CT dose optimization for the detection of pulmonary arteriovenous malformation (PAVM): A phantom study - 04/05/20
, S. Boccalini b, J.P. Beregi a, A. Vlassenbroek c, A. Vuillod d, S. Dupuis-Girod e, f, L. Boussel b, g, P. Douek b, g, S. Si-Mohamed b, g
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Abstract |
Purpose |
To determine the lowest suitable dose level for the detection of pulmonary arteriovenous malformation (PAVM) using a task-based image quality assessment.
Material and methods |
A phantom was scanned using the standard chest protocol (STD) and 4 other ultra-low dose protocols (ULD) using various kVp. Raw data were reconstructed using level 5 of the hybrid iterative reconstruction algorithm (iDose4) for the STD protocol, and level 6 of iDose4 and levels 1 to 3 of model-based iterative reconstruction (IMR) for the ULD protocols. Both quantitative criteria and qualitative analysis were used to compare protocols. Noise-power-spectrum and Task-based transfer function were computed using imQuest software. The detectability-index (d’) was computed for the detection of PAVM. A subjective analysis was performed by 2 chest radiologists to validate the image-quality obtained on the anthropomorphic phantom for all protocols.
Results |
Similar d’ values were found for ULD-140 using iDose4 6 compared to STD protocol. Greater d’ values were found for all ULD protocols using IMR compared to STD. Subjective image quality was rated as acceptable to excellent for ULD-140 and ULD-120 for all reconstruction types, for ULD-100 and ULD-80 using IMR2, and for ULD-100 using IMR1. Image smoothing was poor for IMR3 for ULD-100 and ULD-80. Finally, the ULD-80 protocol reconstructed with IMR2 was chosen for the detection of PAVM. With this protocol, the dose (CTDIvol of 0.3mGy) was reduced by 91% compared with the STD protocol.
Conclusion |
A dose level as low as 0.3mGy reconstructed with IMR2 provides an image quality suitable for the detection of PAVM.
Le texte complet de cet article est disponible en PDF.Keywords : Multidetector computed tomography (CT), Image enhancement, Telangiectasia, hereditary hemorrhagic, Ultra-low dose (ULD) protocol, Pulmonary arteriovenous malformation (PAVM)
Plan
Vol 101 - N° 5
P. 289-297 - mai 2020 Retour au numéro
Article précédent
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