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Research ArticlePatient SafetyF

Lowering the Dose in Head CT Using Adaptive Statistical Iterative Reconstruction

K. Kilic, G. Erbas, M. Guryildirim, M. Arac, E. Ilgit and B. Coskun
American Journal of Neuroradiology October 2011, 32 (9) 1578-1582; DOI: https://doi.org/10.3174/ajnr.A2585
K. Kilic
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G. Erbas
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M. Guryildirim
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M. Arac
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E. Ilgit
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B. Coskun
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    Fig 1.

    Axial images of a 34-year-old woman with normal findings at the level of the posterior fossa (A) and basal ganglia (B). The patient belongs to the LD group (DLP, 832 mGy×cm). Note that the WM and GM differentiation is decreased. This is 1 of the 2 examinations that are considered diagnostically acceptable only under limited conditions (score of 3 for diagnostic acceptability criterion).

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    Fig 2.

    Axial images of a 45-year-old woman (A and C) from the STD group (DLP, 1100 mGy×cm) and a 37-year-old man (B and D) from the LD group (DLP, 713 mGy×cm) are compared. Both examinations have good WM and GM differentiation and are considered fully acceptable (score of 1 for diagnostic acceptability criterion). A and B, Posterior fossa. C and D, Basal ganglia.

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    Table 1:

    Dose parameters

    Mean ParameterSTD GroupLD GroupP
    CTDIvol posterior fossa (mGy)93.49 ± 2.2669.14 ± 1.48<.001
    CTDIvol cerebrum (mGy)59.40 ± 1.4438.55 ± 0.83<.001
    No. of images39.5 ± 2.539.8 ± 2.7.470
    DLP (mGy×cm)1081.28 ± 66.57748.61 ± 51.78<.001
    Effective dose (mSv)2.3 ± 0.11.6 ± 0.1<.001
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    Table 2:

    Quantitative and qualitative measures

    Mean MeasureSTD GroupLD GroupP
    Measured noise in the air (HU)3.40 ± 0.503.32 ± 0.43.273
    Measured noise in the WM (HU)3.60 ± 0.334.07 ± 0.52<.001
    Measured noise in the CSF (HU)3.46 ± 0.482.92 ± 0.46<.001
    CNR2.29 ± 0.612.40 ± 0.74.349
    SNR6.77 ± 0.865.52 ± 0.80<.001
    Subjective image noise1.53 ± 0.501.86 ± 0.40<.001
    Sharpness1.43 ± 0.451.63 ± 0.57.04
    Diagnostic acceptability1.16 ± 0.411.24 ± 0.42.062
    Artifacts2.09 ± 0.302.02 ± 0.31.148
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    Table 3:

    Visual scores for readers 1 and 2

    Mean of CriteriaReader 1Reader 2
    STD GroupLD GroupSTD GroupLD Group
    Subjective image noise1.53 ± 0.581.92 ± 0.421.53 ± 0.581.81 ± 0.47
    Sharpness1.45 ± 0.501.65 ± 0.561.41 ± 0.501.57 ± 0.56
    Diagnostic acceptability1.16 ± 0.421.28 ± 0.511.16 ± 0.421.21 ± 0.44
    Artifacts2.06 ± 0.312.02 ± 0.382.12 ± 0.332.01 ± 0.30
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American Journal of Neuroradiology: 32 (9)
American Journal of Neuroradiology
Vol. 32, Issue 9
1 Oct 2011
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Cite this article
K. Kilic, G. Erbas, M. Guryildirim, M. Arac, E. Ilgit, B. Coskun
Lowering the Dose in Head CT Using Adaptive Statistical Iterative Reconstruction
American Journal of Neuroradiology Oct 2011, 32 (9) 1578-1582; DOI: 10.3174/ajnr.A2585

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Lowering the Dose in Head CT Using Adaptive Statistical Iterative Reconstruction
K. Kilic, G. Erbas, M. Guryildirim, M. Arac, E. Ilgit, B. Coskun
American Journal of Neuroradiology Oct 2011, 32 (9) 1578-1582; DOI: 10.3174/ajnr.A2585
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