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Image quality, diagnostic accuracy, and potential for radiation dose reduction in thoracoabdominal CT, using Sinogram Affirmed Iterative Reconstruction (SAFIRE) technique in a longitudinal study

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  • Michael Scharf
  • Stephanie Brendel
  • Katja Melzer
  • Christian Hentschke
  • Matthias May
  • Michael Uder
  • Michael M Lell

Abstract

Objective: To step-wise evaluate image quality of sinogram-affirmed iterative reconstruction (SAFIRE) in reduced-dose (RD) thoracoabdominal computed tomography (CT) compared to full-dose (FD) and RD filtered back projection (FBP) in a longitudinal study. Materials and methods: 122 patients were included in this prospective study. 49 patients (14 men: mean age ± SD, 56±0.4 years; 35 women: 58±1.3 years) completed FD, RD1 (80%-dose) and RD2 (60%-dose) thoracoabdominal CT. Each CT dataset was reconstructed with FBP and SAFIRE. For quantitative image analysis image noise was measured in defined tissue regions. Qualitative image evaluation was performed according to the European Guidelines on Quality criteria for CT. Additionally artifacts, lesion conspicuity, and edge sharpness were assessed. Results: Compared to FD-FBP noise in soft tissue increased by 12% in RD1-FBP and 27% in RD2-FBP reconstructions, whereas SAFIRE lead to a decrease of 28% (RD1) and 17% (RD2), respectively (all p

Suggested Citation

  • Michael Scharf & Stephanie Brendel & Katja Melzer & Christian Hentschke & Matthias May & Michael Uder & Michael M Lell, 2017. "Image quality, diagnostic accuracy, and potential for radiation dose reduction in thoracoabdominal CT, using Sinogram Affirmed Iterative Reconstruction (SAFIRE) technique in a longitudinal study," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-13, July.
  • Handle: RePEc:plo:pone00:0180302
    DOI: 10.1371/journal.pone.0180302
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