Pediatric Radiology

, Volume 41, Issue 9, pp 1174–1182

Reducing abdominal CT radiation dose with the adaptive statistical iterative reconstruction technique in children: a feasibility study

Authors

    • Department of RadiologyThe Children’s Hospital of Pittsburgh of UPMC
    • Department of RadiologyAllegheny General Hospital
  • Rafael C. Ceschin
    • Department of RadiologyThe Children’s Hospital of Pittsburgh of UPMC
  • Barbara L. Clayton
    • Department of RadiologyThe Children’s Hospital of Pittsburgh of UPMC
  • Tom Sutcavage
    • Department of RadiologyThe Children’s Hospital of Pittsburgh of UPMC
  • Sameh S. Tadros
    • Department of RadiologyThe Children’s Hospital of Pittsburgh of UPMC
  • Ashok Panigrahy
    • Department of RadiologyThe Children’s Hospital of Pittsburgh of UPMC
Original Article

DOI: 10.1007/s00247-011-2063-x

Cite this article as:
Vorona, G.A., Ceschin, R.C., Clayton, B.L. et al. Pediatr Radiol (2011) 41: 1174. doi:10.1007/s00247-011-2063-x

Abstract

Backgound

The use of the adaptive statistical iterative reconstruction (ASIR) algorithm has been shown to reduce radiation doses in adults undergoing abdominal CT studies while preserving image quality. To our knowledge, no studies have been done to validate the use of ASIR in children.

Objective

To retrospectively evaluate differences in radiation dose and image quality in pediatric CT abdominal studies utilizing 40% ASIR compared with filtered-back projection (FBP).

Materials and methods

Eleven patients (mean age 8.5 years, range 2–17 years) had separate 40% ASIR and FBP enhanced abdominal CT studies on different days between July 2009 and October 2010. The ASIR studies utilized a 38% mA reduction in addition to our pediatric protocol mAs. Study volume CT dose indexes (CTDIvol) and dose-length products (DLP) were recorded. A consistent representative image was obtained from each study. The images were independently evaluated by two radiologists in a blinded manner for diagnostic utility, image sharpness and image noise.

Results

The average CTDIvol and DLP for the 40% ASIR studies were 4.25 mGy and 185.04 mGy-cm, compared with 6.75 mGy and 275.79 mGy-cm for the FBP studies, representing 37% and 33% reductions in both, respectively. The radiologists’ assessments of subjective image quality did not demonstrate any significant differences between the ASIR and FBP images.

Conclusion

In our experience, the use of 40% ASIR with a 38% decrease in mA lowers the radiation dose for children undergoing enhanced abdominal examinations by an average of 33%, while maintaining diagnostically acceptable images.

Keywords

Adaptive statistical iterative reconstruction Image quality Radiation dose Reconstruction algorithm CT

Copyright information

© Springer-Verlag 2011