Image Quality and Radiation Dose in CT Venography Using Model-Based Iterative Reconstruction at 80 kVp versus Adaptive Statistical Iterative Reconstruction-V at 70 kVp
- Author:
Chankue PARK
1
;
Ki Seok CHOO
;
Jin Hyeok KIM
;
Kyung Jin NAM
;
Ji Won LEE
;
Jin You KIM
Author Information
- Publication Type:Original Article
- Keywords: CT venography; Image reconstruction; ASIR-V; Radiation dose; Deep vein thrombosis
- MeSH: Female; Humans; Image Enhancement; Image Processing, Computer-Assisted; Lower Extremity; Male; Noise; Phlebography; Popliteal Vein; Retrospective Studies; Signal-To-Noise Ratio; Veins; Vena Cava, Inferior; Venous Thrombosis
- From:Korean Journal of Radiology 2019;20(7):1167-1175
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: To compare the objective and subjective image quality indicators and radiation doses of computed tomography (CT) venography performed using model-based iterative reconstruction (MBIR) at 80 kVp and adaptive statistical iterative reconstruction (ASIR)-V at 70 kVp. MATERIALS AND METHODS: Eighty-three patients who had undergone CT venography of the lower extremities with MBIR at 80 kVp (Group A; 21 men and 20 women; mean age, 55.5 years) or ASIR-V at 70 kVp (Group B; 18 men and 24 women; mean age, 57.3 years) were enrolled. Two radiologists retrospectively evaluated the objective (vascular enhancement, image noise, signal-to-noise ratio [SNR], contrast-to-noise ratio [CNR]) and subjective (quantum mottle, delineation of contour, venous enhancement) image quality indicators at the inferior vena cava and femoral and popliteal veins. Clinical information, radiation dose, reconstruction time, and objective and subjective image quality indicators were compared between groups A and B. RESULTS: Vascular enhancement, SNR, and CNR were significantly greater in Group B than in Group A (p ≤ 0.015). Image noise was significantly lower in Group B (p ≤ 0.021), and all subjective image quality indicators, except for delineation of vein contours, were significantly better in Group B (p ≤ 0.021). Mean reconstruction time was significantly shorter in Group B than in Group A (1 min 43 s vs. 131 min 1 s; p < 0.001). Clinical information and radiation dose were not significantly different between the two groups. CONCLUSION: CT venography using ASIR-V at 70 kVp was better than MBIR at 80 kVp in terms of image quality and reconstruction time at similar radiation doses.
