Reducing radiation exposure with iterative reconstruction: an inter- and intra-scanner analysis

• Published in: Journal of radiological protection Vol. 37; no. 4; pp. N42 - N48
• Main Authors: Rohr, Aaron, Wick, Jo, Hill, Jacqueline, Walter, Carissa, Irani, Neville, Best, Shaun, Miller, Kirk, Ash, Ryan
• Format: Journal Article
• Language: English
• Published: England IOP Publishing 01.01.2017
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; CTDIvol; DLP; dose reduction; Female; Humans; iterative reconstruction; Male; manufacturer; Middle Aged; Radiation Exposure - prevention & control; Radiation Protection - methods; Radiographic Image Interpretation, Computer-Assisted; Retrospective Studies; Software; Tomography Scanners, X-Ray Computed
• ISSN: 0952-4746; 1361-6498
• DOI: 10.1088/1361-6498/aa8e54

Our purpose in this study was to compare delivered radiation exposure via computed tomography dose index volume (CTDIvol) and dose length production (DLP) measurements from computed tomography (CT) examinations performed on scanners with and without image-quality enhancing iterative reconstruction (IR) software. A retrospective analysis was conducted on randomly selected chest, abdomen, and/or pelvis CT examinations from three different scanners from 1 January 2013 to 31 December 2013. CTDIvol and DLP measurements were obtained from two CT scanners with and one CT scanner without IR software. To evaluate inter-scanner variability, we compared measurements from the same model CT scanners, one with and one without IR software. To evaluate intra-scanner variability, we compared measurements between two scanners with IR software from different manufacturers. CT scanners with IR software aided in the overall reduction in radiation exposure, measured as CTDIvol by 30% and DLP by 39% when compared to a scanner without IR. There was no significant difference in CTDlvol or DLP measurements across different manufacturers with IR software. As a result, IR software significantly decreased the radiation exposure to patients, but there were no differences in radiation measurements across CT manufacturers with IR software.