Document Detail


Reduction in dose from CT examinations of liver lesions with a new postprocessing filter: a ROC phantom study.
MedLine Citation:
PMID:  18365819     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: It is desirable to lower the dose from computed tomography (CT) examinations as much as possible without reducing diagnostic performance. Mathematical postprocessing filters are one tool to achieve dose reduction. PURPOSE: To evaluate the possibilities of reducing CT doses from liver examinations using a new postprocessing filter. MATERIAL AND METHODS: An anthropomorphic upper-abdomen phantom was used in receiver operating characteristic (ROC) studies of the detectability of liver lesions. A standard abdominal CT protocol was used. Only mA settings were changed; all other scan parameters were constant. The postprocessing filter used was SharpView CT, which provides context-controlled restoration of digital images using adaptive filters. Six readers were given a set of 10 images obtained at five different dose levels, each image with 32 predefined areas to be evaluated on a five-point scale. In total, 1920 areas were evaluated. At each dose level, the readers evaluated five images without enhancement and five images based on postprocessing filters. All images were randomized with respect to dose level. RESULTS: The postprocessing filter improved the diagnostic performance significantly compared to the unenhanced images at all dose levels. Radiation dose for abdominal CT examinations of liver lesions in the range 2-7 mm was reduced by 30% using postprocessing filters, while diagnostic performance of the examination was maintained or even improved. CONCLUSION: This study indicates great potential for lowering doses for CT examinations of liver lesions using the new postprocessing filter. The software must be fully tested clinically to reliably assess the benefits of this filtration.
Authors:
A C Traegde Martinsen; H Kjernlie Saether; D R Olsen; P Skaane; H M Olerud
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Acta radiologica (Stockholm, Sweden : 1987)     Volume:  49     ISSN:  1600-0455     ISO Abbreviation:  Acta Radiol     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-27     Completed Date:  2008-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706123     Medline TA:  Acta Radiol     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  303-9     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Physics, Division of Radiology, Ullevål University Hospital, Oslo, Norway. neti@uus.no
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MeSH Terms
Descriptor/Qualifier:
Humans
Liver Neoplasms / radiography*
Observer Variation
Phantoms, Imaging*
ROC Curve*
Radiation Dosage*
Radiographic Image Interpretation, Computer-Assisted / instrumentation*,  methods
Radiography, Abdominal / instrumentation,  methods
Tomography, X-Ray Computed / instrumentation*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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