• Medientyp: E-Artikel
  • Titel: Computed Tomography in Cystic Fibrosis: Combining Low-Dose Techniques and Iterative Reconstruction
  • Beteiligte: Kahn, Johannes; Kaul, David; Grupp, Ulrich; Böning, Georg; Renz, Diane; Staab, Doris; Schreiter, Vera; Streitparth, Florian
  • Erschienen: Ovid Technologies (Wolters Kluwer Health), 2017
  • Erschienen in: Journal of Computer Assisted Tomography
  • Sprache: Englisch
  • DOI: 10.1097/rct.0000000000000573
  • ISSN: 1532-3145; 0363-8715
  • Schlagwörter: Radiology, Nuclear Medicine and imaging
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  • Beschreibung: <jats:sec> <jats:title>Objective</jats:title> <jats:p>The aim of the study was to evaluate the impact of iterative reconstruction (IR) and low-kilovolt technique on dose reduction and image quality of chest computed tomography scans obtained in patients with cystic fibrosis (CF).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>A total of 124 CF patients were examined; group A (n = 63) was examined with a dose reduction protocol using IR and group B (n = 61) with a standard protocol using filtered back projection. Further subgroups with tube voltage modulations were established. Quantitative and qualitative image quality was assessed.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>The radiation dose in groups with comparable image quality was approximately 40% lower using IR compared with filtered back projection. The IR protocol combined with 80-kV tube voltage showed adequate image quality with a mean effective dose of only 0.47 mSv.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Iterative reconstruction helps extensively reduce radiation dose by improving image quality. It permits the use of low-kilovolt protocols without significantly degrading image reading ability in the monitoring of the predominantly young patients with CF.</jats:p> </jats:sec>