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Clinical application of low dose with iterative technique in CT imaging of larynx |
Department of Imaging Center, the First People’s Hospital of Chenzhou, Chenzhou Hunan 423000, China |
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Abstract Objective: To explore the clinical application value of low radiation dose with adaptive statistical iterative reconstruction(ASiR) technique in CT imaging of larynx. Methods: Larynx CT scans of 220 patients were classified into 2 groups: FBP group (underwent routine dose filtered back projection, FBP), and ASiR50% group(underwent low dose with ASiR50%), 110 cases each. The data of all patients were transmitted to the workstation(AW 4.6), and were evaluated by three doctors with double-blind method. A t test was used to compare 2 groups of radiation dose and image quality evaluated. Results: ASiR50% group could obtain reduced the radiation dose(P<0.001). CTDIvol, DLP, Total DLP and mSv reduced the rate of 80.22%(6.65/8.29), 82.95%(78.61/94.77), 82.95%(157.23/189.54) and 83.04%(0.93/1.12). Between ASiR50% and FBP group, there was no statistically significant difference shows ability of image quality(P>0.05). Conclusion: Low radiation dose with ASiR50% on the basis of guarantee the quality of image reconstruction technology can significantly reduce the radiation dose.
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Received: 05 December 2016
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[1]Berrington de Gonzalez A, Darby S. Risk of cancer from diajnostic X-rays: estimates for the UK and 14 other countries[J]. Lancet, 2004, 363(3): 345-351.
[2]李琼,于红,张丽,等. 迭代重建技术对胸部低剂量CT图像质量影响的初步研究[J]. 中国医学计算机成像杂志,2014,20(2):191-194.
[3]邓春兰,许顺良,肖圣祥,等. 迭代重建技术在低剂量肾动脉CT血管造影检查中的应用[J]. 中华放射医学与防护杂志,2014,34(2):228-230.
[4]曾宪春,刘菊,韩丹,等. 80 kVp扫描联合基于原始数据的迭代重建技术在儿童副鼻窦CT检查中的应用[J]. 中国医学影像技术,2015,31(9):1406-1409.
[5]张任华,邓波红,周海军,等. 迭代重建技术在肥胖病人肾上腺CT成像中的应用[J]. 国际医学放射学杂志,2016,39(5):477-480.
[6]American Association of Physicists in Medicine(AAPM) Report 96. The Measurement, Reporting, and Management of Radiation Dose in CT[M]. New York: AAPM, 2008: 2398-2405.
[7]Schauer DA, Linton OW. National Council on Radiation Protection and Measurements report shows substantial medical exposure increase[J]. Radiology, 2009, 253(2): 293-296.
[8]Albert JM. Radiation risk from CT: implications for cancer screening[J]. AJR, 2013, 201(4): W81-87.
[9]王淑婷,任克. 腹部低剂量CT技术临床应用现状与研究趋势[J]. 国际医学放射学杂志,2015,38(6):552-556.
[10]马晶晶,袁涛,全冠民. 低剂量CT肺动脉成像技术进展[J]. 国际医学放射学杂志,2015,38(6):557-561.
[11]Hara AK, Paden RG, Sillva AC, et al. Iterative reconstruction technique for reducing body radiation dose at CT: feasibility study[J]. AJR, 2009, 193(6): 764-771.
[12]Laqmani A, Regier M, Veldhoen S, et al. Improved imaging quality and low radiation dose with hybrid iterative reconstruction with 80 kV CT pulmonary angiography[J]. Eur J Radiol, 2014, 83(9): 1962-1969.
[13]Co SJ, Mayo J, Liang T, et al. Itertive reconstructed ultra high pitch CT pulmonary angiography with cardiac bowtie-shaped filter in the acute setting: effect on dose and imaging quality[J]. Eur J Radiol, 2013, 82(7): 1571-1576.
[14]Entrikin DW, Leipsic JA, Carr JJ. Optimization of radiation dose reduction in cardiac computed tomographic angiography[J]. Cardiol Rev, 2011, 19(4): 163-176. |
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