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Application of adaptive statistical iterative reconstruction-V technique in CT portal venography for improving image quality(PDF)

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

Issue:
2020年第8期
Page:
1017-1021
Research Field:
医学影像物理
Publishing date:

Info

Title:
Application of adaptive statistical iterative reconstruction-V technique in CT portal venography for improving image quality
Author(s):
REN Zhanli1 2 HE Taiping2 YU Yong2 YU Nan2 3 ZHANG Xirong2 3 JIA Yongjun2 DUAN Haifeng2 LI Dou4 HE Chao1 PENG Xueyan5
1. Department of Radiology, the Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China 2. Department of Radiology, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China 3. College of Medical Technology, Shaanxi University of Chinese Medicine, Xianyang 712000, China 4. Department of Radiology, Changan Hospital, Xian 710016, China 5. Xianyang Central Hospital, Xianyang 712000, China
Keywords:
Keywords: computed tomography portal venography adaptive statistical iterative reconstruction-V image quality
PACS:
R318
DOI:
DOI:10.3969/j.issn.1005-202X.2020.08.015
Abstract:
Abstract: Objective To explore the application value of adaptive statistical iterative reconstruction-V (ASIR-V) technique in improving the quality of computed tomography portal venography (CTPV) image. Methods Sixty patients who underwent CTPV using Revolution CT were enrolled and randomly divided into group A and group B. Tube voltage of 120 kV, noise index of 10 and contrast agent dose of 450 mgI/kg were adopted in both two groups. After scanning, group A was reconstructed with 40%ASIR, while group B was reconstructed with 40%ASIR-V. The CT values and its standard deviations of the main portal vein (MPV), the left branch of portal vein (LPV), and the right branch of portal vein (RPV) were measured, and their signal-to-noise ratios (SNR) and contrast-to-noise ratios (CNR) were calculated. The volume CT dose index (CTDIVOL) and dose length product (DLP) in two groups were recorded, and the effective dose (ED) was calculated. The subjective scores of image quality were assessed blindly by two experienced radiologists using a 5-point system. Results There was no significant difference between two groups in general information, irradiation dose (CTDIVOL, DLP, ED) and the total contrast agent dose (P>0.05). The CT values of MPV, LPV and RPV showed no statistical difference between two groups (P>0.05). Moreover, compared with group B, group A had higher standard deviations of CT values and lower SNR and CNR for MPV, LPV and RPV, with statistical significance (P<0.05). There was a good agreement between two radiologists (Kappa>0.75, P<0.05). The subjective score of the images in group B was significantly higher than that in group A (P>0.05). Conclusion ASIR-V technique can significantly improve the quality of CTPV image, thereby providing better CTPV image for clinical diagnosis.

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Last Update: 2020-08-27