reconstruction at the 10mGy dose level resulted in larger or similar area under curves compared with FBP at the 15mGy dose level (0.88-0.95 vs 0.90). This was not shown for the Lightspeed VCT (0.83-0.85 vs 0.92). The results in this study indicate that the possibility for radiation dose reduction using iterative reconstruction techniques depends on both reconstruction technique and the CT scanner model used.
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