PMID- 27348057 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181202 IS - 1873-4499 (Electronic) IS - 0899-7071 (Linking) VI - 40 IP - 5 DP - 2016 Sep-Oct TI - Model-based iterative reconstruction in ultra-low-dose pediatric chest CT: comparison with adaptive statistical iterative reconstruction. PG - 1018-22 LID - S0899-7071(16)30068-7 [pii] LID - 10.1016/j.clinimag.2016.06.006 [doi] AB - PURPOSE: To evaluate image quality and dose reduction of ultra-low-dose pediatric chest CT reconstructed with model-based iterative reconstruction (MBIR), as compared with adaptive statistical iterative reconstruction (ASIR). MATERIALS AND METHODS: Fifty-seven patients (mean age 14 years, M:F=31:26) who underwent ultra-low-dose chest CT reconstructed with both MBIR and ASIR were enrolled in the study. The subjective and objective image qualities of both reconstruction techniques were assessed by 3 radiologists, and compared using statistical analysis. We also evaluated radiation dose of ultra-low-dose chest CT as well as degree of dose reduction in comparison to the prior CT (either standard dose or reduced dose protocol) available in 36 patients. RESULTS: The image quality of MBIR was superior to ASIR both subjectively and objectively. While MBIR showed preserved diagnostic acceptability in 100%, ASIR showed 92% at mean 0.31 mSv (range, 0.13-0.57 mSv) ultra-low-dose CT. In the 36 patients who underwent the prior CT, mean decrease in size-specific dose estimate (SSDE) and dose length product (DLP) at ultra-low-dose CT was 88% (range, 34% - 98%) and 86% (range,42% - 99%), respectively. CONCLUSIONS: MBIR significantly improves image quality, as compared to ASIR. Furthermore, MBIR facilitates diagnostically acceptable ultra-low-dose chest CT with nearly 90% less radiation. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Kim, Hae Jin AU - Kim HJ AD - Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Yoo, So-Young AU - Yoo SY AD - Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address: somatom25@hanmail.net. FAU - Jeon, Tae Yeon AU - Jeon TY AD - Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Ji Hye AU - Kim JH AD - Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. LA - eng PT - Comparative Study PT - Journal Article DEP - 20160616 PL - United States TA - Clin Imaging JT - Clinical imaging JID - 8911831 SB - IM MH - Adolescent MH - Algorithms MH - Child MH - Female MH - Humans MH - Lung/*diagnostic imaging MH - Male MH - Models, Theoretical MH - *Radiation Dosage MH - Radiographic Image Interpretation, Computer-Assisted/*methods MH - Retrospective Studies MH - Tomography, X-Ray Computed/*methods MH - Young Adult OTO - NOTNLM OT - CT dose reduction OT - Iterative reconstruction OT - Model-based iterative reconstruction OT - Pediatric chest CT EDAT- 2016/06/28 06:00 MHDA- 2016/12/15 06:00 CRDT- 2016/06/28 06:00 PHST- 2016/02/16 00:00 [received] PHST- 2016/05/03 00:00 [revised] PHST- 2016/06/13 00:00 [accepted] PHST- 2016/06/28 06:00 [entrez] PHST- 2016/06/28 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - S0899-7071(16)30068-7 [pii] AID - 10.1016/j.clinimag.2016.06.006 [doi] PST - ppublish SO - Clin Imaging. 2016 Sep-Oct;40(5):1018-22. doi: 10.1016/j.clinimag.2016.06.006. Epub 2016 Jun 16.